HomeMy WebLinkAboutStreet Cut Permits 20 Fitch Meadow Lane (2) 1700133 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/27/2017
GIS ID: 32800020 FEE: 25.00
MUNIS APPLICATION# 201700798 EXPIRATION DATE: 06/27/2018
APPLICANT LOCATION
NAME: ENVIRONMENTAL SERVICES INC ADDRESS: f20FITCH MEADOW LANE
ADDRESS: 90 BROOKFIELD STRI✓IyT OWNER: CASAO ,HERMAN
SOUTH WINDSOR,CT 06074" 20 FITCH MEADOW LANE
= ,SOUTH WINDSOR, CT 06074
PHONE 860-528-9500 `
WORK DESCRIPTION: DRIVEWAY 20 22-24-2I
APPLICANT AGREES TO FURNISH THE-TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANfb(PENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
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ISSUED AY DATE INSPECTED INSPECTED BY
6/27/2017 11:24 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:_11 6o CONTRACTOR:F]? l Ry8 m6l dA 'Se[Q o
LOCATION:TP,T&h enCn id Lek��T
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE` rSOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm GN�!�D � lJE't, fs
� Phone No. ? �
Address of Firm Zip Code�lJ7
Location of proposed wo
Describe fully n it reque*d !ovo— cow
; ff
i
Starting date__ (n T Call Before You Dig No d 6/.'7-,2 5-0 3 I A3
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR
Check Applicable: ;ZlangDnveway,ement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
No Changes ❑ Proposed Driveway Widening ❑ Proposed New Drnreway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or fumish Indicate North This section to be filled outbv Town
two copies of separate drawing
No.cute
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
�) 1 Est.Curb Replacement ft
Est.Curb Unit Price
okJi Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$__Jsf
Est.Sidewalk Cast$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ fir
[� Est.Traffic Control$
Amt.of Deposit$ 3
DRIVEWAYS must be aft or more i� Total Due$
section 2.17 of ths-zoning regulations
( )Cash { )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES. Paid By
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH
WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECT16N WITH THIS PERMIT AND
THAT I AM oFAM1LIAR:WITH-AND WILL ABIDE BY THE RULES AND.REGULATONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOITS STREET CUT PERMIT MANUAL.
Print Names nafa.