HomeMy WebLinkAboutStreet Cut Permits 14 Fitch Meadow Lane (2) 1700134 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/27/2017
GIS ID: 32800014 FEE: 25.00
MUNIS APPLICATION# 201700799 EXPIRATION DATE: 06/27/2018
APPLICANT ; LOCATION
NAME: ENVIRONMENTAL SERVICES INC ADDRESS: 14 FITCH MEADOW LANE
ADDRESS: 90 BROOKFIELD STREET,; OWNER: WILLIS AMANDA M&MATTHEW J
SOUTH WINDSOR,CT Q6674 14 FITCH MEADOW LANE
SOUTH WINDSOR, CT 06074
PHONE 860-528-9500
WORK DESCRIPTION: DRIVEWAY'
APPLICANT AGREES TO FURNISH THB TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AAtY EXPENSES 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.
ISSUED91Y DATE INSPECTED INSPECTED BY
6/27/2017 11:26 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION:_
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: �y _
C7V�Q1D�1 4
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
Vf
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
/ TOWN HALL 1540 SULLIVAN AVENUE SOUTH.WINDSOR,CT 06074 FEE $26.00
Name of Firm � �5'wd l� � Phone No. �D f�z8-96--o.o
Address of'Firm D ! 0S0 2 Zip CodeO ZV
Location of propose!MA
fully n of perm0 requested -c
r c? v
Starting date fo�/ Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S.CONIRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Ddaway
Water Supply: ❑ Public Water ❑ Well Sewage Service ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled outbv Town
two copies of separate drawing
No.cuts
Est.Patch Sb*s) sf
Est.Pvt.Thickness In.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement 'it
S Est.Curb Unit Pdce$ '11,. . :.
ExL Curb Cost$
� Est Sklmvalk Replacement sf
EsL Sidewalk Unit Pdoe$ /sf
�. Est.Sidewalk Cost$
Est Traffic Hours hr
Est Traffic Unit Cost$_____Mr
Est.Traffic Control$
9 Amt of Deposit$
DRIVEWAYS must be aft or more from the-property line per Total Due$
section L17 of the•zoning regulations
. ( )Cash O 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 CONNECTION WITH THIS PERMIT AND
-...THAT I.A1L1I,FAMlttAR;WITH3AND WILL ABIDE BY THE RULES AND.REGULATIQNS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOMS STREET CUT PERMIT MANUAL.