HomeMy WebLinkAbout44 fitch Meadow Lane 1700129 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/27/2017
GIS ID:32800044 FEE: 25.00
MUNIS APPLICATION# 201700794 EXPIRATION DATE: 06/27/2018
APPLICANT LOCATION
NAME: ENVIRONMENTAL SERVICES INC ADDRESS: 44 FITCH MEADOW LANE
ADDRESS: 90 BROOKFIELD STREET OWNER: PATEL TEJAS&DHARA
SOUTH WINDSOR,CT 06074 44 FITCH MEADOW LANE
SOUTH WINDSOR,CT 06074
PHONE 860-528-9500
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES,TO FURNISH 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 TIRE 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.
ISSUED BY DATE WSPECTED INSPECTED BY
6/27/2017 11:12 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 7 C>o Jf CONTRACTOR: 4"j �yo
LOCATION: V
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: 7
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: f�� DATE:
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PENT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH.WINDSOR,CT 00074 FEE $25.00
Name of Firm l r�91� �L ' ,U t� C Phone No.Ifl0 - ��''
Address of Firm q 0 b 2B9Kr-1 I-D Code �IQO 1
F Location of proposed wok T
'be fully nature of permit requested— T-,& G
Ae
Starting dateT I Before You Dig No aai.-I-
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATC}i AND CURB REPLACEMENT IS A PREUMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOM$CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED Wf THIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD SE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
XBMng Driveway;No Changes ❑ Proposed Driveway Widening ❑ Proposed New Ddyeway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Pubic Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be glad outbv Town
two copies of separate drawing
No.cuts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
�1 Est.Curb Repleoemert ft .
FeL Curb Unit Price
FaL Curb Cost$
Est.810s W k Replawnent sf
EsL Sidewalk Unit Price$�sf
Est.Sidewalk Cost$
Est.Traflc Hours hr
Est.Tn tlic Unit Cost$ _ /hr
Eft TrafOc Control
Amt.of Deposit$
DRIVEWAYS must be aft or more from ttm•property line per Total Due$
owdon.L17 of the-zoning iequistions
Applicant is responsible for Ong the Police DapL and C.B.Y.D � )Cash OCheck 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 AwFAmajAR WITH,AM WILL ABIDE BY THE RULES AND.REGULATIONS FOR PERMUS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOKS STREET CUT PERMIT MANUAL.