HomeMy WebLinkAboutStreet Cut Permits 49 Fitch Meadow Lane (2) 1700123 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/27/2017
GIS ID: 32800049 FEE: 25.00
MUNIS APPLICATION# 201700788 EXPIRATION DATE: 06/27/2018
APPLICANT LOCATION
NAME: ENVIRONMENTAL SERVICES INC ADDRESS: 49 FITCH MEADOW LANE
ADDRESS: 90 BROOKFIELD STREET OWNER: TERRY-SALLY A
SOUTH WINDSOR„CT 06Q74 49 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 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.
ISSUED Y DATE INSPECTED INSPECTED BY
6/27/2017 9:52 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
.
PERMIT NO.: 0 1 CONTRACTOR: a-22 X GCS
LOCATION: q 9
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: '> 1
INSPECTED BY: 9P
WORK IN
PROGRESS: r,n.
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: \\►�,. DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION. FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH.WINDSOR,CT 06074 FEE $26.00
Name of Firm 41j d!kPA)t 0NTx L 54,E I Cgs 2�6L- Plione No. 80 '—y��
Address of Firm e/ Do .e" Zip Code o
Location of proposed WO* /J
Do
'be fully nature of permit requestso dcc,-4
iY G•�-t
Starting date 8 6 Cali Before You Dig NoIdl -Aso D
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCti AND CURB REPLACEMENT IS APRELIMINARY ESTIMAtE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL.COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicalble: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk'Cut
Ring Driveway;No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or famish Indicate North This section to be filled out by Town
two copies of separate drawing -No.cuts
Est.Patch S-*s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
d 1 Est.Curb Replacement ft .
�a Est.Curb Unit Price
\lam
1 Net.Curb Cost$
Est.Sidewalk Repot_of
Est.Sidewalk Unit Price$_jsf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traft Unit Cost$ _ Ihr
.Est.Traffic Control
Amt.of Deposit$
DRIVEWAYS must be aft or more from the•property line per Total Due$
swilon.117 of the-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 CONNECT116N WITH THIS PERMIT AND
..THAT I AM AAMIIAAR.;WITH MO WILL ABIDE BY 1'HE RULES AND.REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S STREET CUT PERMIT MANUAL.