HomeMy WebLinkAboutStreet Cut Permits 45 Fitch Meadow Lane (2) 1700122 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER STREET CUT PERMIT
DATE: 06/27/2017
GIS ID: 32800045 FEE: 25.00
MUNIS APPLICATION# 201700787 EXPIRATION DATE: 06/27/2018
APPLICANT LOCATION
NAME: ENVIRONMENTAL SERVICES INC ADDRESS: 45 FITCH MEADOW LANE
ADDRESS: 90 BROOKFIELD STREET OWNER: MULROY NANCY
SOUTH WINDSOR„CT 06074 4a FITCH MEADOW LANE
SOUTH WINDSOR,CT 06074
PHONE 860-528-9500
WORK DESCRIPTION: DRIVEWAY FITCH MEADOW
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYEXPENSES 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.
G iloI o
ISSUjjEh BY DATE INSPECTED INSPECTED BY
6/27/2017 9:50 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ?66 Id.2- CONTRACTOR:en Vj('l)nfi2 ' JerVi16
LOCATION:. L/_5 I-c%t Neaa&j
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: >�
INSPECTED BY: %gib
WORK IN
PROGRESS: 4 ✓� �z ��
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
Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
r TOWN HALL 1540 SULLIVAN AVENUE SOUTH.WINDSOR,CT M74 FEE $26.00
Name of Firm /` 12�`� ✓ �l� � Phone No. Y&D- 6-z d
Address of Firm b S o ' (fr- 4p Code !o
Location of proposed worn /r W
Dese ibe fully nalpr3j of pn(Je
reques Y u9 4 rr S
q-r ,Pm
Starting dabs Call Bebrd You Dig No A,01'I - P v 99 3 40
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATC}I AND CURB REPLACEMENT IS APRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWS CONTRACT COSTS. THE PERMANENT PATC li IS
TYPr LLLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD'BE LATER THAN A YEAR
Check Applkxble: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavemerd Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Watw Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Showsketch of proposed work or furnish Indicate North This section to be Sled outbv Town
two copies of separate drawing
No.cuts
Est.Pasch Sizes) sf
Est.Pvt Thickness in.
Est.Patch Unit Price$ /of
Est.Patch Cost$
Est.Curb Replaceme it .
. Est.Curb Unit Price$
�{ Est.Curb Cost$
Est.Sidewalk Replacement sf
Est Sidewalk Unit Price$ /sf ..
Est.Sidewalk Cost$
r) l a Est.Traffic Hours hr
Est Tmft Unit Cost$ _ /hr
.Est.Ttafflc Control$
Amt.of Deposit$
DRIVEWAYS must be aft or more from fhe property line per Total Due$
section L17 of"zoning iregulations
)Cash ( )Check#
Applicant is responsible for contacting the Police Dept and C.S.Y.D
PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES. Paid By
I AGREE TO FURNISH TO THETOWN 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 AM-FAMIUAR WITH,AND WILL ABIDE BY THE RULES AND.REGULATIQNS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S STREET CUT PERMIT MANUAL.