HomeMy WebLinkAboutStreet Cut Permits 27 Fitch Meadow Lane (2) 1700121 TOWN OF SOUTH WINDSO.R, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/27/2017
GIS ID: 32800027 FEE: 25.00
MUNIS APPLICATION# 201700786 EXPIRATION DATE: 06/27/2018
APPLICANT - LOCATION
NAME: ENVIRONMENTAL SERVICES INC ADDRESS: 27 FIT(H MEADOW LANE
ADDRESS: 90 BROOKFIELD STREET OWNER: TRELA MARIE
SOUTH WINDSOR,CT 06074 27 FITCH MEADOW LANE
SOUTH WINDSOR,CT 06074
PHONE 860-528-9500
WORK DESCRIPTION: DRIVEWAY 27-25 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 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 SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
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ISSUEDY DATE INSPECTED INSPECTED BY
6/27/2017 9:47 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: -100 1 J CONTRACTOR: ��,�J��? �j �✓� c S
LOCATION: rch
TYPE OF WORK: D,-i VFi..t a c�
DATE INSP NEEDED: DATE INSP: V/�'3 r7
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 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 $25.00
Name of Firm i()i&AI P e�0, -L Ut��s � hone No 0 � 201L5-Vd
Address of Firm Zip Code
Location of proposed work - 3 S T)ir oc
Describe ful nature f mit GJr
IY p
Starting date b 2ra Call Before ou Dig No o2D./7
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed Now Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or famish Indicate North This section to be filled outbv Town
two copies of separate drawing
No.cuts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
J Est.Curb Replacement ft
Est.Curb Unit Price$ :T
I EsC Curb
� t. u Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
�7 ( �
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS m r more from rope no per Total Due$
section 2.17 of thizoning regula#ions
O 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 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-f'HE RULES AND.REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN:OF SOUTH
WINDSOR'S STREET CUT PERMIT MANUAL.