HomeMy WebLinkAboutStreet Cut Permits 11 Fitch Meadow Lane (2) 1700120 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/27/2017
GIS ID: 32800011 FEE: 25.00
MUNIS APPLICATION# 201700785 EXPIRATION DATE: 06/27/2018
APPLICANT LOCATION
NAME: ENVIRONMENTAL SERVICES INC ADDRESS: 11 FITCH MEADOW LANE
ADDRESS: 90 BROOKFIELD STREET OWNER: MODI F-ENIL
SOUTH WINDSOR,_CT 06074 11 FITCH MEADOW LANE
SOUTH WINDSOR,CT 06074
PHONE 860-528-9500
WORK DESCRIPTION: DRIVEWAY 1145-21 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-OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
17 '
ISSUED)&7 DATE NSPECTED INSPECTED BY
6/27/2017 9:43 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 110006 CONTRACTOR:(-On L)j t?n 1,!2n�yJ &c
LOCATION: J/ - )S--j I J✓j `r<1k Y cyc-1 )?
TYPE OF WORK: 42K LOC W
DATE INSP NEEDED: DATE INSP: O)Z,5
INSPECTED BY: i�
WORK IN
PROGRESS: S
Z06/"'� v� v
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: WV DATE: Y ' I
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 $25.00, ./
Name of Firm (�l �K FTj¢{r . �,�/C�S �iCl�. Pone No �J�v
Address of Firm ROg Zjp Code 412
Location of proposed work / '✓ C!
DesqAe fully nature of permit reVested eftLei,
Starting date (2 {`7 Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PREUMINARY ESTIMATE. THE
APPUCANT 1S RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
5f Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Doeway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled outbv Town
two copies of separate drawing
No.cuts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
aEst.Curb Replacement ft
C Est.Curb Unit Price
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$�sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ Ihr
Est.Traffic Control$
4,, 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 AM FAMWAR ITH•AND WILL ABIDE BY THE RULES AND.REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOKS STREET CUT PERMIT MANUAL.
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