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HomeMy WebLinkAboutStreet Cut Permits 68 Fitch Meadow Lane (2) 1700118 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 06/27/2017 , GIS ID: 32800068 F r FEE: 25.00 MUNIS APPLICATION# 201700782 r i y EXPIRATION DATE: 06/27/2018 ga e F ' APPLICANT 5 LOCATION NAME: ENVIRONMENTAL% RVlC;ES lyG ADDRESS "b8 EII"CH MEADOW LANE ADDRESS: 90 BROOKFIELD 5TREE CSWNElr`` GIANSTRACUSA PAUL S JR&ROSALIE J 7.4 SOUTH WINDSOR,C ObQ74 >: y I`1'CI MEADOW LANE r h ' bUTIJINDSOR,CT 06074 PHONE 860-528-9500gg WORK DESCRIPTION: D h u 4iS APPLICANT AGREES TO FURNISH THhTO aQF SOCITIItI� IE'AMQTITT OI$Bi)ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AI�1Y EXPENSESVGIRRFI B 1TE IQWNOTt�JIIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT, TE p�rIPLTOIT IS PAi�t11 IARVI`TH WJIYL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN'bk k S'QU'IH WIN S(k'..S STR11;T UT'PER bIIT MANUAL. alto L � - i, ISSUED B D TE ITPEC T'ED INSPECTED BY 6/27/2017 9:35 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** �• ;� r is 3 R 0 ' y }may ry� E S:st�c `a ;��• SAY � � E W a Fa nSO 5va R e Vzl t I rth } . 3 h �. TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: �I b CONTRACTOR: C. V; ro n inP i'I to 1 der v to s 717 LOCATION: b INC-C&Lh TYPE OF WORK: _b \X L,0(k DATE INSP NEEDED: DATE INSP: 9> 4 3 INSPECTED BY: WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED [:] YES ❑ NO AS-BUILT: INPUT: DATE: ,a S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14 I i 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 FEEc;$25.00 Name of Firm ero e k�k �v�'i G� � �Phone No.T ��"�C ✓S � Address of Firm 6 Zip Code l �7 Location of proposed work � fully nature of permit requ st d GcJ✓ �l `�' f �, Starting date Call Before You Dig No 7 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut 6-Existing Driveway;No Changes ❑ Proposed Driveway Widening © Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out-by Town two copies of separate drawing No.cuts '0. Est. Patch Size(s) sf Est. Pvt.Thickness in. I Esf. Patch Unit Price$ /sf Est. Patch Cost$ Est. Curb Replacement ft Est.Curb Unit Price$ 'fe � East.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ e wLvg C Est.Traffic Hours hr l� Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be 8ft or more from the property line per Total Due$ section 2.17 of the-zoning regulations ( )Cash { )Check# Applicant is responsible for contacting the Police Dept.and C.B.Y.D PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES. Paid By 1 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•FAMII..IAR WITWAND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERM, AS OUTLINED IN THE TOWN OF SOUTH , WINDSOR'S STREET CUT PERMIT MANUAL, RinnPrI. Print Name Date: