testflight – Town of Winchester

Permit Application

Select the type of application below. Each form collects the information required for that permit type.

Project Information

Type of work * Project title * Road * Description of work * Property address *

Requested start date *

Requested end date *

Traffic impact

Applicant Information

Company / organization *

Your name *

Phone *

Email *

Contractor

Property owner

On-site contact name *

On-site contact phone *

Construction Details

Installation method

Depth

Road crossings

Surface

Width

Distance to lot line

Slope

Existing culvert?

Existing culvert size (if applicable)

Compliance

Certificate of insurance filed?

Diggers Hotline ticket #

Work Location

Draw the route of your work on the map. Click to start, double-click to finish.

No route drawn — click the map to start, double-click to finish.

Certification

I certify the information provided is accurate and complete. I agree to comply with all applicable Town ordinances and state statutes. I understand work may not begin until the permit is approved by the Town Board. I agree to restore the right-of-way to at least its previous condition at my expense. I understand the Town reserves the right to final inspection after completion.

Signature (type your full name) *

Date *

Applicant Information

Full name * Mailing address *

City *

State *

ZIP *

Phone *

Email *

Location Information

Address or Parcel ID of property * Road the driveway will access * Driveway will provide access to * Current zoning of property

Description of Proposed Work

Surface material *

Driveway width at property line *

Does a drainage structure (culvert) currently exist? *

Yes No

Culvert diameter

Culvert length

Culvert material

Contractor performing work Contractor phone

Driveway Location

Click the map to mark where the driveway meets the road.

No location selected — click the map to drop a pin.

Certification

I certify the information provided is accurate and complete. I understand work may not begin until the permit is approved by the Town Board. I understand the driveway should be staked out prior to inspection. I understand a non-refundable $100 fee is required with this application. I understand the Town reserves the right to final inspection after completion.

Signature (type your full name) *

Date *

A $100 non-refundable fee is due with this application. Pay online here or pay by check/cash.

Project Information

Type of work * Project title * Road(s) affected * Description of work *

Estimated start date *

Estimated end date *

Traffic impact *

Contact Information

Organization / contractor *

Contact name *

Phone *

Email *

Public on-site contact name *

Public on-site contact phone *

Project Area

Click the map to drop pins along the project area. Click multiple points to outline the extent of work.

No points placed — click the map to add project area markers.

Certification

I certify the information provided is accurate and complete. I understand all work must comply with applicable Town ordinances and state statutes. I agree to maintain traffic control measures for the duration of the project.

Signature (type your full name) *

Date *

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