HomeMy WebLinkAboutDrain Layers Permit 56 Bancroft Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7227 Contractor CEZARY T. PLANNER
Location 0056 BANCROFT LANE Address a2 HIGH RIDGE DRIVE
Type Work NEW SAN LAT NEW:# NGTON CT 06111
Phone
Date I nsp Needed W}� �.���- � Date Insp •
Time I nsp Needed _ .W -- — — Time: insp. ,__As
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Permit No. 1227 lawn of South Windsor, CT-
Permit Date 127 1 .1 i 2000 Drain F.a-ver Permit,
Expiration Date 01 / 1012001
Descrip:
Applicant Location
Name CEZARY T. PLANNER Addr. 0056 BANCROFT LANE
Addr. 42 HIGH RIDGE DRIVE Owner .J:ANKOWSKI MAREK & REGINA (SURV
NEWINGTON CT
Phone No. (_860 )983-6552
The Drain Layer assigned this `permit has a valid. license issued by the
state and hereby agrees to all the terms an"d conditions set forth in the
attached 'Condit-ions) . Ali work shall 'b'e in accordance with Town of South
Windsor standards , all OSHA requirements, and the 'attached conditions.
Issued By J LAJA Title
Date Inspected V911 W Inspected By _
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APPLICATION FOR DRAIN LAYER PERMIT
` TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: T 6 � �—/_ Lot #
Street No. Street Name
Premises owned by: ��
Name of Firm: t 47VAEk Phone: 4 ✓� �
Address of Firm: fl/�✓fi1/ r-Zh1
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 7V—4VC0 0P1'1?1A1rr- (q P UG
Existing Water Supply: Public Water_ Well
Proposed Start Date 1 ZD ?ooDEstimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to PWtiEX'— the holder of Drain
Layer's License No. 20 . Only holders of P1 or P7 licenses will be
issued a permit. PERMIT WILL EXPIRE THIRTY (30) DAYS AFTER DATE OF
ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms and
conditions set forth in the permit and attached thereto. Applicant has received Town
Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No.
Signed: Print Name:
Licen� Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc
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