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HomeMy WebLinkAboutDrain Layers Permit 85 Chase Farm Road i i TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6630 Contractor PAUL L . SZEWCZYK EXCAVATOR Location 85 CHASE FARM RD Address 490 COLEMAN ROAD Type Work NEW SAN LAT MIDDLETOWN CT 06457 Ph'bne No. (860 )a47-8502 1-7 > -` �7 q 7 Date I nsp Needed � �� Gate I nsp Time Insp Needed . / i �� Tiime Insp.; Inspected By f Work in Progress 2 f er1 Glirlli� Ct6vtocc� -r Xi 6 a(z ad La & 6 Date Sx—\�—��.� Permit No. 6630 Town of South Windsor, CT Permit Date 06/20/1997 Drain Layer Permit Expiration Date 07/20/1997 Descrip: CK2157 $3875 .00 PAID LOTS 3,4, 9 , 15 , 17 Applicant Location Name PAUL L. SZEWCZYK EXCAVATOR Addr. ,`'85, CHASE FARM RD Addr. 490 COLEMAN ROAD Owner,!CHASE ASSOCIATES MIDDLETOWN CT 064,61 Phone No. (860)347-8502 The Drain Layer asiigr�ed �thi permit '' as va11d' cense issued by the state and hereby agrees ; to;`iI I the terms. and 'c©nd'ItI oats set forth in the attached 'Conditions' -, A 1 1,`wgr..k sha1,1 .bp,. i.n a&6ar:d6nce= with Town of South Windsor standards, a11 ,4aHA ?`requ;iremnts}. ,and the; ttached conditions. vev— Issued By 7//7 �! p Date Ins ected finspecti _By APPLICATION FOR DRAIN LAYERS PERMIT r TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 Location of proposed work: Lot # 9 Street No. Street Name Premises owned by: Name of Firm: ��v� C. _g2 e cZ,yl�( Y� zn c. Phone: 21 Address of Firm: TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Proposed Start Date L z3 Estimated 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 ealiL the holder of Drain layer's License No. Only holders of P1, P7 & W9 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. Signed: Print Name License Drat Layer Date: b" ��