HomeMy WebLinkAboutDrain Layers Permit 135 Niederwerfer Roa TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6631 Contractor PAUL L. SZEWCZYK EXCAVATOR
Location 135 NIEDERWERFER RD Address 490 COLEMAN ROAD
Type Wort: NEW SAN LAT MIDDLETOWN CT 06457
-Phone No. (860 )347-8502
Date Insp Needed !! cal/ /�x7Q7 ;, Date Irtsp.. '4,. �7 47
Time Insp Needed T+me Irsp.'ra' �/
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Date
rrv. 6631
Permit pate 06/20/1997 Town of South Windsor, CT
Expiration Date 07/20/1997 Drain Layer Permit
Descrip: CK2157 $3875 . 00 PAID LOTS 3 , 4, 9 , 15 , 17
Applicant
Location
Name PAUL L. SZEWCZYK EXCAVATOR
Addr. 490 COLEMAN ROAD A�dn•. � NIEDERWERFER RD
Owner:CHASE ASSOCIATES
MIDDLETOWN CT 46467
Phone No. (860)347-8502
The Drain Layer assignth� '
state and hereby agrees: t permas ��id ��icense issued by the
attached 'Conditions' "� ;the . r,M% 'sand c St �t� 'ns set forth i n the
A 1 work shad 1 t � i;n ac t,"dahc.e
Windsor standards, all OSHA requ7rment�;- Nand with Town of South the> at. '
t4ched conditions.
Issued ByTiltle
e,
Date Inspected �h7�1?
Ins
pect05 4
APPLICATION FOR DRAIN LAYERS PERMIT
v TOWN OF SOUTH UMMSOR _
PUBLIC WORKS DEPARTMENT
s TOWN HALL
1540 SULLIVANAVENUE
SOUTH WINDSOR,. CT
FEE$25 00
Location of proposed work: /3 5� Lot #
Street No. Street Name
Premises owned by: e kas e �se �t r-�
Name of Firm �A�L L. S2f wci y/,� E� 7'�c Phone: '�G gTc
Address of Firm: ygo Coe eA4 4•v R®
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
Connection will be made with
Proposed Start Date �''Z 3 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 A' C. . S Lewczw the holder of Drain
layer's License No. s 121 14-1L. 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 VAN Z . Siek'eZ y�
Licens&f Drain Layer
Date: �' �` 7