HomeMy WebLinkAboutDrain Layers Permit 155 Niederwerfer Roa TOWN OF SOUTH WINDSOR INSPECTION REPORT
termit.., No. 6632 Contractor PAUL L. SZEWCZYK EXCAVATOR
' Wcation 155 NIEDERWERFER RD. Address 490 COLEMAN ROAD
. Type Work NEW SAN LAT MIDDLETOWN CT 06457
Phone No. ( 860)347-8502
Date Insp Needed
04te InsR,
Time Insp Needed
Inspected By
Work in Progress
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Permit No. 6632 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. t55 NIEDERWERFER RD.
Addr . 490 COLEMAN ROAD Owner ;,CbiAE ASSOCIATES
MIDDLETOWN CT 06457 j
Phone No. (860)347-8502 I
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The Drain Layer ass i,,gned this permit~ lies v 'lid Incense issued by the
state and hereby agrees tp 11 the =t�r`m end CAnglt ons set forth in the
attached 'Cond i t i ons A 1 1 0'r.k shs 1 '. ;.n acoo 'dapce� w i th Town of South
Windsor standards, a 1 �; hlA regs,i �fiIF1 +rYis ;endfi; Ott shed conditions.
Issued ByrIit �/2 �t,l
f 7/f7
Date Inspected fns ect
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINOSOR, CT
FEE$25.00
Location of proposed work: 65 S Lot # 11
Street No. Street Name
Premises owned by:
Name of Firm:P,4d/. :,-r-&c, Phone 71(0--
Address of Firm: 996 go
TYPE OF WORK:
Lay House Drain_ Repair House Drain
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
Connection with be made with
Proposed Start Date 23 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 the holder of Drain
layer's License No. doa, 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 QIf t L- S26we-
9 VO
LicenWed rain Layer
Date: