HomeMy WebLinkAboutDrain Layers Permit 14 City View Terrace t
Permit No. 6535
1-own o1- South Windsor, CT
Aermit Date 12/11/ 1996 Or-air) Layer Permit
'Expiration Date 01/10/1997
Descrip:
Applicant Location
Flame WILCOX CONSTRUCTION CC) Addr. 14 CITYVIEW TERRACE
Addr. 535 OLD STAFFORD ROAD Owner 8 M ENTERPRTSES, INC
TOLLAND CT 06084
Phone No. (860871- 4839
The Drain Layer assigned this permit has a valid i;icense issued by the
state and hereby agrees to all the terms and conditions set forth in the
attached 'Conditions ' . A11 work sha 1 be In accordance with Town of South
Windsor standiards, all OSHK requirements , and the attached conditions .
i
Issued By Title
\ti p
Date Inspee ed ----_ �a1G$ Inspected By _.
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Derrwit No. 6535 Contractor WILCOX CONSTRUCTION CO
Location 14 CITYVIEW TERRACE Address 535 OLD STAFFORD ROAD
Type Work NEW :BAN L.AT i OL.L.AND Cl 06084
Phone
Date Insp Needed Date l nsp•
_
Time I nsp Needed ;" __---- T r me I rasp
4: 1
Inspected By
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Work in Progress �_.� �---� - -//
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Input- �`�.ssT ___ Date
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH IDS CT
Location of proposed work:) el�� /j)p5al Lot #
Street No. Street Name
Premises owned by:
Name of Firm: L,k' Y .,f� 00 /r�' Phone:Q%/
l
Address of Firm: Zrl
TYPE OF WORK: G
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for CommerciaVIndustrial
Building of acres
fr
Connection will be made with
Proposed Start Datel /fAstimated 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
/✓ � ���l � tKe holder of Drain
layer's License No.0 0 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 Conn.DOT Permit No.
Signed: Print Name '
Licensed Drain Layer
Date: I(Y16
�, l 7 TOWN OF SOUTH i�ii INDSOR !'-� Ci//r:Pek- �zv�rCe
SANITARY SERER INSPECTION CHECKLIST
FUNCTION NO YES N/A DATE INSPECTED
1. Is Permit On Job Site / / 2
2: Police Notified A 0
3 . Safety Items In Place
a. Shoring, Trench Box, Ladder 9D >>
b. Hard Hats P
c. Pumps
4 . Proper Material
a. Pipe C) P
b. Pipe Bedding RD r/
C. Backfill -&D- rI
d. Warning Tape R D rr
e. Pipe Cap or Plug
f. Cleanouts 9D it
g. Fittings 31) rr
h. Manhole R ID I
i. Cover & Frame _D
5 . Existing Lateral Cap Removed �r
in Presence of Inspector
6 . Lateral probed and found R D 'r
to be clear
7 . Pavement Cut Properly ' 1t
8 . Trench & Bedding OK
9 . Joints Properly Donee /1
10 . Backfilling (12" Lifts )
& Compaction
11. Manhole Inverts Built SD »
12 . Subbase Material Placed d�)) 11
13 . Base Material Placed li
14 . Blacktop (Temp) w/Proper
Grades & Slopes
15. Pressure Test ri
16 . Mandrel Test
17 . Installation agrees with plan _ 1r
18. As-Built plans recorded ('�D h