HomeMy WebLinkAboutDrain Layers Permit 15 City View Terrace TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6527 Contractor WILCOX CONSTRUCTION CO
Location 15 CITYVIEW TERRACE Address 535 OLD STAFFORD ROAD
Type Work NEW SAN LAT TOLLAND CT 06084
Phone No, (860)67 1--18:39
Date Insp Needed Date Insp,
Time Insp Needed _ Time Insp.
r '
Inspected By
Work in Progress
____ i _s ,� -�'.(w�1__._f-.� � .-i-C,.� �t� 1 t x,4.•�.'- t _— `I�1 �.. (._4--.� _..---__--
Input
t
C_� �• tk Date � �
Permit No. 6527 Town of South Windsor, CT
Permit Date 11/19/1996 Drain Layer Permit
Expiration Date 12/19/1996
Descr ip:
Applicant Location
Name WILCOX CONSTRUCTION CO Addr. +, 15 CITYVIEW TERRACE
Addr . 535 OLD STAFFORD ROAD Owner B & M ENTERPRISE
TOLLAND CT 06084
Phone No. (860)871-1839
The Drain Layer assigned -this permit bias a valid license issued by the
state and hereby agrees to t the terns and conditions set forth in the
attached 'Conaitions' . . A` l work shall be c in acordanr..e with Town of South
Windsor standards, all -,OSHA,_ requirements; and the attached conditions.
Issued By ._. .. .._:_-=_-� _-_` ._ T i t 1 e
Date Iris p ct.4d _^ /�//z/o . 6 Inspected By
i
1.
i
I
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WIlVDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENL E
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: S V i e-W V�-r ciCe-, Lot #
Street No. Street Name
Premises owned by: 6 i F-k Ln der-pn SCS , —Zr-h c-
Name of Firm:_ +erD j-.k4eS ' +�c Phone: L 4�-S D.?F
Address of Firm: �3 r?(d e 1�Sc� �n V a-I I lid- S O LA U W►'n CIS C-r
TYPE OF WORK. /
Lay House Drain 6 ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date df ` ' stimated time for completion R
ALL WORK TO BE IN ACCORDANCE WITH YOWN OF SOUTH WiNDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
/ it ? 4�i
Permit is to be issued to 0 � >' the holder of Drain
layer's License No.C,6720 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.
Signe Fr nt Nam ie . /jLG '�� �
Licensed Drain Layer
Date: 41
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: Lot # /Q
Street No. Street Name
Premises owned by: rl:5J- Ar e
Name of Firm: /,�G��,� s l'��i ; !c` Phone: G
Address of Firm:S7 _ . ` t".��7 �/t V ZC-)
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
�r
Connection will be made with G c
Proposed Start Date / --?7/ 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 " 5L-1d the holder of Drain
layer's License No. Only holders of Pl,�& 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.
Signe int Name ,"
Licensed Drain Layer
Date:
f q7
TORN OF SOUTH AINDSOR
1-7 L' vI e_G✓ / -rrY SANITARY SEWM INSPECTION CHECKLIST
FUNCTION NO YES N/A DATE INSPECTED
1 . Is Permit On Job Site ►�(
2 . Police Notified � zl
3 . Safety Items In Place
a. Shoring, Trench Box, Ladder
b. Hard Hats �i
c. Pumps EZ �(
4 . Proper Material
a . Pipe i�L� I/at
b. Pipe Bedding �.n q!
C . Backfill a►
d. Warning Tape �1
e. Pipe Cap or Plug
f . Cleanouts A I
g. Fittings
h. Manhole �D f
i . Cover & Frame QD �I
5 . Existing Lateral Cap Removed
in Presence of Inspector
6 . Lateral probed and found
to be clear
7 . Pavement Cut Properly )_ if�l
8 . Trench & Bedding OR a�
9 . Joints Properly Done
10 . Backfilling (12" Lifts ) 1I
& Compaction L1,,
11 . Manhole Inverts Built 11I
12 . Subbase Material Placed
13 . Base Material Placed
14 . Blacktop (Temp) w/Proper
Grades & Slopes
15 . Pressure Test PD ►�a�
16 . Mandrel Test 9-L)
17 . Installation agrees with plan
18 . As-Built plans recorded j�� �