HomeMy WebLinkAboutDrain Layers Permit 17 City View Terrace } TOWN OF SOUTH WINDSOR INSPECTIbN REPORT
Permit No. 6559 Contractor WILCOX CONSTRUCTION CO
Location 17 CITYVIEW TERRACE Address 635 OLD STAFFORD ROAD
Type Work NEW SAN LAT TOLLAND CT 06084
Phone`'No. (860)871-- 1839
Date I nsp Needed --_ I�a Date , ns �/ Q! (7
P -- -- --- ----..
Time I nsp Needed -- _ _- T me "rhs ,� '�t C� ?
Inspected By _� � �—� ---------
Work in Progress 6i ("; t+i5?a(f
Input `,��._ sS..F Date
Permit No. 6559 Town of South Windsor, CT
Permit Date 01 /21/1997 Drain Layer Permit
Expiration Date 02/20/ 1997
Descrip : PD RCPI 4711 LOT 10 COLLINS XING
Applicant Location
Name WILCOX CONSTRUCTION CO :Ac)dr, 17 C'ITYVIEW TERRACE
Addr. 535 OLD STAFFORD ROADC� rrxer .E3&M �iNTERPRISES
4 j
TOLLAND CT1,06084
Phone No. (860 )871-1839
The Drain Layer ass!gned `'th s 'Permit has a lvrA1:4d #'icense issued by the
state and hereby agrees to all the terms and c octit�icn5 set forth in the
attached 'Conditions' : -Ali work shall be in cc4rdance' with Town of South
Windsor standards , all OSHA requirements, and ,the ,attached conditions .
Issued By,----. s& ___ _ Title ` -Inspected key
f,
Date Inspected _---- --- -!. __-
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: if TX// � Lot #
Street No. Street Name
Premises owned by: AfZ_ fi /V
Name of Firm: � �, �'T���/ ; /�` Phone: E��-
Address of Firm: '"- .s r�, �'2'` 2t-". �7 �
s'
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with G°'6
Proposed Start Date / �/� &HStimated 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 211NM ,,� �y �' 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 F' � int Name �.�"C =r �',�'
Licensed Drain Layer
Date � �� �
/q7
TOWN OF SOUTH WINDSOR
61,+vi u,., 7�.rr sANrrARy SEWER INSPECTION CHECKLIST
FUNCTION NO YES N/A DATE INSPECTED
1. Is Permit On Job Site
2 . Police Notified J2l
3 . Safety Items In Place
a. Shoring, Trench Box, Ladder
b. Hard Hats Q 0_
C. Pumps ►Zp �i
4 . Proper Material
a . Pipe r0 i/al
b. Pipe Bedding -D I
C. Backfitl RD ai
d. Warning Tape �� a
e. Pipe Cap or Plug
f . Cleanouts
g. Fittings
h. Manhole KD �I
i . Cover & Frame p �I
5 . Existing Lateral Cap Removed
in Presence of Inspector
6 . Lateral probed and found l�zl
to be clear
7 . Pavement Cut Properly _
8 . Trench & Bedding OK �
9 . Joints Properly Done �� ► 2
10 . Backfilling (12" Lifts) �nl
& Compaction
11 . Manhole Inverts Built D ICI
12 . Subbase Material Placed i al
13 . Base Material Placed
14 . Blacktop (Temp) w/Proper
Grades & Slopes
15 . Pressure Test �J real
16 . Mandrel Test D +�ai
17 . Installation agrees with plan P_D i �)
18 . As-Built plans recorded j/� �