HomeMy WebLinkAboutDrain Layers Permit 22 City View Terrace I'
TOWN OF SOUTH WINDSOR INSPECE"ION REPORT
Permit No. 6547 Contractor WILCOX CONSTRUCTION CO
Location 22 CITYVIEW TERRACE Address 535 OLD STAFFORD ROAD
Type Work NEW SAN LAT TOLL,AND CT 06084
Phone No. (8b0 )871-1839 j
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Date Insp Needed -�_ - Date Tnsp
Time I nsp Needed _-- I i me I nsp --
Inspected By
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Work in Progress __. � J? �1t_ . � L�l . �'Input _ �
--_R..._._ Date
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Town of South Windsor, CT
Permit No. 6547 ('
Permit Date 01/03/1997 Drain Layer Permit i
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Expiration Date 02/02/1997
Deecrip: CONN CHARGE PAID 12-30-96 A4-�
Location
App 1 i cant
Name WILCOX CONSTRUC:TiN CO Add, . 22 CIT'fVIEW TERRACE
Addr. 535 OLD STAFFORD ROAD Owner B & M ENTERPRISES INC.
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TOLLAND CT 06084
Phone No. (860)871-1839
The Drain Layer assigned this Permit ---has a valid license issued by the 3
state and hereby agrees to ;all the tern ,and` condition set forth in the
attached 'Cond i ions ' , Al 1 `work' sha: 1 be -i n acc-d'�danci with Town of South
Windsor standardb, at I ,OSHA raga x e $rts, and the attached cc�nd i t ons.
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Ti e
Issued By
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ecte '/ ( - — ,Inspected try ---
Date I nsp _�_______—___--_...--- .... _
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 2- G'°l- �� Lot #_
Street No. Street Name
Premises owned by: 1 `, j ;t�
Name of Firm: 414 jjXr ,rzVce Phone: '1 '
Address o Firm: r �
TYPE OF WORK.
Lay House Drain !•�' Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date fZ�!? stima.ted 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. o Only holders of PI, 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. ancVor ConnDOT Permit No.
Signed: Print
Licensed Drain Layer
Date:
y hruC� TOWN OF SOUTH AIlIDSOR
SANITARY SEWER INSPECTION CHECKLIST
FUNCTION NO YES N/A DATE INSPECTED
1. Is Permit On Job Site 6 7
2. Police Notified �� 9 7
3. Safety Items In Place
a. Shoring, Trench Box, Ladder J [7 17
b. Hard Hats
c. Pumps
4. Proper Material
a. Pipe k P 1 7
b. Pipe Bedding .0 17
C. Backfill
d. Warning Tape r Z
e. Pipe Cap or Plug _
f. Cleanouts ID 7
g. Fittings D i
h. Manhole _`
i. Cover & Frame _ � 7
5 . Existing Lateral Cap Removed Rj) lf7
in Presence of Inspector
6 . Lateral probed and found l�7
to be clear
7 . Pavement Cut Properly
8 . Trench & Bedding OK _
9 . Joints Properly Done E_
10 . Backfilling (12" Lifts)
& Compaction
11. Manhole Inverts Built
12. Subbase Material Placed
13 . Base Material Placed _
14 . Blacktop (Temp) w/Proper F;J
Grades & Slopes
15. Pressure Test
16. Mandrel Test �J
17 . Installation agrees with plan
18. As-Built plans recorded