HomeMy WebLinkAboutDrain Layers Permit 349 Clark Street TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6528 Contractor ANDREW MAROCHINNI
Location 349 CLARK STREET Address ANDY'S PLUMBING
Type Work NEW SAN LAT 24 CONCORD DRIVE
ROCKY HILL CT 06067
Phone 'No. t 1
Date Insp Needed Date nsp._Time Insp Needed Time insp.
Inspected Byen
Work in Progress
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Input Date
>ermit No. 6528 Town of South Windsor, CT
)ermit Date 11/20/1996 Drain Layer Permit
:xp ration Date 12/20/1996
)escrip:
Applicant Location
dame ANDREW MAROCHINNI Addr-, 349 CLANK STREET
kddr .. ANDY' S PLUMBING Owner jOHt-4 LAWRE:NCE
24 CONCORD DRIVE
ROCKY HILL CT 06067:
Rhone No.
The Drain Layer assigned this permit has a valid license issued by the
state and hereby agrees- to-- all the terms and conditions set forth in the
attached 'Conditions' . All work shall -be in accordance with,, Town of South
Windsor standards, all OSHA requirements, anti- the attached conditions.
Al
Issued By Title
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Date Inspecte� J -- - -- Snapectediy place
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APPLICATION FOR DRAIN LAYERS PERMIT ---,
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN A VENLTE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: ,3 �f �,(Q r k s Lot.#
Street No. Street Name
Premises owned by: -'o b „
Name of Firm: s , Phone:_,S'ag-to g ?
Address of Firm: �{ oYt c o r d .D r r u e o c Hi%/ C 7` od Le
TYPE OF WORK:
Lay House Drain _; Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
Connection will be made with S L?
Proposed Start Date i Estimated time for completion l cv
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 d/„ eu, (7.0110 <c-h r yr r the holder of Drain
layer's License No. 1 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. �2 3' and/or ConnDOT Permit No.
r,
Signe Print Name u./ M4 ro cc4/'11
Licensed Drain Layer
Date: 6l ?6
TOWN OF SOUTH WIN OR
SANITARY SEWER INSPECTION CHECKLIST �o6erf Qq��{e
FUNCTION NO YES N/A DATE INSPECTED
1. Is Permit On Job Site RD ja 4r 16
2. Police Notified V II
3 . Safety Items In Place l�
a. Shoring, Trench Box, Ladder
b. Hard Hats
C. Pumps
4 . Proper Material
a. Pipe �f
b. Pipe Bedding ►L
c,. Backf ill t
d. Warning Tape _ 11
e. Pipe Cap or Plug
f Cleanouts li
g. Fittings �_ I
h. Manhole
i. Cover & Frame v
5 . Existing Lateral Cap Removed
in Presence of Inspector
6 . Lateral probed and found fl
to be clear
7 . Pavement Cut Properly
8 . Trench & Bedding OK y �_
9 . Joints Properly Done �l
10 . Backfilling (12" Lifts ) /(
& Compaction /
11. Manhole Inverts Built V
12. Subbase Material Placed <<
13 . Base Material Placed
14 . Blacktop (Temp) w/Proper
Grades & Slopes
15. Pressure Test
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16 . Mandrel Test ( �
17 . Installation agrees with plan ✓' /�
18. As-Built plans recorded L f`
Y z Mr�ij
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JOHN LAWRENCE & ASSOC. �
Engineer - Surveyor
486 Prospect Ave. Hartford, CT 06105 �
Phone 232-4740