HomeMy WebLinkAboutDrain Layers Permit 100 Commrce Way Permit, No. 6611 Town of South Windsor, CT
Permit Date 05/ 14/1997 Drain Layer Permit
Expiration Date 06/13/1997
Descrip : x..
Applicant Location
Name MAUL,UCCI CONST . CO. I NC. A�dd,r . `0100 ,COMMERCE WAY
Addr. 73 BROWN STREET Cwneh'"WAIO. )CIX LTD j
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BLOOMPIELD CT , 06002
Phone No. (860) -
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 ' . 'A tl -work shal-1 tie'" i n -accordance with Town of South
Windsor standards, ali OSHAr.equirements, and the ,att,ached conditions ,
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Issued By �� � 1
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Date Inspected -
TC)WN (fir cOUTH 14T �` >.0 '�'
� .N'��t�, ii� ��?ECTTni•' REPORT
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Contractor MAULUCCI CON"-T. CO INC.
L.oca", n' 01o0 COMM.=o 1XIAY Ad''d 7^ ,. �:R0 rr,; cTp -T
Tyke rA n'-!, -W SAN LAT L�ooMr T ELD CT 06002
Phone',No. 860) -
Dat-e I:t3p Needec ?�;' t-I ;, /�$r
Time Itr)cp NeeGc' Tyt2 Is r}J4 f R30 //M
Inspected By
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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: 100, i�r�!�.0 �. GA Lot # �_9 f 30
Street No. Street Name
Premises owned by: (' ,p , r .
Name of Firm: - = e, �/�p
r% «/ .1V 5f,C .Phone: 2- 2, 1 /
Address of Firm: 7.3 iS j-o v,-1 s f- .
TYPE OF WORK.•
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building /� of I. -7 sue acres
Connection will be made with
Proposed Start Date Estimated time for completion,.
ALL WORK TO BE IN ACCORDANCE WITH TOW OF SOUTH WINDSOR
STANDARDS, ALL OSHA ,REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to r{ � ���u the holder of Drain
layer's License No. 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 V"&Awt
Excavation Permit No. and/or ConnDOT Permit No.
Signed: Print Name _ � ; R r�- ,✓
�Iensed Drain Layer
Date: - `f— 7 7
J O(7 (f Ohl ynerce way
TORN OF SOUTH WINDSOR,
7 �� SANITARY SEWER INSPECTION CHECKLIST
F'RNCTION NO YES N/A DATE INSPECTED
1. Is Permit On Job Site I1b SKIS
2 . Police Notified
3 . Safety Items In Place s/(s
a. Shoring, Trench Box, Ladder
b. Hard Hats
C . Pumps s
4 . Proper Material P� �ls
a . Pipe n v
b. Pipe Bedding RD_ s/S
C . Backfill
d. Warning Tape A2 s/5"
e. Pipe Cap or Plug Np S /s
f . Cleanouts -YRD SiS
g. FittingsT) s!S
h. Manholecl{{� �S
i. Cover & Frame 5'
5 . Existing Lateral Cap Removed R17 (S
in Presence of Inspector
6 . Lateral probed and found
to be clear '1
7 . Pavement Cut Properly
8 . Trench & Bedding OR
9 . Joints Properly Done
10 . Backf illing (12" Lifts) CD
& Compaction
11 . Manhole Inverts Built
12 . Subbase Material Placed i5-
13 . Base Material Placed
14 . Blacktop (Temp) w/Proper
Grades & Slopes
15 . Pressure Test �f
16 . Mandrel Test
17 . Installation agrees with plan
18 . As-Built plans recorded
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