HomeMy WebLinkAboutDrain Layers Permit 149,179A, 179B, 189, TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Contractor CHERRY HILL CONSTRUCTION
Location Address P.O. BOX 134
Type Work BRANFORD CT 06405
No. ( 203 )488-7929
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Time Insp Needed
Inspected By
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Perm)K:,We . 7432 Town of South Windsor, CT
Permit Date 05/21/2002 Drain Layer Permit
Expiration Date 06/20/2002
Descrip: GATEWAY PLAZA 149 , 179A, 179B, 179C, 189 , 191 DEMING ST
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Applicant Location
Name CHERRY HILL CONSTRUCT N.,tC WAY PLAZA DEMING ST
'Addr. P.O. BOX 134
BRANFORD CT
Phone No. (203)488-7929
The Drain Layer a s s as cense issued by the
state and hereby agr h ate. nd i s set forth in the
attached 'Conditions' 1 a with Town of South
Windsor standards, al q ached conditions.
Issued By
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AREA OF CONCERN:
?ECIAL INSTRUCTIONS:
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: �JC'l `h Lot #
Street No. Street Ile
Premises owned by: 6 P/
Name of Firm: LkPrry (.If(( rc�1 Phone:
Address of Firm: I C ,-0 nvi-LV, C
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial (
` Building of acres
Connection will be made with �•l/
Existing Water Supply: Public Water Well
Proposed Start Date 'p 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 C6-,J• sasc.0 Oun k the holder of Drain
Layer's License No. -1 Only holders of P1 or P7 licenses will be
issued a permit. PE41MIT 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.
CBYD No.
Signed: Print Name:...,. 11 a�� v►,c°� Dore
Licensed Drain Layer �o
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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NORTHEAST PIPELINE SERVICES LLC. Water Pressure Testing
156 Old Turnpike Rd. Chlorination Job-Site Manhole Coring Sewer Taps
SoutKington,CT 06489
860-621-6921 Water Main Taps Low Pressure Air Testing teak Locating
PROJECT: i^ CONTRACTOR: TESTED BY:
CMRACTNO: INSPECTOR:, DATE:
STARTING TEST PRESSURE IN LBS I SO.(N.
LOCATION PASSED — TEST TIME REMARKS
TIME START STOP DROP In Min.
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White-OFFICE Yellow-YARD Pink-CUSTOMER —
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GREASE TRAP
TANK DESIGN SPECIFICATIONS -
CONFORMS TO LATEST.
ASTM DESIGNATION C913
I. JOINT SEALANT IS BUTYL RUBBER
MASTIC TYPE SEAL THAT CONFORMS
TO LATEST AASHTO SPECIFICATION
M-198. MEETS FEDERAL
- - - - -- -- --- - - - - _ _ _ ._ SPECIFICATION SS-S--0021(210--A).
2. PIPE INLET AND OUTLET LOCATIONS
HAVE POLYLOX iI PIPE SEALS, TYPICAL.
CUSTOM KNOCKOUTS CAN BE CAST ON
REQUEST.
J. WHEN SPECIFIED THE TANK
EXTERIOR IS COATED WITH KOPPERS
7._7" 1 SUPER SERVICE BLACK OR EQUAL.
4. WHEN SPECIFIED THE TANK
INTERIOR IS COATED WITH FLOROK
EPDXY OR ECUAt..
5. REINFORCING STEEL WELDED WIRE
SPECIFIER ON CONFORMS TO LATEST ASTM
i•- - .- - _ _ _ - - - - _ -. _ _.. _... - - - 6. IINFORCIBARS GTSTEEL D AOSRRMMED
SPECIFICATION A615.
Tom+ Vm 7. CONCRETE COMPRESSIVE
(COVERS REMOVED) STRENGTH- 4000 PSI AT 28 DAYS.
S. METHOD OF MANUFACTURE; WET
CAST.
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173 CHURCH STREET TEL 800 234-3119 FAX. (203) 265-4941
YALESVILLE, CT 08492 (203) 269-3119
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COMPANY NAME' S DATE: �zf �- '
CONTACT PERSON: jI ' PHA: '
DESCRIPTION / SIZE I gAp
INSIDE COATING: . OUTSIDE COATING: Ye. LADDERS _ kL.—
NO. BAFFLES /t/b UPPER _.�J _ LOWER -A/a
TOP VIEW
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SIDE VIEW
LEFT END RIGHT END
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ROOF THICKNESS FLOOR THICKNESS WALL THICKNESS
REGULAR HD H-20 �
INVERT: OUTLET DEL. DATE:
.)ATE COMPLETED: SIGNATURE:
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