HomeMy WebLinkAboutDrain Layers Permit 24 Lewis Drive ® . .- TOWN OF SOUTH WINDSOR INSPECTION REPORT I
Permit No. 6590 Contractor COVEN CONSTRUCTION CO.
Location 0024 LEWIS DRIVE Address P.O. BOX 427
Type Work NEW SAN LAT COVENTRY CT 06238
Phone No. ( 860)282-0526
Date Insp Needed �� °�
l 7 D a to Insp,. �._ --- -- --
Time Insp Needed --- Time Insp. --- -----
Inspected BY
Work in Progress , c ._ > ;,% 'IFrI<
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Input. ,.c _ -_.._ Date —
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Permit, No. 6590 Town of South Windsor, CT
Permit Date 04/17/1997 Drain Layer Permit
Expiration Date 05/17/ 1997
Descr ip: CK. 5Cr08 $775 . 00
Applicant Location
Name COVEN CONSTRUCTION CO. 0024 .LEWIS DRIVE
Addr. P.O. BOX 427 Ownek {QAgSETT FRANK S JCS &
COVENTRY CT 062,3-8 }
Phone No. (860 )282-0526
The Drain Layer assighed, thls permit has a Val1,d ffcense issued by the
state and hereby agrees to a1,i the terms and co' 'nda,,t.ion's set forth in the
attached 'Conditions ' . A i t work sha 7 1 be in acc4rdanc e with Town of South
Windsor standards , al OSHA r"equ,irements, and ;the attached conditions .
Issued F3 A lit
Date Inspected _-__s���9z _..-_. _. Inspected BYE _ _ =
TORN OF SOUTH WINDSOR
SANITARY SERER INSPECTION CHECKLIST
FUNCTION NO YES N/A DATE INSPECTED
1 . Is Permit On Job Site
2 . Police Notified
3 . Safety Items In Place
a . Shoring, Trench Box, Ladder
b. Hard Hats
C . Pumps
4 . Proper Material
a. Pipe
b. Pipe Bedding
C. Backfill
d. Warning Tape
e. Pipe Cap or Plug
f . Cleanouts
g. Fittings KQ _
h. Manhole
i . Cover & Frame
5 . Existing Lateral Cap Removed
in Presence of Inspector
6 . Lateral probed and found
to be clear
7 . Pavement Cut Properly
8 . Trench & Bedding OR
9 . Joints Properly Done
10 . Backfilling (12" Lifts)
& Compaction
11 . Manhole Inverts Built
12 . Subbase Material Placed
13 . Base Material Placed
14 . Blacktop (Temp) w/Proper
Grades & Slopes
15 . Pressure Test
16 . Mandrel Test
-17 Installation agrees with plan
18 . As-Built plans recorded
COVEN
CONSTRUCTION
COMPANY, INC.
Ass e
c
1
P.O. BOX 511 • SOUTH WINDSOR,CONNECTICUT 06074 • (203)644-3231
. APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN A VENVE
SOUTH WIZVDSOR, CT
FEE$25.00
Location of proposed work.• E (t1 1 S �,� /�' Lot #
Street No. Street Name
Premises owned by:
Name of Firm: EN n� Phone: 7 0
Address of Firm: 40 3 c v u' t a Z
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 ( 3 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
Co.-A
Permit is to be issued to 01 ► u`�- the holder of Drain
layer's License No. a 0 ?�� Only holders of PI, && 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. All")
Signed: Print Name 1�4 COU j
Lice ed Dr n Layer
Date: A7