HomeMy WebLinkAboutDrain Layers Permit 54 Madison Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6631 Contractor JMJ CONSTRUCTION CO.
Location 54 MADISON WAY Address 658 ELLINGTON ROAD
Type Work NEW SAN LAI SOUI H WINDSOR CT 06074
Phone No. tS60 528—'7669
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Permit No. 6531 -lawn ar South Windsor, C:E
Permit Date 12/03/1996 Drain Layer Permit
Expiration Gate 01 /02/1997
Descrip: LOT 26 PARTRIDGE MEADOW 2 FEE PAID 4694, 4695
Applicant Location
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Name JMJ CONSTRUCTION CO. Addr. a4 MADISON WAY
Addr. 656 ELLINUTON ROAD Owner GARY' AYOTTE L/
SOUTH WINDSOR CT' 0607
Phone No. (860)528-7889 E
The train 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 ' .- Ali -work shall be In accordance with 'Town of South i
Windsor standards, ai s OSHA "requirements, and. the 'attached conditions. �
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Issued By _. T t le
Date Inspected _ _ � a,��Ig6 .. Inspected HY 76/
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH UIRWSOR, CT
FEE$25 00
Location of proposed work: S ) Lot #
Street No. Street) ame
Premises owned by:
Name of Firm: leA Phone: `�Q Z _a(j2 g
Address of Firm: SS& 'n
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with s� s
Proposed Start Date)2 3 Astimated 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 Jobkq 60 Uc�- the holder of Drain
layer's License No. ' 09&.3 0 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. and/or ConnDOT Permit No.
Si ��
Print Name - V� �C(L C��ma's
Signed:9
License ra' yer
Date: .12,
TOWN OF SODTH wINDSOR
SANITARY SEWER INSPECTION CHECKLIST
FUNCTION NO YES N/A DATE INSPECTED
1. Is Permit On Job Site c� Ja 3 f6
2. Police Notified
3. Safety Items In Place
a. Shoring, Trench Box, Ladder
b. Hard Hats r�
C. Pumps
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4. Proper Material
a. Pipe
b. Pipe BeddingC. Backfill
�r
d. Warning Tape
e. Pipe Cap or Plug
f. Cleanouts
g. Fittings
h. Manhole
i . Cover & Frame
5. Existing Lateral Cap Removed
in Presence of Inspector
6 . Lateral probed and found
to be clear V
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7 . -Pavement Cut Properly ;r r
8 . Trench & Bedding OK G�
9 . Joints Properly Done
10 . Backfilling (12" Lifts) y r�
& Compaction
11. Manhole Inverts Built (� r
12. Subbase Material Placed ✓ ,r
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