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Drain Layers Permit 55 Oxbow Lane
TOWN OF SOUTH WINDSOR INSPECTION REPORT I Permit No. 6964 Contractor GERBER' CONSTRUCTION • CO Location 0055 OXBOW LANE Address 616 DART HILL ROAD Type Work NEW SAN LAT VERNON CT 06066 -� 41 ne No. (860)875-6684 t Date Insp Needed W14 C(' Time Insp Needed me _ D,brJ- Inspected By r Work in Progress �t��"�v ter/ � . ,= . -- `:�✓. .r r, sa..� e�O�-� r��/' # a 4 I.npdt^ Date i 1 F Permit No. 6964 Town of South Windsor, CT Permit Date 03/18/1999 Drain Layer Permit Expiration Date 04/17/1999 Descrip: i Applicant Location Name GERBER CONSTRUCTION C d°r Qp OXBOW LANE Addr. 616 DART HILL ROAD `\� �fE RELL DOU©LAS ERIC & KAREN 1 7 g ✓ VERNON CT 0 Y. f Phone No. (860)875-6684 The Drain Layer a s as cense issued by the state and hereby agF a ". nd o s set forth in the attached Conditions' 1 Windsor standards al a a with Town of South G ched conditions. Issued By (�Ev�►A _ �C Date Inspected _ a � > e Y ��-� y 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: �5 0,4 0 kj 60C__ Lot # /l S�eet No Street Name Premises owned by: Name of Firm: Phone: 65�S- O Ll Address of Firm: C16 ,c Vd,✓ C �pG TYPE OF WORK: La House Drain V Repair House Drain y P Lay Main ; Lay Lateral for Commercial/Industrial Building of acres /' b Connection will be made with 6 Proposed Start Date Z� Estimated time for completionZ S �� 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 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 Street Excavation Permit No. and/or ConnDOT Permit No. Signed: s 111-e Print Name 14 Licensed Drain Layer Date: ��` 2z <� as SEA o C> _ ecl , + �, r Aec tkoE[.,vUa'TL.i. T►-1 \S ;cT�c �S rl o'c L OGA.�-�O \ �J A F�,�='� �,�' r �� �n SCo N WdA 40 / c ar o' CID 1 \ D� ' -"TOP of Dr l - -,jZ .Sa W GA(LAGE �'�c�Q.- Z-1 l Sp / zoo_wumw bud Room" M it �w � I nM. „Ml*wri+�lwL.4 e.,u {idyr +Va'1{iWo -SA-1 Pelt uie+i�"►�. .I �.�iO;�w�10�i1Nkw-a„ Aux .. , .,, �, / • ' .`' ` 1 0 x 'L�' M 1 � v � ff`, � J r 1L,E 'T�-T\.-,-,;Z— - 24.�-i )`r_ — 1 r")� A o po,-T F ct c ►'> / 19��,—I / - Z 2 : it ype of Survey: ZONING LOCATION oundary Determination Category: DEPENDENT RESURVEY 'lass of Accuracy: A - 2 b my knowledge and belief, this map is substantially correct as noted Pv _ C jA+ 1"TA 1 E2VIc� eereon. This survey was prepared pursuant to the Regulations of onnecticut State Agencies Section 20-300b-1 through 20-300b-20 and he "Standards for Surveys and Maps in the State of (biviecticut" as dopted by,the-Connecticut Association of Tand Surveyors, Inc. , on 1996- ands E. Ae_sc`.hliran LS #14201 -- � - H M. & I e LUC M. BOUF'FA o R o .-1 _ •i �1 ON i� ' LP N 14 Q .N V ! � I r L✓�U �r� <pg- 0 .. `1 . O C� x�`.,Z t •JCS �l js►�l�TI.�►.1 CL M. q,rtW1144144 (5S .�-�.,�Y ii `* _'� i-�"s_i{=�[:i�+c.L+ `r,,.3�..�4c^.�.:A►i i 4i1 , 420 S F. t w f 1r��Mswa���a I �~ O G � C—.REV. �G y..0 � G✓� O 94. 3c� �r^ �. Box LANE 1 %. PLOT PLAN 55 OXBOW LANE PREPARED FOR CONNECTICUT HERITAGE HOMES IN ��A SOUTH W I N DSOR ")c , CON N. APP��C4►�T �:,�.�►a� ' rig, , ,it�. ;:.' FL.►�t.�;, Zo•JE A -4� AESCHLIMAN LAND SURVEYING 345 BELL STREET GLASTONBURY, CT 06033 r-,\ C g.E_ �T-- �� ��a-� (860) 6 9-488�= Date 12 - 3 0 -9 8 1 Scale 1 = 2 0 Map No. 9131361 TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: - ztloe s y BUILDING ADDRESS STREET SUBDIVISION: NORTH ARROW ni 34� } I f I I i _ 1 I CONTRACTOR (PRINT) NAME OF CTOR' S ERVISOR (PRINT) . STREET ADDRESS SIGNATURE 3 .2 DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER THE JACK FARREUY COINPAN Y CONSTRUCTION MATERIALS PHONE203.2r3-9714 99 OLD POOUONOCK ROAD 203-2430715 BLOOMFIELD.CONN.0WW 203-SWIT1S 134OUINNUMACAVE. NORTH HAVEN.CONN.0e473' PHONE 203-M-S ie AIR'TEST DATA SHEET Owner (Name of eity,district,etc:) S Ll Test No. Identification of Pipe installation (Job name. location,contract number,etc.)L h)e Cn e ,J Field Test Dat : (To be filled In by the Inspector) ' .�`Date:- Specified Maxlm.um Pressure Drops S Identification of Pipe Material Installed Jt' Pipe Under Test Specification. Time Field Test Operations Oats Pressure Time Allowed Start Stop Ellapsed Pass Upstream Downstream Dia. Length Refer to Initially for-Prassufeize Pr Test Test Time or _ MH sta M MH eta N D L UNI-8-6 Raised To to Stabilessure Pressure (min=sec)' Fall (in.) (ft.) (min:sec). (psig) (min) (psig) (ps19) jP or F) F - - 3 P S�6s. i� b Ey .r. /6.r. �f r t. kz Y v Inspector's Name and Thies c { Signature of Inspectors . if a section fail$,the following Items should be completed: Identify se5tlon(s) that failed Leak(was) (Was not)located. Method used: Dese n of leakage founds .j Description of corr"tive action takers. For tat result 01 fter repalr.refer to Test No. Inspector -