HomeMy WebLinkAboutCondor Ct
Brooklyn, Union Gas
444 East Main St
Patchogue, NY 11772
ELIZABETH A. NEVILLE, TOWN CLERK
Town of South old
Southold, New York 11971
Phone: 631-765-1800
RECEIPT #41
Received $ 1,573.00 for 1 - Permits on 04/10/2000.
This receipt covers the following PermiV~~s):
HIGHWAY EXCAVATION
It is always our pleasure to serve you.
By:
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at
(time of day)
PermIT NO;
File No.
TOWN OF SbUTHOLD
HIGHWAY DEPARTMEFIT""- I
Peconic'Lane Eel r " E
Peconic, New york 11958 f /613, '
(516) 765'-3140 APR 11M,
P. O. 12>01- /75 7 t:U'!
APPLICATION/PERMIT FOR HIGHWAy EXCA\S&ftH.O~ ~ BJ;.PAIR
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APPLICATION IS HEREBY made to the Superintendent of Highways of the Town
of Southold for the issuance of an Excavation Permit pursuant to Chapter 83 of the
Code of the Town of Southold, Suffolk County, New York, and other applicable laws,
ordinances or regulations for the excavation herein described. The applicant agrees
to comply with all applicable laws, ordinar,'c;es, codes and regulations, and to permit
authorized inspectors to m1ake; necessary;-inspections of the job site.
":,',.
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Print or Type
1) Brooklyn Union' Gas East
Name of Applicant
44S',.East" Main g., t. 1> t h NY 11772
.,a c op;ue, ..
Address
2)
Name of Owner of Premises
Address
"
3) / "'oS /'Pr II SI &, cJ I (j I ,3 (YIA;.... 'IV
Work Description and Location (Street Number,
I JU.-d<'S.
Hamlet, Cross Street)
(a) fs construction lo}:ated within-Is, feet of tidal wetlands? *Yes
*If yes, other-fown permits :may be required.
No xxxx
4) Builder's License No.
. ",.,.
Plumber's License No.
Electrician's License No.
Other. Trade's License No.
~1 ~~~-A
. ..... '" Signature of I dmt
J '1/3 ) tY
, Date-
5) a) Attach plot plan showing location.of proposed-e:i<:C::avation and relationship to
adjoining premises or public' stre.ets or areas, and giving a detailed descrip-
tion of layout of excavation. .
b) A ttach all other necessary permits and licenses for this project.
c) Work covered by this applicatiohmay not commence before issuance of a
Highway Excavation Permit byth.e Town Clerk.
"
Block
, Lot
Tax Map: Section
6)
7)
Starting Date:
..
C'ompletion Date
8) Work Schedule:
Phase
Completion Date
Excavation.................. ..~'. ..~\~.....o...........
Facility Installation. ......... ... ~.;.................
Backfill & Compaction....... ... ... .. .. . .. . . . . . . .. . .
.,
Pavement Replacement.. - - .... :.-.,...... -............
9) Under which authority is the application made:
10) Estimated Cost of Proposed Work: ,',$
11 )
Remarks:
"
.,1':
D-39
Page 1 of 3
Permit must be available tor .lnspectlon.
D-39
Page 2 of 3
12) Insurance Coveraqe: (Attach copy)
a) I nsurance Company:
b) Policy II \
c) State whether policy of certification on file with the Highway Depart-
ment:
d) Coverage required extended to the Town:
Bodily injury and property damage: $300,000/$500,000 Bodily Injury,
and $50,000 property damage. '
13) Security:
a) Surety Bond
tota I amount of $
b) Maintenance Bond provided:
or Certified Check
provided in the
2 years or 3 years
Applicatio~ Fee..... .($25. 00
@ $20.00 = $
1114)
Fees for applications and permits: Basic
A 1. IService Connections, excavations
~
A2. 1 Additional Excavations same service @ $10.00 = $
B.
No.
Excavations 18" in depth Or less:
0-100 I.f. = $10.00
I.f. @ $0.10 -$
Additional
Excavations."~' ;n t)Pth to 5' in depth:
0-100 I.f. =(i~0.0~
SO~O L f. @ $0.30 =$ /51 fJ,(JU
Additional
Excavations 5' in depth and over:
0-100 I.f. = $50.00
I.f. @ $0.50 =$
z..:;-
30 -
ISIS>
-
C.
D.
-7'1 ~
/ 6 ...).
Additional
E.
Utility Repair Excavations @$lO.OQ = $
No.
Repairs same service @ $5.00 = $
Additional
......-.
F. Notice to public utilities proof must be provided and attached to
this application prior to issuance of permit.
* * '*"
Authorization is hereby granted to the Town Clerk of the Town of Southold to
issue a Highway Excavation Permit to:
in accordance with .this application.
SUPERINTENDENT OF HIGHWAYS
TOWN Jf SOUTHOLD" NEW YORK
a j',/i
['!-i,of/fv." ( ;. /1[('"/' -,
(I Raymond ~,; Jacobs
-/
- 0.' . (",'
Date
Received by the Town Clerk
Aj_r.OO
Date
-#-
, Permit No. L./ I
Permit Issued\
4-10. aD
Date
Note:
Permit expires one (1) year from Date of Issuance.
No work to start without 48 hour notice to the Superintendent of Highways.
Permit must be available for inspection.
0-39
Pa ge 2 of 3
.
GENERAL NOTES
All Mains to be SDR 11 Medium Density Plastic and have an operating pressure of 60#'s
Install 1246' of 2" Plst Main with 1-2" Valve on Laurel Wood Drive
Install 795' of 2" Plst Main with 2-2" Plst Valves on Woodside Lane
Install 1781' of 2" Plst Main with 3-2" Plst Valves on White Eagle Drive
Install 760' of 2" Plst Main with 1-2" Plst Valve on Eagle Nest Court
Install 560' af 2" Plst Main with 1-2" Plst Valve on Condor Court ,
Squeeze off 2" Plst. main and install a 2" Electrofuse Cplg for the tie-in on Laurel Wood Lane
Main on Laurel Wood Lane to be trenched in paved roadway approx. 8' off curb
All other roads involved the Mains are to be trenched in Grass or Dirt Areas wherever possible
All 2" Valves to be installed per CS's-11105 & 11111
Install Valve Location Markers For Valves in ~rass areas per CS-111 01
Any trench in paved areas to be filled with temporary patch
All permanent paving restoration to be done to Town Code spec's as noted in Code #83-10-F(2)
All Mains to be installed per CS's-11800, 11001, 11004, 11005, 11014 & 11016
Test Holes to be dug when crossing other Underground Facilities to determine needed clearances
-r-'II_.._I._II_II_II_II_II_II_II_I._II_.._II_II_I._II_II-11_11_11_11....
I U. G. ELECTRIC & TELEPHONE i
~ IN COMMON TRENCH UNDER MACADAM ~
'--11_11_11_11_11_11_11_11_'1_11_11_11_'1_1'_11_11_11_11_"_11-11_11.,1.
& G
CREWS TO USE DISCRETION IN REGARDS TO MISSILlNG OR TRENCHING INDIVIDUAL DRIVEWAY CROSSINGS
(RECOMMENDED TO MISSILE ANY DRIVEWAY WITH BELGIAN BLOCK BORDER AND ANY RECENTLY INSTALLED DRIVEWAYS)
MISSILE OR DIRECTIONAL BORE ALL ROAD CROSSINGS
-r-;:.. -.. -..-. .-- .--. -.. -- .--. -- --.. -.. _..~
: D.E.C. WETLANDS AREA:
I I
: AT END OF CONDOR CT. :
~. ._.. _.. __. _.. __. _.. _.._.. _.. _.. _.. _ ..:..J.
JOB NAME : Carl Krause
STREET(S) : Condor Court
,JOB TOWN: Laurel
GRIDS Install 5160' of 2" HP MD Plst GM
50' 200' & Install 8-2" HP MD Plst Valves
095-60-1 095-14
095-59-3
095-51-4
095-51-2
GAS SERVICES TO HOUSES TO BE INSTALLED ON
SEPERATE WORK ORDER #'S ISSUED BY SALES DEPT.
DWG. 1
Keyspan Energy Corp. d.b.a. Brooklyn Union Gas
IGas Construction & Maintenance Ser/ices r
AREA 448 MAIN ST. SCALE
24 PATCHOGUE, NEW YORK None
DRAWN BY, DATE w.o.#
KEVIN SCHUTZ 3/24/2000 25027-030
frn"lT5, TAX DISTRICT B I #
Town 1300" 2330008
OF 9
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