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Home My WebLink AboutOaklawn Ave Date: 08/16/01 Transaction(s): 1 Permits Check#: 1281 Name: Key, Span Energy 448 East Main Street Patchogue, NY 11727 Clerk 10: L1NDAC Town Of South old P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Receipt#: Total Paid: 1281 Subtotal $175.00 $175.00 IntemallD: 38792 Permit No. File NO.! /3 TOWN OF s,JlUHOLD HIGHWAY DEPARTMENT Peconk L;;J nc Peconic, New' YorJ< 11950 (5.1 G) 7G5c 31110 P. O. 12>0"1- 17 e, Ref. II -r J OOO} J"l '-f'f APPLICATION/PERMIT FOR HIGHWAY EXCAVATION AND REPAIR APPLICATION IS HEREBY made to the Superintendent of Highways of the Town of Southold for the isswmcc of ;;In 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, ordina:i:l'ces, codes and regulations, and to permit authorized inspectors to make; necessarY.,inspections of the job site. Print or Type 1) KEY SPAN ENERGY hhR EAST MAIN STREET Name of Applicant PATGHOGUE, NEW YORK Address 11727 2) Name of Owner of Premises Address S",,--... IL.I( .J 3) Av--.- Description ;;Jnd Location (Street Number, Hamlet, Cross Street) Is construction lo~ated within 75 feet of tidal wetlands? wYes_NoL *If yes, other~-"!own permits may be required. r-J Wo (a) II) Builder's License No. Plumber's License No. Electrician's License No. Other Trade's License No. 5) a) Attach plot plan showing locati"on .of proposed. e)("caviltion and relationship to adjoining premises or public'stre.cts or areas, and giving a detailed descrip- tion of layout of excavation. . b) Attach all other necessary permits ~md licenses for this project. c) Work covered by this application may not commence before issuance of a Highway Excavation Permit by .the Town Clerl<. G) 7) Tax Map: Section Blocl< , Lot Completion Date Starting Date: 8) Worl< Schedule: Phase Completion Date Excavation. . . . .. . . . . .. . . . . . . . . . .. ',. .. . . . . . .. .. .. . . . . Facility Installation...,.... ,.. ~...................... Backfill & Compaction.........:.................... Pavement Replacement........ ...... . .. . .. . . . . .. .. . .. .. 9) Under which authority is the application made: 10) Estimated Cost of Proposed Worle $ 11) Rema rks: ,. 0-11) P<'l('H~ 1 of 3 12) Insurance Covera'Je: (Attach copy) a) Insurance Company: b) Policy g c) State whether policy of cer;tiflcation on, file with the Highway Depart- ment: d) Coverage required extende~. to the Town: Bodily injury and property damage: $300,000/$500,000 Bodily Injury, and $50,000 property damage. 13) Security: aJ Surety Bond or Certified Check total amount of $ b) Maintenance Bond provided: 2 years or provided in the 3 years 111) Fees for applications and permits: -L-IScrvicc Connections No. I Basic Application Fee........ $25. 00 80 excavations @ $20.00 ;;:; $ A1. A2. IAdditional Excavations same service @ $10.00 ::; $ ~ /0 B. Excavations 1011 in depth 'o'r: less: 0-100 1.f. = $10.00 " U. @ $0.10 -:$ Additional C. Excavations~."6" in dcpthtQSI in depth: 0-100 1. f. = $30. 00 C/U i:J '5 '" 0 , 1. f. @ $0. 30 ~', $ I Additional O. Excavations 5' in depth and over: 0-100 I.f. = $50.00 1.f. @ $0.50 ='$ Additional E. Utility Repair,Excavations @$10.00 = $ No. Repair's same service -@ $5.00 = $ Additional F. Notice to public utilities proof must be provided and attached to this application prior to issuance of permit. ", , 7-oC' TOTAl. CO~T ~ 1 ,). * * 'II" Authorization is hereby granted to the Town Clerk of the Town of Southold to issue a Highway Excavation Permit to: in accordance with .this applictition. sl:lPERINTENOENT OF HIGHWAYS TOWN 0 UTHOLO, NEW YORK aymond L. cZ- / Cf Date Received by the Town Clerl< Issued, ,I?//I, ID( Date 5/1" leu Date Permit Pcrmi t No. 1/3 ~: Permit expires one (1) year fr:om Date of Issuance. No work to start without 116 hour notice -to the Sl:Iperintendent of Highways. Permit must be available for inspection. Page 2 of 3 " "n FC.GllIA PERMIT NO. LOCATION REASON FOR OPENING W.O.lPA NO. REQUESTED BY APPROVED SKETCH N KEYSPAN/~,4S REQUEST FOR STREET OPENING PERMIT D STATE D O SUFFOLK ~ COUNTY lLU DEPARTMENT GAS CONSTR. Ant. Hoblit:. 6~/D~ /o.5-/(J- ~ -J{li/~f (,I}, . I ~ N ~ l-" ~ I ~ :t::. ~ ~ l', ~ '~ ~ \\ ~ !l\1 '> ~ ~ ~I ~~ :;;., ~,~ , to ~ ~I c- T~ ~ ~\ ~~ &c. -~ ~ r I I ~ I ~ ~ I ~ ~ I s::. ~ I I ~ _ _ _ _ _ _::t-L:!lcI-r-_ _ _ ~ Ml.!S'rGt:. _ 4:/.' 1 ~ ~. '. Town Of South old P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 01/31/03 Receipt#: Transaction(s): 1 Permits Check#: 17306 Total Paid: ~~ ~~ Name: Key, Span Energy - Gas Cont Dept 175 E Old County Rd Hicksville, NY 11801 Clerk 10: L1NDAC 17306 Subtotal $45.00 $45.00 Internal 10: 69958 Permit No. r93t.j ~ ~ TOWN OF SOUTHOLD ffiGHWAYDEPARTMENT Peconic Lane Peconic, New York 11958 (631) 765-3140 FileNo. APPLICA TION/PERMIT FOR HIGHWAY EXCAVATION AND REPAIR Ref.#T1 00246056 APPLICATION IS HEREBY made to the Superintendent of Highways of the Town orSouthold for the issuance of an Excavation Permit pursuant to Chapter 83 of the Code of the Town orSonthold, 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, ordinances, codes and regulations, and to permit authorized inspectors to make necessary inspections of the job site. Print or Tvoe I) KEYSPAN ENERGY - GAS CONSTR. DEPT. -175 E. OLD COUNTRY RD. - HICKSYILLE. NY 11801 Name of Applicant Address 2) Oaklawo Avenoe. Soothold Name of Owner of Premises Address 3) Oaklawn Avenue - hellhole e/s 2"rass area aoorox. 300' nlo Wells Road to install a !!as service to a new house Work Description and Location (Street Number, Hamlet, Cross Street) (a) Is construction located within 75 feet of tidal wetlands? *Yes *Ifyes, other Town permits may be required. No~X~ 4) Builder's License No. Plumber's License No. Electrician's License No. Other Tr e" License No. Signatore 0 i\ppli 01-24-03 Date 5) a) Attach plot plan showing location of proposed excavation and relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of excavation. b) Attach all other necessary permits and licenses for this project. c) Work covered by this application may not commence before issuance of a Highway Excavation Permit hy the Towo Clerk. 6) Tax Map: Section ,Block . Lot 7) Startiog Date: Completion Date: 8) Work Schedole: Phase Comoletion Date Excavation....................................................................... .. Facility Installation............................................................... Backfill & Compaction................................ ......................... Pavement Replacement......................................................... 9) Under which authority is the application made: 10) Estimated Cost of Proposed Work: $ 11) Remarks: D-39 Page 1 of3 Tl00246056 12) Insurance Coverage: (Attach Copy) a) Insurance Company: b) Policy # _ c) State whether policy of certification on file with the Highway Department: d) Coverage required extended to the Town: Bodily injury and property damage: $300,000/$500,000 Bodily Injury, and $50,000 property damage. 13) Security: a) b) Surety Bond of$ Maintenance Bonded provided: or Certified Check provided in the total amount 2 years or 3 years 14) Fees for aoolications and oermits: Basic Aoolication Fee.............. ... $25.00 AI. --1-/Service Connections excavations @ $20.00 = $ 20.00 No. A2. _/ Additional Excavations same service @ $10.00 = $ No. B. Excavations 18" in depth or less: 0-100 Lf. ~ $10.00 Lf. @$O.IO~$ Additional C. Excavations 18" in depth to 5' in depth: 0-100 Lf. ~ $30.00 _Lf. @$0.30~$ Additional D. Excavations 5' in depth and over: 0-100 Lf. ~ $50.00 Lf. @$0.50~$ Additional E. Utility Repair Excavations @ $1 0.00 ~ $ 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. * * * TOTAL COST $45.00 Authorization is hereby granted to the To'Wl1 Clerk of the To'Wl1 of Southold to issue a Highway Excavation Permit to: KEYSPAN ENERGY DELIVERY in accordance with this application. Received by the Town Clerk Permit Issued 1/3 1/0-3 , 1/~/()3 ;..-- JQ-03 Date Date Permit No. oZ31f 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. D-39 Page 2 of3 JAN. -'23'03 (THU) 14: Ii FCo8111.4 PERMIT. NO. LOCAT.ION REASON FOR OPENING W,OJPA NO. REQUESTED' .' BY , APPROVED SKETCH , , . . I BU GAS DESIGN PATCH TEL:516 7585136 p, 002 , KEYSPAN/&:AS REqUEST FORS'fREET OPENING PERI\!IIT o 'STATE: '0 NASSJJ,U 0 SUFFOLK, , r;1I () '..." JJ' 'OOUNlY OOUNlY La J,,~,"..~ . [MiS.]'OEJ.,..,-;: I DATE . J 1.' . I~ t/002~()S6 'ijZ-3/Z-tP.o3 , z..'- & tJ j.J,t.~ e-;..r ~AJ:.1 AfIhA N)'~~. 44fJ'IJ/o t> /:.r M' U G-A.r Sil.///U!. FOREMAN DATE 'OF I I OPENING .2/10 2-~()3 ~ DEPAATMEi," ON 0/1 ...J?#.w:z.. GASOONSTR. L"z:,) .c bATE ..o~ '. , ~ttb sf' I~i-IIJ-.:t- . N ~. ~ .~ ~..... , t. t. , ' r- o -\ .... .t:- I ~ 'i::;::. ,~ .e:.. ~ ~ -to. . ~ ~ .I- J t, PUr- "* --------~----- ~ r I.>> C> ~ ~ ........ . /{, I . LJ Elir . ;!:/."