HomeMy WebLinkAboutOld Main Rd, Laurel
01/07 '99 THlT 10:36 FAX 516 ~65 6145
SOlTTHOLD CLERK
~001
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... TX REPORT ...
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TRANSMISSION OK
TX/RX NO
CONNECTION TEL
CONNECTION ID
ST, TIME
USAGE T
PGS, SENT
RESULT
0680
3916009
0I/07 10: 32
04'16
4
OK
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765.6145
Telephone (516) 765.1800
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
July 1, 1999
Keyspan Energy
1J.1J.5 Broadhollow Road
Melville, New York 1171J.7
Attention: Mario C. Darrow
Real Estate Department
Dear Mr. Darrow:
Enclosed, please find Highway Excavation Permit No. 17 for work to be
done in the Town of Southold. According to the instructions in your letter,
I am faxing this letter, permit, and receipts to you and will then mail all
hard copies.
My apologies for the delay in sending you this permit.
Very truly yours,
cn~~~O'l-"~//~
Elizabeth A. Neville
Southold Town Clerk
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ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATIST[CS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765.6145
Telephone (516) 765.1800
OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD
July 1, 1999
Keyspan Energy
445 Broadhollow Road
Melville, New York 11747
Attention: Mario G. Darrow
Real Estate Department
Dear Mr. Darrow:
Enclosed, please find Highway Excavation Permit No. 17 for work to be
done in the Town of Southold. According to the instructions in your letter,
I am faxing this letter, permit, and receipts to you and will then mail all
hard copies.
My apologies for the delay in sending you this permit.
Very truly yours,
(lfI4~ha:fO~
Elizabeth A. Neville
Southold Town Clerk
cc: Highway Superintendent Jacobs
Peniiil No. / 7
File No. /1
.
.
TOWN OF SOUTHOLD
HIGHWAY DEPARTMENT
Peconic Lane
Peconic, New Yorl< 11958
(516) 765-31110
SoufI,oltlTnwn~JLlCATION/PERMIT FOR HIGHWAY EXCAVATION AND REPAIR
APPLICATION IS HEREBY made to the Superintendent of Highways of the Town
of Southold for the issuance of an Excavalion Permit pursuant to Chapter 83 of the
Code of the Town of Southold, Suffolk County, New York, and other applicable laws,
o,'dinilllces or regulations fOl' the excavation hel'ein described. The applicant agrees
to comply with all applicable laws, ordinances, codes and regulations, and to pennil
authOl'ized inspectol's to m!ake: necessary inspections of the job site.
P,'int 0" IYJ~ KcyS!Jall Gas Easl Corporation d/b/a of
"Brooklyn Union of Long Island" 445 Broad Hollow Road, Melville, NY 1174:
1)
-Nameor A PIJilcanr-'
Add,'ess--" --------,--.---..
2)
'-NiiiliC of Ownerorj5;:Clii'i;ies---~---------'--Aadi:e-ss----'----'---'-' "'--.. . .
3JH.WJ?_Qf OLDJ~,1~:L~Lg~-JioAL~?i~.tLLAtJf,,'J-Idr~E:~g~.I~hi>.. ........
vJ/i"k Desc,'iplion and Location (Stl'eet Number, Hamlet, C,'OSS St,'eet)
(a) Is construction located within 75 feet of tidal wetlands? ~Yes No ~
*If yes, other Town permits may be "equired. ----- ---......--...
11) Builde,"s License No.
Plumber's License No.
Elecll'ician's License No.
Othe," T,"ade's License No.
~EF'r\i?~ 5.5CoTTo, j
~AS e~~INE.Ere.. h ~~
(;>/0) 39 I - (,4<)0 51 "":'00 nr^pp"~~EAL es-"4jE
oj/. Ref' W/o-/3-~-oco (51,"{".;:;f~~ gMl~EI.\T
5) a) Attach plot plan showing location of proposed excavation and relationship to
adjoining premises or public streets 0'" areas, and giving a detailed descrip-
tion of layou l of excava lion.
b) Attach all other necessUl"y permits and licenses for this Pl'oject.
c) IVo.-J< covel'ed by this application may not commence before issuance of a
Highway Excavation Permit by 'the Town Clerl<.
G)
7)
Tax Map: Seclion ,
ApPeo1r! tv1~ J
S lal'ling Da te: __...!2.E..-:15:!J. CJ
Block
, Lot__._.._____
Completion Date /.2. - a 1- CJ 1----.
8) Work Schedule:
Phase
COI'!l?letion Da le
Excava lion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Facility Inslallation...........~.....................
Backfill & Compaction..............................
Pavement Replacement.............................. ____._.....____..__.
---t..-.-~-_.--.. ..
9) Under which authol.ity is the application llIade:
10J Estimated Cost of Proposed Work: $
1"1) Remarks:
D.. 39
Page 1 of 3
InsUl"ance Coverage: .:~??
a) Insurance Compa,ny: "
b) Policy /I
c) State whether
ment:
copy ~
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Highway Depart-
d) Coverage required ex t~rid,~d 'to the Town :
Bodily injUl"y and property damage: $300,000/$500,000 Bodily Injury,
and $50,000 property damage.
13)
Security:
a) Surety Bond ~ or Certified Check
, (70'
total amount of $ /Ol?'" ~
b) Maintenance Bond proyided:
provided in
the
1/1)
Fees fo," applications and permits:'
,'_ .;,.1_.
A 1. IService Connections
NO:- '.:~
~d'"
~~ -- 2 years or 3 years
.. Basic Application Fee....... .$25.00/
excaya lions @ $20.00 " $
, "',-'
A2. /Additional EXcav~tions same service @ $10.00 " $
NO:"'"" . ,
B. Excavations 18" in depth or less:
0-100 I.f. " $10.00
I. f. @ $0. 10 - $
Additional
C. Excavations 18" indf'l? 5' in depth:
0-1~~,= I~:~' ~\0.3~~ $/q5 + ~
AdditiOnal~ 12/~O iA-L'T}'
D. Excavations 5' in deplhand over: If;:.
0-100 I.f. " $50.00 '
I.f. @$0.50';" $
; ~Z5~
~ 260.:::.
Additional
,::,'Y'
E.
No.
Utility Rllp,airiExcavations @$10.00 " $'
Additional
'I ."
Repairs same set;yic:e,',,@, $5.00" $
" .'....',
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F. Notice to public utilities!,:proof,'mljst, be provided and attached to
this application prior to(issuarce tlfpermit.
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Authorization is hereby granted to the:To\VI~Clerk of the TOWn of Southold to
issue a Highway Excavation Permit'to:"':"',','<C:' ','
in acco,"dance wi lh this application:'
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Note:
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'.;, '.', .-:;{:,'i:' '! ,)~'","i;r{'...~;\:[i~~\i;_::,:~:,:~~(t:..,.:l.",~;,:, . _..
Permit expires one (1) ,year:..f~oni.Date';o.rlssuance.
No work.to start withou~:,q8hoyri;,.!lo~lc~\ito;the Superlnt",ndent of Highways.
Permit must be availaple,'for,:,lnspection";'lc."'" ."
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ENDENT OF HIGHWAYS
.,/SOUTHOLD, NEW YORI<
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Date '
Received by the Town CierI<
,
,'1, Permit Issued
,
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7J6a!e97
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o CASH
~HECK / J...t;3
.
EUZABETH A. NEVillE, TOWN CLERK
Town of Soulhold
Southold, New York 11971 9-) ac;
Phone: 516.765-1800 DATE I ~ . 19-1-+-
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BY -w 7/~N/;Jf/t-
RECEIPT
074453
ELIZABETH A. NEVillE, TOWN CLERK
Town of Soulhold
Southold, New York 11971
Phone: 516-765-1800
RECEIPT
074454
FOR:
DAT~:J );
??J--~-"Z;;.q~r/ ~
o CASH
J['CHECK 11..57
I' 11.59
~tV-> /)11
BY ~ J?AI~~.A./
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KE'"iiPA.-'
ENERGY
KeySpan Energy
445 Broadl1ollow Road
Melville, NY 11747
June 8~, 1999
Mr. Raymond L. Jacobs
Sup!. Highway Deparment
Town of Southold
Pcconic Lane
Peconic, NY 11958
Re: GAS MAIN INSTALLATION
OLD MAIN RD., LAUREL
OUR REF: W/O 13-49059-000
Dear Mr. Jacobs:
Further to our letter dated May 10"',1999 I am enclosing finally your Application/Permit for Highway
Excavation and Repair form signed together with markout case form and our check #1153 dated 06-08-99
for the amount of $250.00 to cover all fees.
Also attached again partial Drawings showing the scope of work on the above location for your most
inmcdiate reference.
After your review, please fax to me at (516) 391-6009 the Approved Permit since there is no much time to
get the Originals documents of which you can mailed to me by separate mail.
Your attention in this matter will be highly appreciated.
Very truly yours, ~
~1I;~ '1J~'l~M
'~~G~arro~ 'v. v )
Real Estate Department
/md
cc: S.Scotto, Melv.
.
.
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KnIPAN
ENERGY
KeySpan Energy
445 Broadhollow Road
Melville, NY 11747
June 18, 1999
Mr, Raymond L. Jacobs
Supt. Highway Department
Town of Southold
Peconic Lane
Peconic, NY 11958
Re: GAS MAIN INSTALLATION
OUR CHECKS #1157 AND #1158
OLD MAIN RD" LAUREL
OUR REF: W/O 13-49059-000
Dear Mr. Jacobs:
Please fmd attached our Certified checks #1157 for the amount of$I,OOO,OO and #1158 for $300,00 to
cover Insurance and Maintenance Bond on the above Project and in accordance with your instructions.
A letter covering as Self Insured Utility has been sent directly to you by separate mail from our Legal
Department.
I hope all the above requirements has been complied in order for you to issue the Permit and mail it to me
to your most urgent convenience, WORK TO BEGIN ON/BEFORE JUNE 15,1999,
Very truly yours, j
J& ~ !b,c)t:ftVtk01
o G, Darrow ;
I
Real Estate Department.
/md
Attachments
CC: S,Scotto, Melv.
Pennit No.-LJ___
File No. /7
.
.
TOWN OF SOUTHOLD
HIGHWAY DEPARTMENT
Peconic Lane
Peconic, New York 11958
(516) 765-31110
'-..Iv'-
Southol<! Tnwn d'JjPLlCATJON/PERMIT FOR HIGHWAY EXCAVATION AND REPAIR
APPLICATION IS HEREBY made to the Superintendent of Highways of the Town
of Southold fOl- the issuance of an Excavation Permit pUl"suant to Chapter 83 of the
Code of the Town of Southold, Suffolk County, New Yorl<, and other applicable laws,
o,-dinilllces or regulations fOI" the excavation he,"ein desc,-ibed. The applicant agrees
to comply with all applicable laws, ordinances, codes and regulations, and to pennit
authOI-ized inspectol-s to m'ake: necessal-y inspections of the job site.
P,-in to,' _2::Y.pe KcySpan Gas East Corporation d/b/a of
"Brooklyn Union orLong Island" 445 Broad Hollow Road, Melville, NY 1174-_
1)
-Name.ofA,Ji;iica n t
Ad d ':e5s-------------------------
2)
.~N-5Ine o-fO wllel.:-61-p-i.:-cltl.lscs-~--._------.-----~--A-adi:e-s-s-.~-----~----.--'_.- .---.-, ,-,-..
3)H_W~?_Qf QD__M~:L~_J~ ~+1io-AlJ>.J~i~.tI-L.AtJE:-J-~t!ue~L.~L~OJ.Il:_I<!bl> '___ ___
vJt,-I< Desc,-iplion and Location (SU'eet NumbCl-, Hamlet, Cross St,-eet)
(a) Is consU-uction located within 75 feet of tidal wetlands? ~Yes No ~
*If yes, olhe,- Town permits may be ,-equi,-ed. ------ ---....----
'IJ Builder's License No.
Plumber's License No.
Elecl,-ician's License No.
Other Tt-ade's License No.
~EF'r\-J?\J S.5CoTTo, _ 11. j~
~AS aN~INE.Ere... _ IVI $
(1)/ (, ) 0'11 - (,4")0 SO n.'" '"0 ';;;\ppn,'Jt'i. is-'.;.fE.
oJR. Ref' W/o-/3-~-oco (51,,,;,;,1:~~ ~I~EN\
5) a) Attach plot plan showing location of proposed excavation and relationship to
adjoining premises 01" public streets 0'" at"eas, and giving a detailed descrip-
tion of layout of excavation.
b) Attach all other necessa'"y permits and licenses for this project.
cJ 1V0.-l< covel-ed by this application may not commence befo,"e issuance of a
Highway Excavation Permit by - the Town Clerl<.
6)
7)
Tax Map: Section , Block , Lot____________
ft~~16~~ Ob-15-:!1:L_completion Date /.:2, -3/ ~____
8) Wo,-k Schedule:
Phase
Con~l?~etion_ Date
Excavation....... ..................................
Facility Installation.................................
Backfill & Compaction..............................
Pavement Replacement.............................. _.____n________________
-..,...--------.-...--..
9) Undel- which authOI-ily is the application made:
10) Estimated Cost of P.-oposed Wode $
11) Remal-ks:
D-39
Page 1 of 3
Insurance Coverage: (.~I"lcopy),
a). Insurance Company:'
b) Policy II"
c) S late whether
ment:
.
d) Coverage required extended to the Town:
Bodily inju,"y and property damage: $300,000/$500,000 Bodily I njUl-Y,
and $50.000 property. damage.
the Highway Depart-
13)
Security:
a) Surely Bond _ or Certified Check
I (70
total amount of $ /~/?(.) _
b) Maintenance Bond provided:
provided in the
~ dO
v<..: - 2 yeal"s or 3 yeal-s
Basic Appl!..cation Fee........ $25. 00 /
111)
Fees fOl' applications and permits:
A 1. IService Connections
,
'NO:-
excavations @ $20.00 = $
A2. IAdditional EXcav~tions same service @ $10.00 = $
No.
B. Excava lions 10" in depth or less:
0- 1 00 I. f. = $10. 00
I. f. @ $0. 10 .- $
Additional
Excavations_ 10" ind~.I'(;1.t'? 5'. in depth:
0-100 I. f. - $30.007''',
050' I.f. @ $0. 30~ $/q5' + 30
Addilional-~ Q1ee...O /4-L/.....r f
Excavations 5' in depth and over: If;:.
0-100 I. f. = $50.00
C.
D.
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260.:::.
-Additional
I.f. @ $0.5Q'= $
t<!."
E.
No.
Utility Repair' Excavations @$10.00 = $
Additional
Repairs same service @$5.00 = $
F. Notice to public utilities, proof, must be provided and attached to
this application prior to issuance of permit.
"
* .' *
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Authorization is hereby granted to th~"T~wn
issue a Highway Excavation Permit to:' , ,
in accol-dance wi th this application.
,
Clerk of the Town of Southold to
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EN DENT OF HIGHWAYS
.. 'SOUTHOLD, NEW YORI<
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Permit Issued
7 /rlaIe 97
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" , , Permit' .No.
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Received by the Town Clerk
Note:
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Permit expires one (1) year.'from"O'~t~"'~flssuance.
No work to start without, 40 hour, notice to the Superintendent
Permit must be available:for.hlspectiol'l;,k'
,c.
of Highways.
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Page 20f 3
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Copy Distribution:
Highway Department
Inspector
Applicant
Town Clerk
INSPECTOR'S
RECORD
I nspection Date
Findings (use code)
Applicant Notified
1st
2nd
3rd
lIth
(To Permit cleriZl-
,
REMARKS
CODE
10 - Improper barricades
IL - Improper lights
ST - Sunken trench' or excavation
UTM - Unable to measure '(due to backfilling)
BUC - Building under, Construction
WIP - Worl< in'progress
DB - Improper,backfill':(too high) (not sufficient)
I-IFS - Inspector: holding for final settlement of excavation
RFR - Ready to repair
D- 39
Pnge 3 of 3
.
Highway Department
Town of Southold
Peconic Lane
Peconic, N.Y. 11958
.
RAYMOND L. JACOBS
Superintendent
Tel. 765.3140
. 734.5211
DATE: ()(P - OJ'-CJ'1
TO: . _ f9eil)
CASE NUMBEJ: I ~O- 01- 0 g reom M+}/tJ RI> (fre~) /0 4.LtJrzIO.f-_J..A. . \EJf"~~:
( 100 _ 0 I-/~ ~m Ute, 01- LA-. }o MAl N ~ ("'Rle zS)
~
This is to notify you that New York Telephone Company
and Long Island Lighting Company have been notified in
respect to the application for an Excavation Permit in
the Town of Southold.
~n.' JJ, J~ ob-oJl-'l1
~Of the applicant
l14el'O 9' .0.Aef20uJ
e.e-AL 13 ~T,A.TE:t P_Ef'f
~S~A-N ENEe9'{.
(5/") 3~/- h01~
FC.179.SS
PREPARED BY
.
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PC._
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LONG ISLAND LIGHTING COMPANY W. O. NO.
SUBJECT ~e /' h'i r - /!-1' 47,.v A'tf;tz} , ACCT. NO.
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