The URL can be used to link to this page

Home My WebLink AboutTravelers Street JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 July 14, 1993 James L. Gray, Sr. Pudge Corp. P. O. Box 1465 Southold, New York 11971 Dear Mr. Gray: Enclosed herewith is a check in the amount of $200.00 which represents the refund of your maintenance bond with regard to the installation of a water main line on the south side of Traveler Street, in front of the Post Office, Southold. Enclosure Very truly yours, Judith T. Terry S0uthold Town Clerk 07 i :L '3 i .~. 9~:'::? :;':2+ :L :22 024122 '-'$200, C, .:-> 'TOTAL ...... r,,' *2000. oo:,,-,_~: ,; . ,-. PAY;TO:THE ORDER OF: ~:.:.. P~g~;2Corporation .,_,- ,,~S~l~(~ld,_ t~ 11971 214 '"'~ ~'~0.'.3~-~'' '"00 ' DATE AMOUNT -' July 25, 1990 $2,000.00.:~.~.'. Account Number ............. Invoice # ............. Date...'.~.~,~..~.~..o~ .19 ....... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee identification Payee Name: or Social Security Number: ....// ,~..~,.. ~¢~.~ ~ .z_~ .:~. ........... Payee Reference: Ad,ess: ~ .................................... · ?.~... ~v~..,,~.../.~.. ¢.,.~.~ ................. Phone No. ( .... ) ....................... ....~.. .~'~-?.~.~-¢..~..,../~.~..../'/. ?..~. ......... Vendor Contact Cash Discount .................. % ......... Days .................................... Item Description of Material/Service Quantity Unit Amount No. ~ ' Price / ~/ ~' Total Discount Net The undersigned (~(Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof has been paid, except as therein stated, and that the balance therein,.~ stated is actually due and owing.'~/~"Z' .--~..'..~.~. ?~ Dated ........ .......... 19 ?.o.. . ' ......... ~ ,/, Signature P BILL OF ..... LI Fund .......... ~./: ............ Dept/O bj/Su b ..... ~. ., .~..~. ......... For Servie~s and Disbursements as In d at e,. i ,~,D:,~.~h,~,~, ..... Invoice number...~ .~.'~, .~...~.~. ...... Vendor number.../~'...~'. ~.... ~.~ Allowed, $...,~....~....~_,2. ....... Audited ..... J.U.L. ~ .1. !9.9,019 ....... TO~ cle'rk JUL23 1990 Permit No. ? .. File No. ? ~ i~ FC"'EIV~D NOV 1 1989 TOWN OF SOUTHOLD HIGHWAY DEPARTMENT Peconic Lane Peconic, New York 11958 (516) 765-3140 APPLICATION/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 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 tine excavation herein described. The apphcant 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 Type 1) , Pudqe ,Corp. Name of Applicant P.O. Box 1465, Southold, NY 11971 Address 2) James L. Gray, Sr. P.O. 8ox 1465, S0uth01d, NY 11971 Name of Owner of Premises Address 3) Install water main line, South side Travelers Street, in front of Post Office 4) Work Description and Location (Street Number, Hamlet, Cross Street) (a) Is construction located within 75 feet of tidal wetlands? *Yes__No XX *If yes, other Town permits may be required. Builder's License No. Plumber's License No. Electrician's License No. Other Trade's License No. N/A 5) (~-<h'~t U r e~o ~ A p p~ i ca n t a) Attach plot plan showing location of proposed excavation and relationship to adjoining premises or public streets or areas, and giving a detailed descrip- tion 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 by the Town Clerk. 6) Tax Map: Section ~/ , Block / , Lot 7) Starting Date: //-- 0~- ~? Completion Date 8) Work Schedule: Phase 9) 10) 11) Completion Date Excavation .............................. · .... ·. · ·. · Facility Installation ................................. 'Backfill & Compaction .............................. Pavement Replacement .............................. Onder which authority is the application made: Pud~e Corp. Estimated Cost of Proposed Work: $10,000 Remarks: D-39 Page 1 of 3 12) Insurance Coverage: (Attach copy) a) Insurance Company: Roy Reeve Agency b) Policy # Pending c) State whether policy of certification on file with the Highway Depart- ment: Pendinq d) Coverage required extended to the Town: Bodily injury and property damage: $300,000/$500,000 Bodily Iniury, and $50,000 property damage. 13) Security.: N/A a) Surety Bo~.d total amount of $2,000.00 b) Maintenance Bond provided: 14) Fees for applications and permits: Al. Excavations 0-100 I.f. = or C~rti.~ed Check XXX provided !n the $200.00 2 years or 3 years Basic Application Fee ........ $25.00 0 /Service Connections excavations @ $20.00 = $ No. A2. 0 /Additional Excavations same service @ $10.00 = $ No. B. 18" in depth or less: $10.00 ~.f. @ $0.10 - $ Additional C. Excavations 18" in depth to 5' in depth: 0-100 I.f. = $30.00 100 I.f. @ $0.30 = $60.00 Additional D. Excavations 5' in depth and over:N/A 0-100 I.f. = $50.00 I.f. @ $0.50 = $ Additional E. 0 No, Additional Utility Repair Excavations 0510.00 Repairs same service @ $5.00 Notice to public utilities proof must be provided and attached to this application prior to issuance of permit. Case # 286-65 Authorization is hereby granted to the Town__Clerk~of the Town of South@Id to issue a Highway Excavation Permit to: in accordance with this application. SUPERINTENDENT OF HIGHWAYS 1 ~ Raymond .I.~a cob s Date t Date Permit Issued ////y /~ -~'~ Permit No. ? / ate ' Note: D-39 Permit expires one (1) year from Date of Issuance. No work to start without 48 hour notice to the Superintendent of Highways. Permit must be available for inspection. ,~ Page 2 of 3 Copy Distribution: Highway Department Inspector Applicant Town Clerk INSPECTOR'S RECORD Inspection Date Findings (use code) Applicant Notified 1st 2nd 3rd 4th (To Permit Clerk) REMARKS CODE lB - Improper barricades IL - Improper lights ST - Sunken trench or excavation UTM - Unable to measure (due to backfilling) BUC - Building under Construction WIP - Work in progress DB - Improper backfill (too high) (not sufficient) HFS - Inspector holding for final settlement of excavation RFR - Ready to repair D-39 Page 3 of 3 RAYMOND L. JACOBS SuperintenOent Highway Department Town of Southold Peconic Lane Peconic, N.Y. 11958 TEL765-3140 '734-5211 DATE: 10/24/89 TO: Raymond L. Jacobs CASE NUMBER: 286-65 This is to notify you that New York Telephone Company and Long Island Lighting Company have been notified in respect to the application for an Excavation Permit in the Town of Southold. gnature of the ap~ic~nt ROY FI REEVE AGENCY ZNC MAIN ROAD MATTITUCK N Y 1195B COMPANIES AFFORDING COVERAGE ROYAL GLOBE ThIS CO. PUDGE CORP. 50800 MAIN RD c~$'Ju~r$,' D SOUTHOLD NY 11971 ! A: j~ENERAL LIABILITY i AUTOMOBILE LIABILITY PYAJB868B EXCESS LIABILITY WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY OTHER 11/01/89 11/01/90 ~:~ "~"~ 1,000 TOWN OF SOUTHOLD IS ADDED AS ADDITIONAL INSURED AS RESPECTS PERI'lIT FOR ROAD TOWN OF SOUTHOLD ~- W,L_L 5NDEAVOR 10 MAIL 10 DAYS WRITTEN NOTICE TO MAIN ROAD SOU'I'HOLD NY 11971 ANY KIND UPON THE NY, ITS.~,GEAI~rS OR REPRESENTATIVES. AUTHOHIZED REPRESEN dO GN~q 3'21A~3S 'l¥.L~Od 's'n oo' 008 'cji 3;,00;9 ~;,6;~ 'c:5 rtl m Permit No.' File No. TOWN OF SOUTHOLD HIGHWAY DEPARTMENT Peconic Lane Peconic, New York 11958 (516) 765-3140 Seeli~?~PPLICATION/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 Excavation Permit pursuant to Chapter 83 of the Code of the Town of Southold, Suffolk County, New York, and other applicable laws, ordinances or regulabons for tl~e excavation herein described. The applicant agrees to comply with all applicable laws, ordinances, codes and regulations, and to permit authorized inspectors to mlake necessary inspections of the job site. Print or Type 1) Pudqe Corp. Name of Applicant P.O. Box 1465, Southold, NY 11971 Address 2) James L. Gray~ Sr. P.O. Box 1465, Southold, NY 11971 3) Name of Owner of Premises Address Install water main line, South side Travelers Street, in front of Post Office 4) Work Description and Location (Street Number, Hamlet, Cross Street) (a) Is construction located within 75 feet of tidal wetlands? *Yes No *If yes, other Town permits may be required. Builder's License No. Plumber's License No. Electrician's License No. Other Trade's License No. 5) 6) 7) 8) 9) 10) 11) ' ' Si~h~ture o[/Ap~licant 13ate ' a) Attach plot plan showing location of proposed excavation and relationship to adjoining premises or public streets or areas, and giving a detailed descrip- tion 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 by the Town Clerk. Section ~;/ , Block / , Lot /[-- 0~-' (~? Completion Date Phase Tax Map: Starting Date: Work Schedule: Completion Date Excavation ......................................... Facility Installation ................................. 'Backfill & Compaction .............................. Pavement Replacement .............................. Under which authority is the application made: Pud~e Corp. Estimated Cost of Proposed Work: $10,000 Remarks: D-39 Page 1 of 3 12) Insurance Coverage: 1 3) 14) (Attach copy) a) Insurance Company: Roy Reeve Agency b) Policy # Pending c) State whether policy of certification on file with the Highway Depart- ment: Pendinq d) Coverage required extended to the Town: Bodily injury and property damage: $300,000/$500,000 Bodily Injury, and $50,000 property damage. Security: a) Surety Bond or Certified Check XXX total amount of $2,000.00 b) Maintenance Bond provided: -$~2C0.~ 2 years provided !n the or~',~,Oo, ~ o 3 years Fees for applications and permits: Basic Application Fee ........ $25.00 Al. 0 /Service Connections excavations ~ $20.00 = $ No. 0 /Additional Excavations same service @ $10.00 = $ A2. B. Excavations 0-100 I.f. = 18" in depth or less: N/A $10.00 I.f. (~ $0.10 - $ Additional Excavations 18" in depth to 5' in depth: 0-100 I.f. = $30.00 100 I.f. @ $0.30 = $60.00 Additional Excavations 5' in depth and over:N/A 0-100 I.f. = $50.00 I.f. @ $0.50 = $ Additional E. 0 No. Additional Utility Repair Excavations @$10.00 Repairs same service Q $5.00 Notice to public utilities proof must be provided and attached to this application prior to issuance of permit. Case # 286-65 Authorization is hereby granted to the Town Clerk of the Town of Southold to issue a Highway Excavation Permit to: ~'.~ ~'~. in accordance with this application. SUPERINTENDENT OF HIGHWAYS TOWN~"'~UTHOLD, NEW YORK / j Raymond .l~acob$ r? Date ~ Date ' Permit Issued //////~ -~"~ Permit No. Note: D-39 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. Page 2 of 3 Copy Distribution: Highway Department Inspector Applicant Town Clerk INSPECTOR'S RECORD Inspection Date Findings (use code) Applicant Notified 1st 2nd 3rd 4th (To Permit Clerk) REMARKS CODE lB - Improper barricades IL - Improper lights ST - Sunken trench or excavation UTM - Unable to measure (due to backfilling) BUC - Building under Construction WIP - Work in progress DB - Improper backfill (too high) (not sufficient) HFS - Inspector holding for final settlement of excavation RFR - Ready to repair D-39 Page 3 of 3 RAYMOND L. JACOBS Superintendent Highway Department Town of Southold Peconic Lane Peconic, N.Y. 11958 Tel. 765-3140 · 734-5211 DATE: 10/24/89 TO: Raymond L. Jacobs CASE NUMBER: 286-65 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. ~a~ure of ~ic~nt 10/2'7/89 COMPANIES AFFORDING (.'OVERAGE ROYAL CI. OBE: INS CO, PUDGE CORP. E, 0800 MAIN RD SOLJTHOLD NY 11971 GENERAL LIABILITY AUTOMOBILE LIABILITY EXCESS LIABILITY WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY OTHER PYAJ28683 11/01/89 11/01/90 1,000 PERSONALINJURY TOWN OF SOUTHOLD IS ADDED AS ADDITIONAL INSURED AS RESPECTS PERMIT FOR ROAD TOWN OF SOUTHOLD MAIN ROAD SOUTHOLD NY 11971 RO'Y H F!EEVE AGENCY IN(; ~ ~! ul~ i: [4 ,, TP~ i Ct I,:~£$ B~ t OW M,qIN R(}~I::) ::OMPANI[ S AFFORDING COVERAGE M~l I T.t. FUC. I~ N 1J. 95~ cor'P,P,, ROYAL GLOE,E INS CO. PUDGE CORP. i~r~ 50800 ~ZN RD SOUTHOLD NY t t97~ ~ ~ ~ ~ ~ ~ ~ COMPANY p~GENERAL LIABILITY PYAJ2868B 11/01/88 11/01/89 CONTRACTUALI -- T~N OF SOUTHOLD IS ADDED AS ADDITIONAL INSURED-AS RESPECTS PERMIT FOR ROAD TOWN OF SOUTHOLD MAIN ROAD SOUTHOLD NY 11971 LAND 8.28: 28 '-40 LLJ ~ 1 ~ I~' N.29 .46 OO W. -mo. N/F U.S. QI I II $. ~9 -4 fi ~O0'E POSTAL 200.00' ! Al,ID Ld LAND OF SOUTHOLD PUBLIC LIBRARY S. 28, - 28 -,40 N,29'~ 46 O0 W. N/F U.S. POSTAL SERVICE 303.53 LAND OF BENDER AND DOUGHERTY SITE PLAN ,";;o-o Z WELLS AVENUE STORM WATER DRAINAGE ,I% CURB ~ PAVING DETAIL [OTES PARKING SITE DATA TE3T HOLE LEGEND N,~ ¢, t4~.1,4 High ~-4T ~L. PROPOSED STORES FOR FEATHER HILL '.MS!N ROAD(RouTE25*> DRAWIN6 NO, 6ONT, NO.~J~