HomeMy WebLinkAbout870 Willow LnTown Of Southold
P.O Box 1179
Southold, NY 11971
(631) 765-1800
RECEIPT
#562a
05/29/2008
Verizon, Communications
501 N. Ocean Ave, 1st FI
Patchogue, NY 11772
Received $150.00 for Permits, on 05/29/2008. Thank you for stopping by the Treasurer's Office.
As always, it is our pleasure to serve you.
Elizabeth A. Neville
Southold Town Clerk
Town Of Southold
P.O Box 1179
Southold, NY 11971
Date: 05/27/08
* * * RECEIPT * * *
Receipt~:
20059
Transaction(s):
1 1
Permits
Reference
562
Subtotal
$0.00
Cash
Total Paid:
$0.00
Name:
Verizon, Communications
501 N. Ocean Ave, 1st FI
Patchogue, NY 11772
Clerk ID: LINDAC Internal ID: 562
(Formerly Bell Atlantic)
/~0! NORTH oCEAN AVE
PATC1~OGUE, NEW YORK
RECEIV=-D
I~!AY ?/h;
Southold Town Clerk
.Pateh°,que,%,m
THE TELECOPIER TRANSMISSION WHICH FOLLOWS IS ADDRESSED TO:
NAME: P. Harris
FAX #: 765-1750
FROM:
NAME: Robert Compitello
DEPT.: PJW Dept.
P~O~ #. 631 68~
FAX #: (~9S2
NUMBER OF PAGES 3 (~CLUOING COVER SImET) DATE SENT 05/8/08
EMERGENCY PERMIT
THANKS,
CHH' ('ROBERT)
~AD'pI..tCAT, ION/PE.R,MIT, FOR HIGHWAY. .,~c:(~A, VAT. 1OH AND REPAIR,
The ~[l~nt
Print or ~
7) S~ffin~ Date: C~ple~ ~'te ......
~) ~rk ~ch~ule ~
Und~ whi~ au~orlty l* ~e eppIl~
2006 15:36
Page_ I of 3
P~DE.04
a} rn~ue=nca Company
and G50,
~lnt~e ~nd prairie:
hr.
E. __Ut;iI~ Re~Jr
Nat{~ ta p~llc'utlZlG~'~ pfaff
e. is'spplic~l;oh prior t~ ;~4~uance of
AuthorlZal'U~ le hereby granted to the Town Clerk of ~e To~ Of ~d
Highway EK~ ~mi~ 'to: , _
In'~n~ with ~is appk~U~.
SUP~TENDENT OF HIGHWAYS
T~N O~HOLD, ~ yORK
~eter w, Harr~=
Rec~Vec~ I~/ the Town Clerk
Permit expires one (1) 7'=ar fr~m Date af Issuance.
pe~'mus~ ~e nvailhble for In~p~U~,
paD~ 2 oF 3
rl~E 24 2~¢6 15:36 P~GE.05
01/OU '08 I~'ED i8:$? F~{-~2 831 765 6145
2ndr
in~F~cU~n Dote Ffndlr~= {use c:~e}
RET~ARKS
CODE
~V~sge Ro~d
Town Of Southold
P.O Box 1179
Southold, NY 11971
Date: 06/09/08
* * * RECEIPT * * *
Receipt#: 21241
Transaction(s):
1 1
Permits
Reference Subtotal
567 $150.00
Check#:169
Total Paid: $150.00
Name:
Verizon, Communications
501 N Ocean Ave, 1st FI
Patchogue, NY 11772
Clerk ID: LINDAC Internal ID: 567
TOWN OF ~OUTHOLD
HIGHWAY DEP~TMENT ·
Pec~ nlo Lane
pcconic' ~.ew York 1.1958
,(S31)
~)
11)
~_AFPLiCA-[IONJPEILM!T FOR HIGHWAY. E~CCAVATION AND REPAIR
S HEREBY ~de ~ ~e ~upe~nt~d~t of Hlgh~Ys ~ .R E V O,
~PLICATION I ' - ..... ' ....... ) to Cha~r 63 ot
of ~ld for the ......... u~ v~ an~ oth~ app~e lawa.
~ of ~ Town of S~t~ld, SUT~K ~'-[~'~:~'L The ~l~nt ag~
*if y~. ~ Town ~1~ ~Y ~ r~ulr~.
S)' a) At.ch ~ot p~n ~1~ I~ ~,~ ~n ~nd r~fio~ip'~
b] A~ch all ot~r ~e~q permi~ and li~ns~ for ~is'p~J~t,
Highway Ex~va~ofl Pe~lt ~ ~e Town Cl~k.
7) Sta~ing Date: C~pleti~ ~te ,.
p~ ~m~Uon D~
Fa~U~ Ins~ll.~oh ..................................
D-39
~'ag~ 1 of 3
1/0,~ '06 9~D 13:56 PAX. 631 76{~ 6145 $OUT.~iObP
·
Insuratlee Coverage: (Attach copy) a) Insurance C~mpany;
c) S~ie whe~er ~l[¢y of ce~ifl~tlo~ oa fil~ with ~e Highway
d} ~ge r~uircd ~lmd~ W the Town:
8~]ly InJu~ and p~pe~y ~gc: 5300,000/$~00,000 E~ily [nJu~,
and ~50,00~ pretty dame9e'
Security?:
a) Surety )Bond or Certlfie~ Check pro¥1d(:d In'the
to~l amount ~ S
b) ~lnt~a~e ~nd provide:
F~ for appll~tlohs and permit~:
Al. ]~i~ Conn~i~s ~vatlons
A2. IAddifi~al Ex~vatlons ~me se~l~
Ex~va~S 18" i~ d~.or less:
0-10o l.f. = $10. oa'
I.f, a $e,10 -
~lUonal
C. ~vatlo~s 1~~ in d~th to
~10e Lf. = }3e.'eo
I.f. O ~,50 = ~ --
E. Utili~ Repair Ex~v~ons
~ls'appli~tio6 prior ~
Authorization Is hereby granted to the Town Clerk of the Town of S~utho~d to
Is**:u¢ a Highway Excavatlot~ permit 'to:
in'accordance with thls'appticatio~.
SUPERINTENDENT OF HIG)+WAY$
F SOUTHOLD. NEW yORK
I~eter W, Harris
Race, ecl by the Town Clerk
'Date
Note: P~it ~pmres one (1) y~r f~m Date Of
No work to s~ wight ~ ~ ootlce to the 5uperlnt~d~t ~ Highways-
Pe~'musl be available for
D-39
Flq~ 24 2CZ6 15:75 PqSE..;J5
03/24/2006 FRI 16:28 ?'Ag
01/~3 '0$"W]~D 13:57 FA3:831 76~ 6145 $oiTT~OLD TO~'N CLI;RK ~ Elghwa7 Dep: ~0U3
C0~¥ DimtrJbu~loh,:
Highway Dep~rtment
Inspector
Applicant
T~n Clerk
i~ S p E C T O R',S R E C O R D.
Date Flndim~s (use code)
2nd
Applicant Notif~ o~
--(To permit Clerk)
RF. JRARKS
CODE
lB - Impro~er barri~dr-s
IL -.Improper
ST - Sun~n ~ or ~vltlon
UTM - Unable te m~u~ {due to
BUC - 8ulldln~ uader ~n~
WlP - Work
DB - Imp~ ~c~Ul' [~ high)
HFS -' I~sp~r h~dlng for final ~t of ~vat~n
RFR - R~ to rapalr
[3-39
:ell Phone:
Emergency Permit
Nearest c~=~ etreet ,,~,,~Z~.C'",~~
~kd ~r Tone & M~ ~ Yea ~o C~ ~
~ ~n ~ apli~ pit ( Front of houae ~)
** TOTRL PRGE.04 **