The URL can be used to link to this page

Home My WebLink AboutNorth Bayview RdTown Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 01/06/05 Transaction(s): Permits Permits Receipt~: 7019 Subtotal $190.00 $190.00 Check#: 7019 Total Paid: $380.00 Name: & R, Construction R 282 Line Rd Manorville, NY 11949 Clerk ID: LINDAC Internal ID: 104794 TOWN OF SOUTHOLD HIGHWAY DEPARTMENT PeconJc Lane Peconic~ New York 11958 (631) 765- 31~0 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 Cede of the Town of Southold, Suffolk County, Ne~ York, and other appliCable laws, ordinbnces or regulations for the exCavation herein described. The appliCant agrees to comply with all appliCable laws, ordinances, codes and regulatiOns, and to permR authorized inspectors to ntake~ necessary inspections of the job site. Print or Type Name of Applicant - ' Addregs Nam~ of Owner of Premises Addres.k Work Description and Lecation (Street Number, Hamlet, Cross Street) (a) Is construction located withih 7S feet of tidal wetlands? *Yes__No *If yes, other Town permits may he required. q) Builder's License No. Plumber's LiCense No. Electrician's License No. Other Traders License No. Signature of AppliCant /- ~--O~- Date s) a) Attach plot plan showing location o~ pro,ed, 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 appliCaUon may not commence before issuance of a Highway Excavation Permit by the Town Clerk. 6) Tax Map: Section , Block , Lot 7) Starting Date: Completion Date 8) Work Schedule: Phase ExCavation ......................................... Facility Installation ................................. Backfill & Compaction .............................. Pavement Replacement .............................. 9) Under which authority is the application made: 10) Estimated Cost of Proposed Work: $ 11} Remarks: ~ /5 ~.:~e~¢ 0)~ ~ Completioh Date A2. B. 12) Insurance Coverage: [Attach copy) ~ a) Insurance Company: //~[~c~ ~7-/?~u~c~ ~ c) State whether policy of certification on file with the Highway Depart- ment: ~C~r ,~, 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 or Certified Check provided in the total amount of $ b) Maintenance Bond provided: 2 years or 3 years lq) Fees for applications and permits: Basic Application Fee ........ '~'~0~~ Al. c~ /Service Connections excavations ~ $20.00 = $ /-/O,oo No. __/Additional Excavations same service ~ $10.00 = ~. No. Do Excavations 18" in depth or less: 0-100 I.f. = $10.00 l.f. ~ $0.10- $ 'Additional Excavations 18" In depth to 5~ in depth: 0-100 I.f. = $30.00 I.f. ~ $0.30 ~ $ Additional Excavations 5~ in depth and over: 0-100 I.f. = $50.00 I.f. ~ $0.5O = $ Additional No. Additional Utility Repair Excavations 05~0.00 = $ Repairs same service 0 $5.00 = $ 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. t~eter W~ Harris · Date ~ Received by the Town Clerk Permit Issued /~, -~ Date Date Permit No. ~)~' Note: Permit expires one (1) year from Date of Issuance. No work to start without ~18 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 I N SPECT O R~ S RECORD 1st 2nd 3rd qth Inspection Date Findings [use code) Applicant Notified (To Pemlt 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 WlP - Work in'progress DB - Improper backfill (too high) (not sufficient) HFS - Inspector bedding for final settlement of exqavation RFR - Ready to repair D-39 Paqe 3 of 3 JAN-05-05 IZ:$ZPM FRO~ T-161 P 02/02 F-259 03/31/2005 bun oc~um~qc[ 3,000000 CCK~Ir~CATF I~OLD~R P.O. ACORD 26(2(]01108) 988 Town Of Southold P.O Box 1179 Southold, NY 11971 Date: 05/27/08 * * * RECEIPT * * * Receipt~: 20057 Transaction(s): 1 1 Permits Reference Subtotal 561 $170.00 Check#: 1079 Total Paid: $170.00 Name: L, IPA 117 Doctor's Path Riverhead, NY 11901 Clerk ID: LINDAC Internal ID: 561 £ Permit No. T100849878 -AK TOWN OF SOUTHOLD HIGHWAY DEPARTMENT P.O. Box 178 Peconic, New York 11958 (631)765-3140 RECEI .D 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 the excavation herein described. The applicant agrees to comply with all applicable laws, ordinances, codes and regulations, and to perm/t authorized inspectors to make necessary inspections of the job site. Print or Type I.T.TDA _ 117 n,,~,-'= Path, ~q-a~d of Applic'afit ........ Name of Owner of Premises Ri[,erhea~, NY 11qfll Address of Applicant Address of Owner ~0F~D~r~pqt~a~ ~ocation (Stteet Number, Hamlet, Cross Street) (a) Is construction located within 75 feet of tidal wetlands? * Yes · If yes, other Town permits may be required. No X 4. Builder's License No. Plumber's License No. Electrician's License No. ther Trade s L~cense No. · ' Si~-c~re of Applican~ ! ' ' Date (a) Attached plot plan showing location of proposed excavation and relationship to adjoining premises or public street 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 by the Town Clerk. 6. Tax Map No.: Section , Block 7. Starting Date: 8. Work Schedule: Phase Excavation Facility Installation Backfill & Completion PaVement Replacement~ Completion Date: Completion Date 9. Under which authority is apPlication being made: r. TP h 10. Estimated Cost of Proposed Work: $$q7; ~lq~q 1 I. Remarks: D-39 1 of 3 ]2. 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) Surety Bond or Certified Check provided in the total Amount of $ (b)MaintenanceBond provided: 2 years or 3 years. 14. Fees for Applications and permits: Basic Application Fee $150.00 Al. __/Service Connections excavations @ $20.00 No. A2. /Additional Excavations same service @ $10.00 No. B. Excavations 18" in depth or less 0-100 i.f. = $10.00; Additional i.f. @ $0.10 $ $ $ $ $ $ Excavations 18" in depth to 5' in depth 0-100 i.f. = $30.00; Additional i.f. ~ $0.30 Excavations 5' in depth and over 0-100 i.f. = $50.00; Additional i.f. @ $0.50 ~- Utility Repair Excavations ~ $10.00 No. Repairs same service ~ $5.00 Additional Notice to public utilities proof must be provided and attached to tkis 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. Date Received by the Town Clerk ,~'~/~ '7/01~ Date Permit Issued ~,/o~ ~O2r/ Permit No. SIYPERINTENDENT OF HIGItWAYS TOy yO T"OLD, EW Peter W. Harris Date ! NOTE: Permit expires one (1) year from date of issuance. No work to start without 48 hour notice to Superintendent of Highways. Permit must be available for inspection. D-39 2 of 3 Colby Distribution: Highway Department Engineer (with page 3) Applicant Town Clerk (Original) 4th Inspection Date INSPECTOR'S RECORDS Findings (use code) REMARKS Applicant Notified (To Permit Clerk) IB IL ST UTM BUC WIP DB HFS RFR CODE Improper Barricades Improper Lights Sunken Trench or Excavation Unable to Measure (due to backfilling) Building Under Construction Work In Progress Improper Backfill (too high, not sufficient) Inspector Holding for Final Settlement of Excavation Ready for Repair D-39 3 of 3 T100849878 No. Bayvicw Rd. Southold Permit required to directionally drill along the south side and east side of No. Bayview Road just north of North Parish Drive as shown to replace the 3 phase electric and upgrade the wire. ro.£.~ ,. c*s£ wok c*..o~ K COU~'~. ~ S~W., v,~o~ SOUTHOLD ~'T100849878 .~., WATKINS .. ~.7000 .~. 108-E-19 w.o. '~M~ .P~ ~ ~ T~ ~'~. C~". 8B-951 ~Ou~o · ~ - .o ~rurm Ko'. = ~ · ~ 54 I .uu~. 1200 .o. ~[DAL I~~ 4-29-08 L 4~ E/S N ~1~ RD - N/O N P~IS~ DR40/4~'H! L L L L~ X L 5~.~ S/S N ~ RD - W/O N P~ISH DR40/4~'H1 L L L L~ X ~; 2008 CABLE REP~CE~ENT LEGEND I-I~TALL R-REMOVE LIPA TO REPLACE APPROX 915' OF 3-3/OAL PRIMARY CABLE WITH 3-350AL PRIMARY CABLE THE PRIMARY HAS A STRAY VOLTAGE ISSUE AND MUST BE REPLACED LIPA ALSO TO REPLACE BOTH RISER POLES AND REPLACE THE CUTOUTS WITH LBD'S THIS JOB IS TO BE DONE BY DIRECTIONAL DRILLING TECHNIQUES MARK OUT REQUIRED "CAUTION UNDERGROUND ELECTRIC IN AREA AS PER FACILITIES MAPS" N 3-3CU PVC- 3/C#2CU ~ A R-(3)IOOA CUTOUTS(SOL) I-LB0#8711 B#5766 NORTH BAYVlEW RD GOOSE CREEK BRIDGE 150' P~53.5 R-40'-P(4)L6 1-45'-P(H1)LIPA R/I-8'DA R/I-(3) 15KVDE R-LBF~4804 I-LBD#8711(N/C) R/I-11M JAG(lO' LEAD) R/I-11M ANC STRAND R/I-(3)PHASE LA'S R/~-8'S~ R/I-DE ASSM TRANSFER 1 SVC TEL, CATV U.G NOTES R-(3)~,3/OAL POTHEADS I-($)t~350AL POTHEADS R/I-5" UGUARD PPI RISER R-4' UGUARD RISER I-3' UGUARD RISER SEE C.S~2443 ROAD STRATA 10' GRASS 40' MAC 10' GRASS P#48 R-40'-P(4)LG 1-45'-P(H1)LIPA R/I-8'DA R/I-(3) 15KVDE R-LBF~4805 I-LBD#8712(N/C) R/I-11M JAG(lO' LEAD) R/I-11M ANC STRAND R/I-(3)PHASE LA'S R/I-8'~ R/m-DE ASSIvi TRANSFER 1 SVC TEL, CATV U.G NOTES R-(3)~3/OAL POTHEADS I-(3)~350AL POTHEADS R/I-5" UGUARD PPI RISER SEE C.S~2443 NORTH PARISH DR /~FT~ o,~;_ L~E Z NORTH 20 97915 DR. ~-~1 BAYVIEw ~,vc ~ ~ rq-- NORTH PARISH 3Pvc ~ ~