HomeMy WebLinkAbout19375 Soundview AveDate: 07/25/07
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Receipt~: 495
Transaction(s):
1 1
Permits
Reference Subtotal
515 $150.00
Check~: 495
Total Paid: $150.00
Name:
Verizon, Communications
501 N. Ocean Ave, 1st FI
Patchogue, NY 11772
Clerk ID: LINDAC Internal ID: 515
Town Of Southold
P.O Box 1179
Southold, NY 11971
Date: 07/17/07
* * * RECEIPT * * *
Transaction(e):
1 1
Permits
Reference
515
Subtotal
$o.oo
Cash
Total Paid:
$0.00
Name:
Verizon, Communications
501 N Ocean Ave, 1st FI
Patchogue, NY 11772
Clerk ID: LINDAC Internal ID: 515
6314470416 ,VERNON 501 N OCEAN 08:45:34 07-17-2007 I /5
(Formerly Bell Atlantic)
501 NORTH OCEAN AVE
PATCHOGUE, NEW YORK 11772
RECEIVED
Southoid Town Clerk
THE TELECOPIER TRANSMISSION WHICH FOLLOWS IS ADDRESSED TO:
FAX #: 765-1750
FROM:
NAME: Tom
DEPT.: R/W Dept.
PHONE #: 631 687-8555
FAX #: (631) 687-8512
NUMBER OF PAGES 5 (INCLUDING COVER SHEET) DATE SENT 7/17/07
EMERGENCY PERMIT
TOM
6314470416 ,VERIZON 501 N OCEAN
08:45:41 07-17-2007
Notification o¢ Request For
Emergency Permit
'7
215
63144~0/li $, ' ,'" ' '~ 'vE~IzON 561- NOCF. AN
TOWN OF ~UTHOLD
HIGHWAY DEPARTMEI4,T.
Pe~nl¢ Lane
p=oonlc: .Hew York 1.19Sa;
08:45:53 07-17-2007
~RECEIVED
3/5
~APi~L[.CA.T. iON/PEpJa!T FOR HIGHWAY. F_xCAVAI~ION AND REPAIR~
JUL 1:3 2007
R£fl~ made te ~e ~e~l~t of Hlgh~Ys ~ ~e Town
o~l~nc~ ~ ~etlons f~ ~e ~n ~rean ~ ' ' and ~ pe~
2)~ N~e of Own~ ~ p~is~
· ~9natura
a~ ,~k n~ · nbln ~J~(]WI~ I~~ ~.~n ~ r~fi~lp*.~
b) A~ch all at~ ~ pe~mi~ and ll~n~
Tax~: S~ , BI~ ,./ ~t 7
Fa~l]~ lns~Jla~o~ ..................................
7)
~)
D-39
Pag~ 1 cfi 3
6314470o416, · , VERIZON 501 N OCEAN 08:46:08 07-17-2007 4/5
~/03 '05 ~ 13:5~ t~/ 631 YB$ 6L4.5 50U't'UU~,~ '~UW~ ~Ld~ ~- a~--,.~,- ....
' 12)
In surefire .Covera~.. a= {Attach
a) Insurance Company;
pollc~, f ,
c) S~te whe~er ~llcy ~ ca~j~tto~ on fil~ with ~e Highway
~ge r~ulr~d ~t~d~ ~ the Town:
B~lly InJu~ ~nd p~y ~g~ ~3~000/$500,0oo B~il~ [~Ju~,
and ~sO, oo~ pretty damage,
a] Surety Bond or C=~tlRL~] Che~k provided In'the
total =~nt ~ $
b} ~ln~e~e ~nd provide: '2 y~rs or _~ y~ra.
for appll~tlohs a~ ~rmi~: ~~n F~ ..... ~lS0,O0~
/Addi~al Ex~a~ons ~me se~l~ ~ ~I0.00 = ~
A2.
Excavet;<ms
0~tOO hf. :
1~q in depth.or less:
$1o. 88 '
C. Excevatloe~ 1~' i~ d~th to ~ ~
E. __Utili~ Repair ~v~oRs ~OO ~ ~
Authorl/a~Uon Is hereby granted to the Town Clerk of the To,n1 of ~d to
Highway Ex~t~ Pa~it 'to:
SUPERINTENDENT OF HIGHWAYS
TOW~HOL~, ~W YORK'
q -/7 7
R~e~ by the Town C~rk
Nqt~:
Permit t=<plres one (1) year from Date ef Issuance.
Ne work to g1~rt without M ho~ ~otlce to the Superlntende, nt ~f tllghways-
Permlt-'mus~ be available fer
Page 2 r~f 3
6314470.416 , ~ VERIZON 501 N.OCEAN
01/,83 '05 ~ 13,'57 [~AZ
SOUTItOLD TOWN CLE~X
08:46:19 07-17-2007
5/5
i H s p E C T 0 R',.f, RECORD
insl~--~m3 Dat= Flndil~s (use ~e)
Appll~nt. 14oti~ o~
----[~'Clcrk! ..
R~MARICS
CODE
ia - Improper barrl~-ad~
IL .Improper 1~3hts
UTM - Unable ~
BUC - Bvlld;n~ ~d~
- .Impm~
DB .. In;P~ h~dln~ for final c~; of ~vat~n
HFS
RFR - R~ to repair
Pega 3 of 3
Town Of Southold
P.O Box 1179
Southold, NY 11971
Date: 08/09/07
* * * RECEIPT * * *
Receipt: 498
Transaction(s):
1 1
Permits
Reference Subtotal
517 $170.00
Check~: 498
Total Paid: $170.00
Name:
Verizon, Communications
501 N. Ocean Ave, 1st FI
Patchogue, NY 11772
Clerk ID: LINDAC Internal ID: 517
, 1,
Date: 07/30/07
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Transaction(s):
1 1
Permits
Reference
517
Subtotal
$o.oo
Cash
Total Paid:
$0.00
Name:
Verizon, Communications
501 N. Ocean Ave, 1st FI
Patchogue, NY 11772
Clerk ID: LINDAC Internal ID: 517
(~144704'16 ',
VERIZON 501 N OCEAN
08:18:08 07-26-2007
(Formerly Bell Atlantic)
501 NORTH OCEAN AVE
PATCHOGUE, NEW YORK 11772
THE TELECOPIER TRANSMISSION WHICH FOLLOWS IS ADDRESSED TO:
NAME: g. Harris
FAX #: 765-1750
FROM:
NAME: Tom
DEPT.: R]W DepL
PHONE #: 631 687-8555
FAX #: (631) 687-8512
NUMBER OF PAGES 5 (INCLUDING COVER SHEET) DATE SENT 7/26/07
EMERGENCY PERMIT
THANKS,
TOM
§3144~0~16
..... V~RIZON 5~)~ N OCEAN
TOWN OF: SQUTHOLD
HIGHWAY DEPARTMENT.
peconlc Lane
08:18:15 07-26-2007 2/5
ApPLICA'I:ION]PERM!T FOR HIGHWAY. EXC~a'VAI~ION AND REPAIR
£BY made ta the ~uperintenclent of Hlgh~ys
~p~I~TIDN IS.HE~ . - ' .- ~ ~) '~,.~nt to Chair
- ~ - k ~ . ~ ~m~, ......
~ of ~ To~n of S~t~ld, Suf~ - ~ ..... ~. The ~[l~t
,~¢ o[ Ap~lont " Addre~
Name e ,,,met r,cm ~ ~.,~ Addre~3
O~er ~rad~ L;~n~ No,~
or . JUL 3 0. 2007
b) Amch all ot~ ~s~ ~r~ and lims~ for ~is'pmJ~t, .
Highway ~va~ Petit ~ ~e T~n Cr · · .'
So,~%~ Town Cler~
~;) Tax Map: S~tl~
7) Starting Date: ~p~
8) Wor~ Sch~Ule ~
FadU~ InsmllaUa~ ................................. ,,
~v~nt R~la~t .............................. -
9) und~ which au~orlt7
10) Eatlmated Cost of
· 11) Rem=r k~:
P~ga, T of' 3
§314470~116 VERIZON 501 N.OCEAN 08:18:30 07-26-2007 3/5
[/03 '05 WED ~3:5e ~'~,63~ 755 6[45 $OU't'~ULU 'low~
Insuraflee Coverage: (Attach cap7)
a) Insurance Company;_
c) ~te whaler ~Ucy of ca~ifl~fl~ on ~1~ with ~e Highway ~a~-
d) ~ge r~uir~d ~t~d~ W the Town:
B~Ily In~u~ and p~pe~y ~ge~ $ao~a0o/tsg0.0ao 8~ily InJU~,
and ~s0,0o~ pretty damage, ,
Se:urlt~:
a} .Surety Bond . , .or Cc~tlfiecl Che~;k
total amount ~f $
b) Malntena~:e ~bnd provided: '7. years
provld~ In'~J~e
Alo
or ~ years
applications ~nd permi~r:~ ~ ...... ~
' IServic~ ¢onnectlor~$ e. XaVatlons e SZO. oa = ~ c~[~ ,, --
Ex~va~s lr~ in d~.or le~:
~lOa I.f. = SiC. Ga '
Autherlz~tlO~ Is hereby gnanted t~ the Town Cl~,"k of the To~m of 5~utho~d to
l~ue a Highway Exc~vatio~ I~mlt 'to:
in'acc~rclanr, e with t.~is'appli~,ltloh.
Race,Wool by the Town ¢~erk
D-39
Pem~it expires one (1} ycar from Date of Issuance.
No work to ~tar~ wlU~o~t ~}xau~ notice to the Superlnt~d~t ~Hlghways-
pem~'mus~ be available for Ingp~.
,63144~'d416 --- ~i~RI~.~)N ~1' N OCEAN
01/03 '05 It'~Z) 13:57 FAZ 831 ?'85 61,~S
SOUZ~OL~ ~'O~l
08:18:42 07-26-2007'-
4/5
Copy Di=trlbuUo~t,:
H I~lhW~y Dep~rt menc
i N s p E CT O R J,e,
Inspqct~on I~tc
RECORD
Flndir-3s (use code)
Appllc3nt Notif; od
(TS ?emit Clcrl<) . .
RENLa, RKS
CODE
UTM - Unable
BUC - Bulld;n~ ue~ ~n~
WlP - Work
OB 'lmp~ ~[I '
RFR - R~ to repair
Paga 3 of 3
~314470'416 , VERIZON 501 N OCEAN
07- 15
08:18:48
~cify '~wn Road
~ Emergency
Notification of Request For
Emergency Permit
:~x ~ !631i M7-~512
~,o-o,,: b.zeor_~B u;
Village:
~S~te Rind ~Coun~ R~d ~Village Road
Out of Semite ~~ica
Lb
R
07-26-2007
5/5