HomeMy WebLinkAboutStanley RdDate: 03/05/07
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Receipt~: 428
Transaction(s):
1 1
Permits
Reference Subtotal
492 $232,50
Check~: 428
Total Paid: $232.50
Name:
Verizon, Communications
501 N. Ocean Ave
Patchogue, NY 11772
Clerk ID: LINDAC Internal ID: 492
03/24/2006 FRI 16:27 FAX
TOWN OF
HIGHWAY DEPARTMENT'
Pec~nlc
p~c:
~ApPL{CATiON/PERM!T__~OR HIGHWAY, EXCAVAT. ION AND REPAIR
. · Su erinte~dent of Hlghemys o~ the Town
~ TO~. of S~t~ld, Suf~k ~.~ d~. The ~fl~nt
to comply with all applicable laws, ordinances, code~ and regulatlohs, and to per~t~
auth~Hz~ inspe=tors t= ~lak.] tl--rY insp~ions of .e job ~. ~~
&) gu;ideas .klcen~ Ho.
Electr~=6'~ I Ic~-~a No.~
s)' a)
7)
· 11]
Attach pJot pmn snow~r~j . . r ---o and ai-~n~l
ad,oiling premlSeS.~r public streets or a,~,~,0 ~
~ of I-aY~°~Jt' Of ex=~vatlon. ·
b) Attach all oilier n~ces~arY perl~I~ and lic&nse~ far ~is'pmJ~t.
Highway ~va~On Pe~it
GIo~,
Tax Map: S~I~
Sta~lng Date: ~pteti~ ~ie
Work $~ule
- p~.
Fa~[l~ lns~llefloh ................................. '"'
~v~nt R~la~t., ............................ ' '
Und~ whi~ eu~orlty Is ~e appIl~ ~de:_
Estimated Cost
Pag~ I of 3
PAGE.04
M~R 24 2~C6 15:36
03,'24/2006 FR1 18:~8 ~
1/03 '06 WED 3.3:56 ~AX 631 ?86 61.4
Insureflee Coveraga: (Attach
a) Insurance ~ompany;_
c) S~te whe~er ~llcy of ca~ifl~tlo~ on fil~ wJth ~e H;ghway ~a~-
dj ~ge r~uircd ~d~ W :~e Town:
B~IIy JnJu~ 8nd p~pe~y ~gc: $3Q~Q00/$~O0,000 e~ily tnJu~,
and $s0,0a~ pretty damage.
a) 5ureW Bond ~r Gc~fi~ Ch~ pr~id~ In ~e
to~l ameunt ~ $ ~ y~rs
b) ~lnt~a~e ~nd provide:
for appl~tlo~s and perm~: ~~n F~ ....... ~50.00
A2. IAddi~al ~xovatlons
Ex~va~s lB" in d~.or less:
0-10e hr. = $~a. 0a'
C. ~vatio6s le~ in d~th to ~ in d~th;
O. EX~S ~' In d~ e~d over:
Ad~hio~
Fo
Nat;~,~ to pu~>ll¢'utililJe~ preof must be p~ovided and arrayed to
this 'applic~tio~ prior to ~s~uanoe of permit,'
Aut~qorlzatJOfl Is hereby gra~ to the ToWn Clerk of the Terra Of S6utho~d to
Is~.ue a Highway Excevatlo~ pemit 'to:
In'accordance with thls'applicaUoh,
~FiNTEHDENT OF HIGHWAYS
SOUTHOLt~ NEW YORK
I~eter W. Herri~
permit I~sued._~ . Permit'No.
Permit expires one (1) year from DaZe of IssUanCe.
No work to s~rt without P~S ~muf notice to the Superintendent 0~ Highways-
Pem~'mus~ be available for Ingp~fioh.
PAGE.05
03/24/2006 FRI 16:25 FAX
:)1/03 '06 ~ED 13:67 FA]: 631 765 6141
SOL. HOLD TO~N CL~I~
~ U03
Highway Department
Applicant
T~n Clerk
2nd_
~d
IH S,.PE CT OR~'<
Insp~ctJon Date
RECORD
Flndlngs (use~e)
Applicant Notif~od
RE~ARKS
CODE
lB ~ Improper barrlad~
IL -.Improper' Ilght~
~T - Sun~n ~ ~ ~vation
UTM - Unable to m~u~ (due to ~c~lling)
BUC - Bulld{n~ und~ ~n~
WIP - ~ork
DB 'lmp~ ~l[ ' {~ high} (~
HFS -' I~=P~ balding for final =~t of ~wt~n
RFR - R~ to repair
PAGE.0~
VERlZON - RIGHT OF WAY DIAGRAM
NORTI' POINT
GRA$$ AR~.A
I B~ TOP
DR~WA Y , ~
R$a~on For Wo~
Reach number
Trench O~ning (Lin. FL) for R~ P ur~se ~ ~
Are po~ Slaked7 Y es No BL~K NO:
Name of Road DC S Ireel invoDed: ~;e Cenle< ~
Dislence fr~ Cu~ o~ Properly Linle Io work Pedo;med: Tax Oillrlcl: ~
Type Pavemenl & ~dlh: E~ineec ~ ~~
=hone
Date: 05/11/07
Town Of Southold
P,O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Receipt#: 1009
Transaction(s):
Permits
Reference Subtotal
507a $234.00
Check~: 1009
Total Paid: $234.00
Name:
L, IPA
117 Doctors Path
Riverhead, NY 11901
Clerk ID: LINDAC Internal ID: 507a
No.
T~00683683
TOWN OF SOUTHOLD ~ ,:" ~ ~ ~
R=~£17~D ~
HIGHWAY DEPARTMENT
P.O. Box 178
Peconic, NewYork 11958 1'~'~ ~ 2007 %~,~
(631)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 the excavation heroin described. The applicant ag,tees to comply with all applicable laws, ordinances, codes and
regulations, and to pemtit authorized inspectors to make necessary impecfions of the job site.
PrintorT~e
1. LIPA 117 Doctor's Path, Riverhead, NY 1~901
NameofAppIicaat Ad&essofApplicant
The Fields @ Mattituck Stanley Road, Mattituck
Name of Owner of Premises Address of Owner
O~3~ Bell~leNPW/C S~I~m & St~leyN~, guid~ drill 1~' ~18. ~]]~l~. b,
~u~ m~S ~ 1~' W/O ~ ~. ~ ~l~c & ~ ~llt~ ~a~ ~
Work Description and Location (S~eet Number, Ha~et, Cross S~ee0 ~ ~'~v: m ~ ~'lm~
(a) Is com~cfion locamd wi~M 75 feet of tidal wetlands? * Yes No
· If yes, other Tom pe~ts may be required.
4. Builder's License No.
Plumber's License No.
Electrician's License No.
Other Trade's License No.
-. ~. Signatjare of Applicant
/
7 / r 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 ora Highway Excavation Permit by the Town Clerk.
Tax Map No.: Section , Block , Lot
Starting Date:
Completion Date:
Work Schedule: Phase
Excavation
Facility Installation
Backfill & Completion
?avement Replacement
Completion Date
9. Under which authority is application being made:
10. Estimated Cost of Proposed Work: $
11. Remarks:
D-39 1 of 3
12. Ins~ahce 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) Maintenance Bond 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 l 8" 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.e@$0.30 $ q.cz9
Excavations 5' in depth and over
0-100 i.f. = $50.00; Additional
i.£@$0.50 $
No.
Additional
Utility Repair Excavations @ $10.00
Repairs same service ~ $5.00
$
$
TOTALS
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 permi~ to:
in accordance with this application.
SUPERINTENDENT OF HIGHWAYS
TOWN OF SOUTHOLD, NEW YORK
Peter W. Hanis
Date Received by the Town Clerk
Date Permit Issued ~/~
Permit No. ~ 7
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
· Copy Distribution:
Highway Department
Engineer (Xvith page 3)
Applicant
Town Clerk (Original)
1st
2na
4th
Inspection Date
INSPECTOR'S RECORDS
Findings (use code)
REMARKS
Applicant Notified
(To Permit Clerk)
CODE
IB Improper Barricades
IL hap~ oper Lights
ST Sunken Trench or Excavation
UTM Unable lo 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
KFR Ready for Repair
D-39 3 of 3
58
PIC: :
~s~o OH W/O T-683679
ORDERS
BUDGET TYPE W.O.: RUD
ITEM
GRID CIR.
HO. 094-52 8JA-625
NO.
PERMIT YES PRIMARY VOLTS: 15 KV
TYPE RED:
TAX DIST. 1.~00
NUMBER
SERVICE
REQ'D. BY - INFORMATION:
CND:
CCCD:
FIELD DUE
DATE:
~OMPLETION
DATE
T~L CO. V. HAGERTY
[NGINE:£R
EASEMENT R[O'D NO-VERIZON
OUTRIGHT
CONTR, $
~ SALES TAX:
TOTAL:
SALES
SUP NO.
TEL. CO. 9AF4LS/REF 66058 C.G. [c.o.
JOB NO. DIST. LETTER
TRANSF. SECD'Y
LOAD REG.
IS TREE TRIM REQ'D :
ATTACHMENT RECORD I OWNERSHIP RECORD
~iN.~'i~L T'aOTT RL~SMT. DA FTI~oM I i~:L~LAC ED TAEL~' O'IWR'~ i~[~,Rp·
E.L TEL. E.L TEL. I E,L. TEL, E,L. TO T[L*~E.L* TO ?£L
I
PROJECT/JOB DATA:
NAME: THE FIELDS AT MATTITUCK
ADDRESS: STANLEY RD.
TOWN: MA'n'ITUCK ZIP:
ONTACT: CHRIS DWYER CONTACT TEL.~V.516-779-4776
PREPARED BY:
D. DANEK 3-5-07
(DESIGNER SIGNATURE)
(DATE)
APPROVED BY:
SHEET 1 OF 2
NOTES:
1. ALL PRIMARY CABLE TO BE 2/Ci~2ALXLPE
2. ALL SECONDARY CABLE TO BE 3/C3/OAL ClC
3. BUILDER CHOSE OPTION 4-CONNECTION TRENCH-LIPA
DISTRIBUTION AND SERVICE TRENCH-BUILDER.
4. LEAD CO-LIPA
BUILDER PERFORMANCE OPTION ~4
5. VERIZON OBTAINING EASEMENTS
THIS WORK WILL INSTALL 4,722' OF 2/C~/2AL PRIMARY,
3,576' OF 3/C3/0AL ClC SECONDARY, 5 BELOW GRADE
TRANSFORMERS, 17 LARGE SPLICE BOXES,
5,062' OF TRENCH BY BUILDER AND 280' CONNECTION
TRENCH BY LIPA. THIS WILL PROVIDE UNDERGROUND FACILITIES
TO 26 RESIDENTIAL LOTS ON STANLEY RD., MATTITUCK
PRIMARY ONE-LINE
CIRCUIT 8JA-625
STANLEY RD.
8G~99221
BG~99222
OPEN
BG#99225
BG~99224
TOTAL CONNECTED k'VA=375
Pt19
BG~99223
(DESIGN ENGINEER SIGNATURE) (DATE)
P#18 ,-;
I-2 ./C#2 PTHD
I-3" U-GUARD
LBF# 12828z J
FS 20T ~
SHEET 2 OF 2 ~'~
w ~ o THE FIELDS AT MATFITUCK
o,.<~ ~_~>.
o ~ o ~ ~ ~ W/O~T-683683
~ ~ ~ o ~ ~ OH W/O T-685679
~ SUNS~ DR
FS 201 ~ 12'
'~ LOT21 ~ ~ LOT13 STORM WATER
HSE~2530 "~ C 1524 / ..... x ~b~oizo no~
0-0464 ~ ~-~ ) - / ~,~55 ~ 0-1772 ~ 0-2801
BUS~544 ~ LOT 20 /~ I-~99225 ~ /~ ~ / LOT 12 .
~0~559263 - ~ J/ C-0587 / ~ ~2~¢~
% J II I LOT ~9
HSE~2670 ~ ~ ~ ,
HSE~4380
~ kk 75 KVA GRP 169
Date: 07/12/07
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Receipt'8: 1340
Transaction(s):
1 I
Permits
Reference Subtotal
514 $168.00
Check#: 1340
Total Paid: $168.00
Name:
R & R, Construction
282 Line Rd
Manorville, NY 11949
Clerk ID: LINDAC Internal ID: 514
Permit No.
TOWN OF SOUTHOLD
HIGHWAY DEPARTMENT
Peconic Lane
Peconlc. New York 11958.
(631) 76S- 31tl0
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 permit
authorize~ InSpectors to: ntake~ neceSSary inspections of the job site.
Print or Type
Name of Applicant
Name of Owner of Premises Address
Work Description and Location (Street Number, Hamlet, Cross Street)
(a) Is construction located wlthih 75 feet of' tidal wetlands? *Yes No '~
*if yes, other Town permitS may be required.
4) Builder's License No. Plumber's License No.
Electrician's License No. Other TradeSs License No.
~\1- ~)'7 7~' J37Ct ~ Signatu/e of/AppliCant
d l zl 7
] ~a~e
¢) W~rk ceYer~ h¥ thl~ app~lcatio~ ~y not commence be~r~ Issuance o~ a
6) Tax Map: Section __, Block , Lot
8) Work Schedule:
Phase Completion Date
Excavation .........................................
Facility Installation .................................
Backfill & Compaction ..............................
Pavement Replacement .......................... .. . .
9) Under which authority is the appliCation made: (,IC4~.~'~O,'q
10) Estimated Cost of Proposed Work: $ ~'~.j ~ '~/~
Address '
Insurance Coverage: (Attach copy)
a) Insurance Company:
b) Policy #
c) State whether policy of ca~cati~'~(~fl~le with the Highway Depart-
ment:
d) Coverage required extended to the Town:
Bodily Injury and property damage: $300,000l$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 pravldod: 2 years or 3 years
lq) Fees for applications and permits: Basic Application Fee ......
Al. /Service Connections excavations {I $20.00 = $
No.
/Additional Excavations same service ~ $10.00 = S L
A2.
B. Excavations 18" in depth or less:
0-100 I.f. = $10.00
~ i.f. ~ s0.10- $ ~-
Additional
C. Excavations 18" In depth to 5* in depth:
0-100 I.f. = $30.00
I.f. ~ $0.30 = $
Additional
D. ExcavaUons 5' in depth and over:
0-100 I.f. = $50.00
I.f. ~ $0.50 = $
Additional
NO.
Utility Repair Excavations ~$~10.00 = $
Repairs same service ~ $5.00 = $
Additional
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.
SUPERINTENDENT OF HIGHWAYS
TOW~F SOUTHO,L~: NEW YORK
I~eter ~! Harris
Received by the Town Clark
Date
Permit Issued ~ - /2 -~ 7 Permit No. -~//~/
Date
Note,: Permit expires one (1) year from Data of Issuance.
No work to start without a,0 hour notice to the Superintendent of Highways.
Permit must be available for inspection.
Paae 2 of 3
Copy Distribution:
Highway Department
Inspector
Applicant
Town Clerk
iN SPECTOR~S RECORD
Inspection Date
Findings {use code)
Applicant Notified
Ist
2nd
3rd
~th
(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
WlP - Work In'progress
DB -Improper backfill' (too high) (not sufficient)
HFS - Inspector holding for final settlement of ex~.avatlon
RFR - Ready to repair
n-~ Page 3 of 3