Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1600 Grathwohl Rd
Town Of Southold P,O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 06/30/04 Transaction(s): Permits Receipt: 3401 Subtotal $45.00 Check#: 3401 Total Paid: $45.00 Name: Keyspan, Energy- Gas Cont Dept 175 E Old County Rd Hicksville, NY 11801 Clerk ID: LINDAC Internal ID: 96969 ELIZABETH A. NEVILLE TOWN CLERK I~EGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FAX TRANSMITTAL To: From: Dated: Re: Janet Mitchell, Keyspan - 516-545-4941 Linda J. Cooper, Deputy Town Clerk June 30, 2004 Rush Excavation Permit Number of Pages (including cover): 5 If total transmittal is not received, please call 631-765-1800. COMMENTS: As you requested FILE No.470 O~,,'E8 '04 1~:40 Energy Delivery FAX: Date # of pages From Co. 1/ S Phone # Fax # NOT£S/COMMI~NTS FILE No.470 06~L::'8 '04 1~:41 FAX: Permit No. ~ File No. ~ TOWN OF SOtJTttOLD HIGHWAY DEPARTMF-NT Peeoni¢ Lane Peconic~ New York 119S8 (631) 76S-3140 Ap]~[.~CATION/I~RMIT FOR HIGHWAY EXC.A..yATION AND RF_,PAIR Ref,//T10Q402573 Print or Tyne !) KKYSP.4~N KNF..RGY- GAS CONSTR. DEPT. - ITS F-. OLD COf~qTi¥ RI~ - HICKSVILLE. NY II,MI Nmu~efA~ Address 2) 1 ~0 Grdhw~d R6~eL New h'uffolk Nmnc e~Ow~r erPremfses Addr~ ~wekl R~md - bdJhde e~ eross area. aMh"ox. 1 ?S' a/O ~ R0~d. New Suffolk. to Jnsttss a fas Work Dt~flMba sad Loca~ (Strt~ Number, Hamlek Cre~ Street) · If)es. mh~r Towa permits may b~ required. N~ X Pl#mber's Lk'euse NL Other ?tm .d~s License No. b) At~.h an ~he~ oeceem~ pe~____'~, aud Oceans f~ this pr~-~. c) Work coy(~-d by ~his oppllcaflo~ may not commeace bd'6re I~uanc~ of a mghway E~cavafiol Permit Tax Ma~. Secflm , Bio(k, S~artb~ l~tc: Comptctm Date: Wo~ Schedulc: FadflW Instdhtbn ............................................................. Bad~dl & Compm~ou ...................................................... Pavement Replaeemeat ......................................................... ~mnletion Date 9) Under which autbotiW is the applieafion made: 10) Es~'imated Cost of Pro~ Work: S 11) FILE No.470 06/28 '0.4 12:41 FAX: 3,' 5 13) seemi~ S~ Bo~l or Caftifi~l C~k provided in (he ~ ~mo~( of'& b) lv~da~e~ ~ provided: ,2 )mar~ or 3 ~ 14) * ' ~: ~ Al. ! /~:rvi~ ~om ~xmv~lians ~ $'20,00 = $. No. ,~.. 1'~. 0-100 I.f- - S10.00 tf.~ $0.10= S 0-100 I.f. == S30.O0 ~- .___. 1.£ 0 S0.30 = 0-100 I.f? $,S0.00 I.f. ~ $0.$0 = $ U~lit7 l~-pair Em~io~ ~ S ~ 0.00 = S F.. N~ ~o public u61i~s p~ofm~ be pmvi~l a~d ~ m ~!~ .pplicaiion ~ ~o i_~e~eoe of K~YSPAN' ENERGY DELIVE. RY TOWN OB' ~LD, ~OP.K --v P~r W. l~ds 0 Pen'nit No. ~ P~rdt ~x;pir~o~(1),yc~' .,fi~D~teaflssu~e. Nov~xkios~wttho~t4$bournodc~tol~Sup~int~t~fP.i~h~s. FILE No.470 06/28 '04 12:41 FO~(: P~qGE 4/ 5 Highway D~paml~m: Tow~ Clerk Fb~l~g~ (u~e ~.~) fro PJ:~ D-39 , Pig* 3 of 3 FILE No.470 06/2'8 '04 12:42 Ji~ FIqX: ,~2~.-;L:~ 1~:4!~RN GRS ~'r~ KEYSPAN REQUEb"r FOR STREET OPENING PERMIT ~ 5/ 5 ~ NA~tiAU OOUNTY ~'~ SUFFOLK · OOUNTY RUSH