HomeMy WebLinkAbout53895 Route 25 RECEIVED
OCT25
STATE OF NEW YORK
DEPARTMENT OF TRANSPORTATION
aoothoid Town Clerk STATE OFFICE BUILDING
2S0 VETERANS MEMORIAL HIGHWAY I
HAUPPAUGE, N.Y. t 1788-5518
FRANK PEARSON, P.E. JOAN MC44NAL0
ACTING REGI4NAL DIRECTOR COMMtSS10NER
October 23, 2013
Neboysha R. Brashich, Chairman
Southold Transportation Commission
P.O. Box 1179
Southold, NY 11971
Town of Southold September 27, 2013 Submission ~~I
Resolution 2013-705 Supportin~pproval of
Handicapped Parking Space
Southold Pharmacy, 53895 Main Road
NY 25:Southold
SCTM #1000-06100-0100-018000
Our Case 13-39620
Dear Chairman Brashich:
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This is to acknowledge receipt of the subject submission for the above project.
In order to work within the NY 25 highway right of way, a NYSDOT Highway Work Permit will
be required. Please provide us with the following items so we can continue our consideration in I
this matter and issue the Highway Work Permit to the Town of Southold to install the subject j
parking space: '
• A plan sheet that shows the location of the parking space with respect to existing curb,
shoulder, driveways, etc. The plan shall show striping and signing in accordance with the
national Manual of Uniform Traffic Control Devices with NYS Supplement (MUTCD).
• A completed and signed Highway Work Permit application (PERM 33) which is enclosed i
for your convenience. Permit fees are waived for municipalities. ( '
• Protective Liability Insurance covering the State of New York. This may be accomplished
by providing us with one (1) of the following items:
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? Undertaking Agreement (Perm 1), which is enclosed for your convenience: A copy
of the Town's Resolution of Approval of Undertaking shall be submitted with the
completed, signed Agreement, as indicated in the document.
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Neboysha R. Brashich, Chairman
October 23, 2013
Page 2 of 2
? Certificate of Insurance (Perm 17), which is enclosed for your convenience.
? Check or Money Order, made payable to the State of New York, in the amount of
$50.00.
Questions concerning this matter should be directed to Mr. Mark Wolfgang at (631) 952-7973.
Please send all correspondence to his attention at the address above. Please always refer to the
subject Case Number and County Tax Map Number.
Thank you for your cooperation concerning this matter.
Very truly yours,
i.D dY
SHAhK A ~S~~idAD, P.E.
Civil Engineer III E
Traffic Engineering and Safety
Attachments: Perm 1, Perm 17, Perm 33
cc: f
Ms. Elizabeth A. Neville, Town Clerk, Town of Southold
g Y II
Mr. Peter Harris Su erintend n
p e t of Hi hwa s, Town of Southold
Mr. Donald Wilcenski, Planning Board Chairperson, Town of Southold
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