HomeMy WebLinkAboutSTETLER & RUTKOWSKIBOARD OF TOWN TRUSTEES
Town o£ Southold
Main Road
Sou~hold, New York 1 i971
P/I Eev/6/?g'
B'aro5d Stst~er~ 27 Mi~dres Aveo~ Brent~,:ood~
1. Your ~pp!ic~fion, doted ................. ?:~gZ..l~x..~T~ ............................... hcs been reviewed by this
Bo~rd, at m mee~in~ o{ the Trustees held on ....... ~$~7.~..~.~...~=9.TY. .............................................................
e,n:d resulting in tlne action, as indicated below:
( ............ )
( ............ )
ApplicatiOn approved.
Application denied.
A:ppticatio.n tabled.
2. Comments and remarks.:
The Board of S~hold To~m Trustees deems that they have no jurisdiction ~n th£s
ma~ter: ~__ev are of the opinion ~hat ~ ~s up ~o ~he Totem Board o~ the Board of
Appeals~ ~e are herewith returning your app!~cat~on fee of $$~00
~Ia~onat
~' of lhIor~h America LEONARD F. OR HELEN A. RUTKOWSKI
buld be made Payable
below according to
rmit will be ob?ainoble
Total Fee for this application ............................................................ $ ........................................
S i g n ed .... ..A~. X.A.[t. ~ ~...C...~..~..D..S.g ~ ............................
Chin. Board of Southold Town Trustees.
.... ............
eta ry.y .
BOARD OF TOWN TRUSTEES
Town O£ Southold
Main Road
Southold, New York 11971
APPLICATION FOR FIXED and/or FLOATING DOCKS
1. Applicant's name and address: ~ t~,OLb $'Tt~'l'~- 'Z.'l i'Rt~l)tCF_$ kU~u~
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2. Contractor's name and address: .... ~....~.,.
3. Briefly explain the purpose of this application: bP, it)IF__ ~lt-I~ros t~:N%~-,~.c, t~,i5.~9~,
../k.~.~ .... .E.k..9..n...'C.~ ~.~N.~..~.~.~.~.~.~vc~ ~. ~.~u~~ STo~A~ SH~
After issuance of a Permit, I expect to: (mark 'by an X')
(a) Commence work -- AT ONCE ........ ; ASAP ............ , UNKNOWN .............
(b) Complete work in 1 DAY ............ ; 1 MO ............. ; I YR. ~' ; FUTURE
5o
Secure the correct Area Map from the Secretary of this Board, and by using an X WiTHiN
A CIRCLE indicate as closely as possible the location of this dock On the reverse side of thisl
map, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape~
and size of the dock and any supplemental pilings which ore needed to hold a floating dock(W-o
or tie-up a boat. Give all dimensions necessary to determine the area of th;
which extends offshore from the O. H. W.M. ' ................
Will any portion of this construction extend offshore into Town Waters beyond an imagir~,mv_
line oE boundary formed by other similar structures alone the area's shomlin~ VFq ,,, ('huh TM)
If it does extend beyond this so-called dock line indicate-by how far, oppr&~xi~a'tel'y~'~.-t;..~.'...~
Provide the following documents:
(a) A Licensed Engineer's Survey of the property involved. ~ "C,"
(b) A copy of the Contractor's Plans and Specifications.-"~',
Will this construction require the Filling of any land offshore of the Ordinarx..k;[igh Water
Mark or the Dredging of any material~ from TOwn Lands under water? YES or~.,) If it does,
Form A/4 (Application for Dredging/Filling) must be comp eted and attached as port of this
application.
in requesting approval of this application, I submit that: the information presented herein
is true and correct to the best of mv knowledge and belief; I am the person accountable for
the performance of the work in accdrdance with the plans and specifications attached; ~l have
read or om familiar with the provisions of any Southold Town Ordinance pertinent to the work
involved; 'and further, I intend to adhere to and abide by the Terms and Conditions of the
Permit, when and if issued to me.
/,ccepted by:/~-~ /
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