HomeMy WebLinkAboutTR-4891.nJbert J. Krupski, Presiden~
James King, Vice-PresidenT
Henry Smith
Artie Foster
Ken Poliwoda
Town Hail
53095 M~J~ Read
P.O. ]~ex 1179
Southotd, New York 11971
Telephone, 516) 765-1882
Fax (516) 765-1823
BOARD OF TOWN TRUSTEE$
TOWN OFSOUTHOLD
Office Use Onl_~__
Coastal Erosi~on Permit App!icat~..,
~/~randfather Permit Application
/ Waiver/men~ent/C~nges
~pleted Applicatio~ Incomplete
SEQ~ Classification:
T~e l__T~e II Unlisted
Coordination: (date sent)
CAC Referral Sent:
~ate of inspection:'3-/~-
Receipt of CAC Report:
Lead Agency Determination:
Technical Review:
~ublic Hearing Held:
Resolution:
Suffolk County Tax Map Number: !000 -
Property Location: ~k ~<D [CV'~ o[1 ~[~,
(provide LILCO Pole ~, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
FAX~:
Board of Trustees Applicat_Dn
GENERAL DATA
Land Area (in square feet):
Area Zoning: ~
Previous use of property:
Intended use of property:
Prior permits/approvals for site improvements:
Agency Date
,~/ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a
governmental agency? ~
~/ No Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
Board of Trustees Applicat, ~n
County of Suffolk
State of New York
INNA HOULBREQUE
BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE iS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN APE
TRUE TO THE BEST OF HiS/HER _KNOWLEDGE AND BELIEF~ AND THAT ALL
WORK WILL BE DONE IN THE MANNER SET FORT~ IN .THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTH. OLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTEOLD AND THE TO~
TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS
ARISING UNDER OR BY VIR~JE OF SAiD PEP~M!T(S), IF GRANTED. IN
COMPLETING THIS APPLICATION, I ~.E~Y AUTHORIZE ThME TRUSTEES,
THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPF~RTY
TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS
APPLICATION.
Signature
SWORN TO BEFORE ME THIS 20TH
DAY OF FEBRUARY ,19 98
Board Of $outhoid Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO 'g]((~'/
DATE: ..... 3./25/98 ........
ISSUED TO .............. INN A. FI.O. LI LB.P,.EQ LIE .......................................
Pursuant fo the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952; and the Southold Town Ordinance en-
titled "REGULATING AND THE PLACINC= OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a meeting held on .... 3/~5/~.~
19..9&., and ~n consideration of the sum of $.~[00,(~0. paM by
......
of' ......~.a~c..Ma~ N.Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the ~ollowing:
Grandfather Permit for a 58' bulkhead· bui},f2':in 1971.
all in accordance with the detai|ed specifications as presented in
' the originating appllcat~On:
IN WITNESS WHEREOF, The said Board of Trustees hare-
by causes ~ts Corporate Seal to be affixed, and fhese presents to
be subscribed by a majority of the said Board as of this dat, e.
Trustees
Telephone
(516) 765-1801
Town Hall. 53095 Main Road
P.O. Box 1179
SouthoId. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
The following action taken at a meeting of the Southo~d Town Conservation
Advisory Council held Monday. March 23. 1998:
GF-63
Moved by Betty Wells. seconded by Sharon Shine. it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL
of the Grandfather Permit request of INNA NOULBREQUE 37-5-16 for
existing bulkhead approximately 58 that was built prior to 1971 on private
pond.
210 Knell Circle, East Marion
Vote of Council: Ayes: All
Motion Carried
From the desk of Barbara Caicagnini
.........,,, ,/:?/
/: