HomeMy WebLinkAboutTR-1220 Board Of $outhoid Town Trustees
,~ ;. SOU'!'hOLD. NEW YORK
. PERMit NO. /' -~ ~ ,'.: DATE:. :,, -' ", , ' .
·-,. ,'. ISSUED TO '" '~ '/~ / ' :.. ' '"-
:' ~' .... '~ '; o~ C~;p~r:r 6[5 o~ ~
' ,.~'Z'2: Purs:.anf Jo ,r... ~.,.~v,s.o,,s .,.c. [.,~ws of
'~c. SfMc of Now Yor~, 1893: and ~ ~04 of ~h: *' '
' Cnr~pfcr L,v~s of ,nc
S~afe of Nc.w York 1~52~ ,~nd;"nc. Scufhold Town C'rd['1~,r:ce cn .... ' ~:..,.''
~'. ~ik:d "REGULATING AND ,~E PI.ACING OF OBSTRUCTIONS .-.
;.~'. IN AND ON TOWN WATERS AND PUBLIC LANDS ,md rko
~t..MOVAL OF SAND, GRAVEL OR OTHER MATEE]AI.S FROM
I.AN.}S UNDFR TOWN WATERS;" ¢md ]. occord:mccw :n fhe
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BOARD OF TOWN TRUSTEES
Town of Southold
Main Road
Southold, New York 11971
1. Your application, dated ..F.e.~:lT~q.y...2,.~.,...,],9.7.7. ............................. has been reviewed by this
Board, at o meeting of the Trustees held on .-a-.~.r~.~...~.,....Z..?..7...7. .......................................................
o,nd resulting in the action, os indicated below:
(.....~.......) Application approved.
( ............ ) Application denied.
( ............ ) Application tabled.
2. Comment~ and remarks: This application has been approved and a
permit will be issued upon receipt of the remainder of the fee.
The $5.00 that you paid for the application for the stake has
been~applied to this application.
3. !f your application is approved above, A Permit Fee is now due, and' should be made payable
to the order of the Board of Southold Town Trustees. This fee is computed below according to
the Schedule of Rates as set forth in the Instruction Sheet (Form I/IL
If the Permit Fee is paid in person to the Secretary of the Board, The Permit wilI be obtainable
at the same time. If the fee is paid by mail, the permit will be mailed in reply.
Computation of Permit Fee:
90 square £eet o£ dook @.10 = $ 9.00
3 pilings @ $1.00 = 3.00
Total fee $12.00
Less amount paid lO.O0
Amount due $ 2.00
Total Fee for this o,pplication ............................................................ $ ........ .1...2..: .0..0. ....................
Signed .............. ~Y~....~..?...~..~...~....~.?. ~ ..........
Chm. Board of Sour.hold Town Trustees.
by ...~~~..~~'~
Secretary. /
P/1 P~ev/6/72
BOARD OF TOWN TRUSTEES
Town of Southohl'
Main Road
Southold, New York 11971
t. Your application, dated ..~.eb.%%1~...2../4.~..."1~.7.~ ............................. has been r~viewed by this
Board, at a meeting of the Trustees held on .....A.~.?..&...]=..~..,.....~.~.Z7. .........................................................
a'nd resulting in the action, as indicated below:
(.....~k....) Application approved.
( ............ ) At~plioation denied.
( ............ ) Application ~obled.
2. Comments and remarks: This application has been approved and a
perm_~t will be issued uDon receipt cf the remainder o2 the fee.
The $5,00 that yOU paid for the application for +~he sta~e has
been applied to this application.
3. If your application is approved above, A Permit Fee is now due, and shouM be made payable
to the order of the Board of Southold Town Trustees. This fee is computed below according
the Schedule of Rates as set forth in the instruction Sheet (Form I/1).
If the Permit Fee is ;)aid in person to the Secretary of the Board, The Permit will be obtainable
at the same time. If the fee is paid by mail, the permit wilt be mailed in rep¥.
Computation of Permit Fee:
90 square feet of dock @.lO = $ 9.00
...... 3 pilings @ $1.00 =
Total fee $12.00
Less amount paid 10.00
A aa mt aaa $ 2.Go
Total Fee for this application ............................................................ $ ......... ~.~.......(~... ...............
Signed .,&LVA]~;~ B. GOLDSMITH
Chin. Board of Southoid Town Trustee~,
Secretary.
BOARD OF TOW~N- TRUSTEES
Town of Sonthold
Main Road
Sonthold, knew York 11971
To: Luka Picinic
1. Your application, dated ...... ,~..e.~-r%...8.?.,~.....2..Lk~....l,,~~.-7- ........................ has been reviewed by this
Board, at a meeting of the Trustees held on ...~.a..~.c.-~....f..,....l.~q.7.~. .........................................................
end resulting in the octibn, as indicated below:
( ............ ) Application approved.
( ............ ) Application denied.
(.....x.......) Application tabled.
2. Commen~ and remark: There is another application pending for
an Onshore-offshore mooring along with the application for the
floating dock. The Board of Tow~ Trustees -would like to know
which application you would like to withdraw. Please advise us
at arz early date and action will be taken at the next regular
meeting.
3. If your application is approved above, A Permit Fee is now due, and should be made payable
to the order of the Board of Southo[d Town Trustees. This fee is computed be[ow according to
the Schedule of Rates os set forth in the Instruction Sheet (Form I/]).
If the Permit Fee is paid in person to the Secretaw of the Board, The Permit will be obtainable
at the same time. If the fee is paid by mail, the permit will be mailed in reply.
Computation of Permit Fee:
Total Fee for this application ............................................................ $ ........................................
Chm. Board of Southold Town Trustees.
by ................
/
Secretary.
~/2 - l~ev. 6/?2
BOARD OF TOWN TRUSTEES
Town O£ Southold
Main Road
Southold, New York 11971
APPLICATION FOR FIXED and/or FLOATING DOCKS
........ ..... ...................................
2. Con~r,c~or's n,me and a~dress: ..~~J.~...~~ ...................................................
............. ,....,,........,.......,......, ..................... ........ ...... .................................
_ .............................
................................................... ... .........................................................
4. After issuance of ~ Permit, I expect to: (m~rk by ~n ~
(~) Com,menoe work ~ AT O~C~ ............ ; ASA~ ..... ; U~K~ .............
(b) Complete work in ~ 1 DAY ............ ; ] ~0. .; 1 YR ...... ~ FHTURE .............
5. S~ure ~he correct Are~ ~ap from the Secret~ o{ this B~rd, ond by usin~ ~n X WITHIN
A CIRCE[ indic*re *s closely ~s possiblo the I~at~on of this dock. On the revere sido of this
mop, provide ~ SCAk[ D~WING which will show Ordina~ High W~ter M~rk, ~he shape
~nd size of the dock ~nd any supplement, I pilings which ore ne~ed 1o hold ~ fl~ti,n~ d~
or tie-up ~ boat. Give ~11 dimensions neoe~sary to determine the oreo o{ tho dock surface
which extends offshore f~om the O. H. W, M.
6. Will any portion of this construction extend offshore i.nto Town Waters beyond on imaginary
line or boundary formed by other similar structures along the areo's shoreline? YES or NO.
if it does extend beyond this so-called dock line indicate by how for, approximately,. ......... ft.
7. Provide the following documents:
(a) A Licensed Engineer's Survey of the property involved.
(b) A copy of the Contractor's Plans and Specifications.
8. Will this construction require the Filling of any land offshore of the Ordinary High Water
Mark or the Dredging of any material from Town Lands under water? YES or NO. If it does,
Form Al4 (Application for Dredging/Filling) must be completed and attached as part of this
application.
9. In requesting approval of this application, I submit that: the information presented herein
is true and correct to the best of my knowledge and belief; I om the person accountable for
the performance of the work in accordance with the plans and specifications attached; I have
read or am 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.
.Accepted by: Dated: ~ ~:7 7