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HomeMy WebLinkAboutTR-2206ESOUTHOLD TRUSTEES Issued To,r Date~__~a~ Address ~ c~rolc ~.) RA~'Ir'~I~ ScTAt ~ THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 ISSUED TO ......... ~,.,~,?~, ..~...~.~....s..~.e.~.~ ....................................................... Authnrtzat o . Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the ,~.ws of the State of New York 19S2i and the Southold Town Ordinance en* titled "REGULATING AND THE PLACING 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 w~th the Resolution of The Board adopted at a meeting held on ~..._~..8.~ ...... · ~19...~.6....., end in consideration of the sum of $....~..._0..0. ............ paid by Edwi~ W. Stewarc of ...§..%.u..~..h...o.~..d. ........................................................ N, Y, and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Approval to secure a permi~ for a bulkhead and deck with steps in Ar._shamomaque Pond, Southold all in accordance with the application submitted~ un'er ~he Grandfather Clause ell in eccordance with the detailed spec~ficetlons as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Seel to be affixed, and these presents to ' be subscribed by a majority of the said Boerd as of this dat~. "' Please tear off and return to the Trustee Office. " Name-of 'Creek:_~__~J_~¥~22.~~ .. ~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 GRANDFATHER APPLICATION TELF~ItONE (515) 765-1892 1. Nsme of Applicant: 2. Address of Applicant: : /al/.//eHZ S. Telephone N~ber: F~ 4. Year Of Construction: [. Sketch of the work in¢Iuding sizes: 6. Mark off on the map attached, where your property is located using an X. Signature: f~~,~. Please note that there is a $5.90.£J/ing fee, which is a one time fee, for this application. Mooring Applications- $5.00 Application Fee andia $5.00 annual renewal fee each year. 20 Carole Road, Southold, NY (Deck Before 20 Carole Road, Southold, NY (After Storm - Deck) 20 Carole Road, Southold, NY (bulkhead after storm) ECE VE MAR - 6 2013 )Id Town TROPICAL STORM SANDY EMERGENCY APPLICATION Valid thru June 1, 2013 Permanent Mailing Address: '~0 ~:)y, I~(~,-"~iV~-ck~.o~: Phone Uum~ffs): 5 I~ - q H ~- q O~ ~ Suffolk County Tax Map Number: 1000 - ~ ~ -~ - Agent(if applicable) ~, ~en~ ~'~%; ~ ~¢,; PhoneNumbeCs): 5~- ~-~ I~ X ~ Board of T~stee Pe~it NumbeKs): ~ ~ 0 ~ - ~ Will any pa. of this project require a Building Permit? How much fill will be required? Project Description: ~6~O0~o~ o~ ~C~ County of Suffolk State of New York ~Viix ~, CO~qlO.,rN BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. 'Signature of Property Owner SWORN TO BEFORE ME THIS DAYOF /~CLPC~ ,20.1 3 Notary pu~l~ J.;,, 4D[-,iG(¢Pr!:: JR. NO'IAI'[Y PUB[ i6, S lYE Oi NEW YORK NO 02H14887341 . OUA[IFIED iN SUFFOLK COUNTY ,q~ . .,.---- CO~¢IMI$$10N EXPIRES FEB. ~'~, ~;:,-r,.2 ./_5 County of Suffolk State of New York -~Cc~i~/ ~, C©~\O.~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE 1S THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. roperty 6~v~ SWORN TO BEFORE ME THIS DAYOF N~LPC ~'h ,20. Not J. OONALO RIGGINS JR. NOTARY pUBLIC, STATE OF NEW YORK NO. 02RI4887341 OUAL FlED IN SUFFOLK cOUNTY ~O '<'~'--- COMMISSION EXP RES FEB. 23, ~ ~ AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at DO '~oy~ / .~ (~ (mailing address) do hereby authorize '~, ~g~hC_~cq (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Ownet'rs signature) Law Offices of J. DONAI D HIGGINS, JR. Attomey At Law 57 Manhasset Avenue Manhasset, New York 11030 (516) 365-6414, ext. 2 ' Fax (516) 365-8520 1070 Peconic Bay Blvd · PO Box 68 Jamesport, New York 11947 (by appointment only) J. Donald Higgins, Jr. jdhiggins~aol.cora Please respond to Manhasset Office Hand Delivered Board of Town Trustees Town of Southold Town Hall Annex 54375 Main Road PO Box 1179 Southold, New York 11971-0950 Kevin M. Donoghue Of Counsel (Jamesport) Re: 20 Carole Road, Southold, NY Our File No. 992 Dear Trustees: The undersigned represents Kevin D. Conlan and Daniel F. Conlan, owners of the captioned property. Enclosed you will find the following: 1. Completed Tropical Storm Sandy Emergency Application including Authorization running to the undersigned; 2. Copy Board of Southold Town Trustees Authorization - Permit # 2206 covering dock, bulkhead, steps, Grandfather Application with diagram attached; 3. Before storm and after storm pictures; and 4. Survey. condition. Please issue consent to restore the deck, steps, footings and bulkhead to pre-storm iesD~' JDHjr:pw Enc.