The URL can be used to link to this page

Home My WebLink AboutTR-5409ESOUTHOLD TRUST .o. 5'~/0~ Issued T~ Date~a Address ' I- THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD' N.Y. 11971 TEL.: 765-1892 Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK Pursuant to ~he provisi~m~ of _tim Ste~ of New Y~ 1~3~ ' M~ ~ N~ Y~ 19~2~ ~ ."R~U~N& ~D ~E ~¢ING ~ OB~R~S IN AND ON TOWN WA~RS AND ~B~ ~DS ~OV~ ~ S~D, G~VEL'~ O~ER ~A~ ~DS ~ TOWN Re~ d ~ ~d a~d at a m~tbg ~ ~ ~...~g.r...~.?., .2Q~....., a~ ~ comlderaf~n ....... .~.~.~9~.~.~[~a~a~_..~:....~r ...~ ~.&~).~.R...~.~a~.~..: ......... ~- ....... d ........... ~.~-~.~.~ ..................... d ~ To~ T~ a~ ~ ~ ~ f~: Wet]~d ~etmJt to construct weatetZy return,J3' armored return o~ the eaat a~de. Approx. 250 cy. o[ c~e~n s~d to be trucked and uae~ as backfill and p~te~ ~th ,~ape American be~ 2'r~m EN-~ONSULTANT$ INC. ~ ~,~ 1329 NORTH SEA RD. ~ ~ ~'~,. SOUTHAMPTON. N.Y. 11968 · -283-6360 2. ~at~: ~1.~ ............. ~" ~ ~ r~ ~1 I) ~.~. r~f~ o~ ~ ,tx ~/o~ 3U~.vE'r' OF LOT I~, .FA)BDI'v'ISION HAP OP LUE HORIZON5 =ILE No. DITUATI~: F~GONIC, !"OINN: .~%:)UTHOLD ~FFOLK OOUN~, NY ,,, ~,I'dEND[--F) 11-21-2000, "~-}q-~-OI ROI~ ADDED 0 -05-02 =~*H~ATI~N LO~ATION O~ ~2-04 APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD AU6 - 8 2007 Board of Trustees DEC 2 0 20i2 TROPICAL STORM SANDY EMERGENCY APPLICATION Valid thru June 1, 2013 Property Owner Name: Permanent Mailing Address: Phone Number(s): Property Address: ~,2~) Suffolk County Tax Map Number: 1000- Agent (if applicable) Address: Phone Number(s): Board of Trustee Permit Number(s): Will any part of this project require a Building Permit? How much fill will be required? Project Description: ,~ g County of Suffolk State of New York C ¢.~/0N f. ~ ,'.t'k:za ~ 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 APPJ,.ICATION. Signature of Property Owner SWORN TO BEFORE ME THIS / ~}T~ DAY OF ~"~O-C~-~,~'~,'~. ,20 /~.- Notary Public iVl£li~Dll I *lOPPING NOTAR PUBLIC ' - Y ~,,.,.~: ~TATE OF NEW YORK ,.~.u.[~.~ CO.-NO. 4708364- AUTHORIZATION (where the applicant is not the owner) (print Owner 6f p'ro-per~)' ..... (mailing'aa~t~s-s) ~ct ~,~c~', N'~, I [~,~t~ do hereby authorize t' [ (Agent) /~[4 ~ ~. ~'~ ! l_.~ t ¢ , ~wto apply forpermit(s)fromthe Southold Board of Town Trustees on my behalf. (Owner's signature) James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TROPICAL STORM SANDY EMERGENCY APPLICATION Valid thru June 1, 2013 This application is event specific and only applies to damage caused by Hurricane Sandy within the Trustee jurisdiction. In addition, this application is limited to only previously Trustee permitted structures from 1991 to date and that have or are accompanied by detailed plans/drawings. All other structures, permitted or not, prior to 1991 do not qualify for this expedited permit process and will be subject to the normal appropriate permit application process. This is not a determination from any other department or agency. The following items are required: /1. Photographs of the area prior to the storm. 2. Photographs of the area showing the storm damage. 3. A copy of the latest survey of your property, if available. 4. A completed emergency application form. Upon issuance of Emergency Permit the following Best Management Practices must be followed: A 15 foot Non-Turf Buffer must be installed and subsequently maintained along the landward edge of the bulkhead after completion of repairs/reconstruction. Requests for exceptions to this requirement must be made in advance to the Trustees. ~ No fill may be placed on any existing vegetation, as per Chapter 275 of the Town Code. ~ All construction/work must otherwise conform to the relevant provisions of the Town Code. ~ Untreated lumber must be used on any stair treads, handrails and decking.