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Home My WebLink AboutTR-7937ESOUTHO.LD TRUS Issued To.~f,_+.~tm~~s~ Date~~_ Address Szz5 ss~u ; . Sc'i'M ~ II I-~t-1 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 PERMIT NO. J J/'"~" ~, "~ DATE: ..b': ISSUED TO ........~c.,_~.¢~ ........ Authorization Pursuant to the provision, of Chapter 615 of the Laws of the State of New York, 1893; and C~napter 404 of the Laws of the State of New York 1952; end 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:" end in accordance with the Resolution of The Boerd edopted at a meeting held on 19 and in consideration of the sum of $ .~e-~)~r paid by of......................................... N' Y' and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: ell in accordance with the detailed specifications as presented in +he originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be eft?ed, and these presents to be subscribed by · majority of the sa~d Board es of this dat~. Environment East, Inc. R. R. No. 3 - 3075 Indian Neck Lane Peconic, New York 11958 516-734-7474 John M. Bredemeyer, lII, President Henry P. Smith, Vice President Albert J. Kmpski, Jr. John L. Bednoski, .Ir. John B. Tuthill ~ Telephone (516) 765-1892 BOARD OF TOWN TRUS~I TOWN OF SOUTHOLD SCOTr L. HARRIS Supervisor ]'OWN OF SOUTHOLD; 53095 Main Road · Box 1179 New York 11971 ;16) 765-1823 (516) 765-1800 GRANDFATHER APPLICATION Mailing address: Address of Property: Tax Map Number 1000- : Diagram of existing structures, lnc±uG~ng all dimensions, must be included with this application: Indicate on attached map: Location, le, reference point, telephone pole number, adjacent property ow~e~$~ etc. Signature of applicant/ /~~/~ Date: ~O~%~. Please note, there is a one time fee of $50.00 for filing this application. BEE BUSINESS FORMS, lNG. JOINT~APpH¢,A'nnu =ha D~Dllll" ..... 9, T~LE'I; ARTI~ 43 6NYCRR ~ (~KE GEORCE RECREATION ZONE) - . ' ?~-~ ~'~"~:.~?~ '~!omc~.._, =..."~:~q. _,:..:. .. . . s ~E :'Z;eC r?L ~:.~,~ ~ ;:/~(~. ~ U~ '1 c~':-:Ta~.<:~:~:~~ ~,~,-.- ~ ~ ~o-[~:;4¢:';.~'5~'q;: ~h~kgnmapan~drawin~' ' ' " " I ' . ~y~ ~ , ..~o,.r¢ ....~;~ .:,:>' authorize the agent name8 i~~/~n~,. . ' - . ' - ' New York State Department of Environmental Conservation Building 40~SUNY, Stony Brook, New York 11790-2356 Thoma. C. Jorllng Commissioner Applicant Name: Application Number: Project Location: hate (please print) ~:~kJLiZ.ONt-It~'L'4T IE/k-ST ~JC. I hereby state, as or on behalf of the applicant, that I understand and agree that the issuance of any permit pursuant to the above- referenced application does-not in any way mitigate and/or resolve any outstanding violations of the New York state Environmental Conservation Law ("ECL") and the rules and regulations enacted pursuant thereto at the si.re of the proposed proJecy Furthermore, I HEREBY SWEAR THAT I ( DO),(~/r DO NOT) HAVE ANY CURRENT OR ON-GOING (UNRESOLVED) NEW YORK STATE DEC VIOLATIONS AT THIS PROJECT SITE./ ~_.~/ ~pl~c~ 0£ Agent James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town H~l Annex 54375MainRoad P.O. Box 1179 Southold, New York11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD NOV -8 2012 HURRICANE SANDY EMERGENCY APPLICATION Valid thru June 1, 2013 Property O~vner Name: ~ q~""~~ ~.~)~ Permanent Mailing Add ress:_i~,?2 ~_~' Phone Number(s): (ff,_'~ I - ~-~5 - ~' '~.0 ~..... Property Address:.~'CJ~-~ Suffolk County Tax Map Number: 1000- 1/ 1 -- Cj' ~- / Agent (if applicable) Address: Phone Number(s): Z~ ~' ~ ~'ZD~- Board of Trustee Permit Number(s): Will any part of this project require a Building Permit? How much fill will be required? Project Description: ! 073 ,/Att-. Boa~of Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HF~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, ! HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO 1NSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF /kfd i/~ ,20 / 2 Notary~~ /~ ~ Fg4NY BE'DELL ~ in Suffolk Co.nty ~. Cofl.111t~ F..xpires Sept. 29, NASSAU SURVEY OF LOT 15 AMENDED MAP ~" OF POINT CLUB PROPERTIES FILE No. 156 FILED AUGUST 16, 1922 SITUATED AT NASSAU POINT TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-111-09-01 SCALE 1"=20' OCTOBER 22, 1999 AUGUST §, 2006 ADDED PROPOSED GARAGE ADDITION OCTOBER 50, 2006 PROPOSED GARAGE ADDITION JANUARY 15, 2007 ADDED SPOT ELEVATIONS AREA = 38,681.85 sq. ff. (TO TIE LINES) 0.888 0¢. I. ELEVATIONS ARE REFERENCED TO N,G,V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:so CERTIFIED TO: ROBERT CASSANO LEE CASSANO ~ 7B'36 50 75.56,50" NOTES: 1. ELEVATIONS EXISTING LoT (~ ARE REFERENCED TO N.G.V.D. 1929 DATUM ELEVATIONS ARE SHOWN THUS:~ 59B.0: ¢, 375.55' O THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD~ IF ANY, NOT SHOWN ARE NOT GUARANTEED. o No. 4966B Joseph A. Ingegno Land Surveyor PHONE (651)727-2090 Fox (631)727-1727 99-638u