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Home My WebLink AboutTR-2037 GF Glenn Goldsmith,President \)V- sou Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ®� ®�® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ® �® Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 15, 2023 Robert I Brown, Architect 205 Bay Avenue Greenport, NY 11944 RE: PAUL R. VARRIALE 75 LAKESIDE DRIVE SOUTH, SOUTHOLD SCTM# 1000-90-3-10 Dear Mr. Brown: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 14, 2023: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #2037 from George M. DeLisle to Paul R. Varriale, as issued on August 28, 1985; and BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#2037 for the as-built 40"x40" platform and 3'6"x18'3" catwalk, leading to an existing 2'x4"x14' aluminum ramp and 6'x12' floating dock; and as indicated on the site plan prepared by Costello Marine Contracting Corp., dated May 3, 2023, and stamped approved on June 14, 2023. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. inc rely, enn Go gsmWith7Pr_e/s/ident Board of Trustees GG/dd b STILLWATER LAKE APPROVED BY :.BOARD OF i h'USTEES PERMITTED 6'x12' FLOAT "T0 N OF SOUTHOLD DATE TVAW 20� PERMITTED 2'-4"x14' ALUMINUM RAMP An-4 " Y EXISTING 3'-6"x18'-3" CATWALK t„ INE S88010'30"E 72.17' OP OF 8ANK c EXISTINGCl e 0 40"X40" n^1eE u+ °D PLATFORM Wo 0 o X m o rn ?; 3 aE��' ', ! i II =r �_ GI(AYAK RACK ID X F\( 1ON0/Ld. p \ � C> C i 0 I MAY 1 2 2023 o � oPa F- \ °le, — Board of Trustees - __ - APPLICANT: PAUL VARRIALE & JEENA BELIL SITE PLAN ADDRESS: 28 AVOLET CT. MT. SINAI, NY 11766 PREPARED BY: KS 0 20' JOB SITE: 75 LAKESIDE DRIVE COSTELLO MARINE CONTRACTING CORP. =pn= SOUTHOLD, NY 11971 P.O. BOX 2124, GREENPORT, N.Y. 11944 1"=20' SCTM#: 1000-90-3-10 (631)477-1199 (SHEET 5 OF 7) DATE: 05/03/23 b 7"0 ANCHOR PILING PLATFORM 3'-6"x18'-3" CATWALK 2'-4"x14' ALUM. RAMP 9' 8' GRADE 6'x12' FLOAT 7"0 PILING MHW BOTTOM MAY 1 2 2023 Boa;G c€ APPLICANT: PAUL VARRIALE & JEENA BELIL EXISTING ELEVATION ADDRESS: 28 AvOLET CT. MT. SINAI, NY 11766 PREPARED BY: KS 0 5' JOB SITE: 75 LAKESIDE DRIVE COSTELLO MARINE CONTRACTING CORP. SOUTHOLD, NY 11971 P.O. BOX 2124, GREENPORT, N.Y. 11944 1"=5' SCTM#: 1000-90-3-10 (631)477-1199 (SHEET 6 OF 7) DATE: 05/03/23 3'-6" 2"x6" DECKING 7"0 PILING 4"x6" STRINGERS 4"x6" CAPS 4"x6" CROSS BRACING MHW- - - - - - - - - - - - - - - VARIES BOTTOM ! ` MAY 1 2 2023 Board of-154. APPLICANT: PAUL VARRIALE 8 JEENA BELIL EXISTING CATWALK DETAIL ADDRESS: 28 AVOLET CT. MT. SINAI, NY 11766 PREPARED BY: KS 0 4l JOB SITE: 75 LAKESIDE DRIVE COSTELLO MARINE CONTRACTING CORP. SOUTHOLD, NY 11971 P.O. 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CduNy Pak -a , ,3.s' ; - k, "' - ',, `" �o r` s+,�, 'L ,. �-�. -_'' 'd x i y*�}-r11itl ^�� s, ' gym , AGUE' 0 a y �,4' ,Y. b. � x PROJECT, LOGAT_I`ON - 3 4� _ _ a, {_ - �.' [ tea,_ b} _ _ x'-r�c'�,r'm-_ -z.,.•, F q �' - - �{n?' � S `' k - j a�€.t"q t a -4' �'' i,s-. - _ F- �N s- - `At r - ' ',M 3r `� .i• `�'f [�."1 -- �, a">. t 'Lz� � F..� vu 'moi '"4� r a. :,dy� " '-� ,.r � J%.• � -1--,.:;'`,� - "�.x'. a3t.n _ ,<x.. �r,a '1'4 J -ar �_ a t- N 7,i .''2 T`y' ¢ "a� m6 'm' �!, 'NASSAU''"` {, vs -x _ "+ ,-- ,i m. wi #z ,� Fri `s .s,�„ k {.3`` „3y�- �'".�' =.i"" 'a`i �' t g 'In r 1 3 L ° m . ,FARMS.. I _ n, � R i N - i' L:✓`r MAY 1 2 2023 APPLICANT: PAUL VARRIALE 83 JEENA BELIL sl'c;'""ldTr j ADDRESS: 28 AVOLET CT. Foam!o Tris`ns _._ MT. SINAI, NY 11766 PREPARED BY: KS _ VICINITY MAPJOB SITE: 75 LAKESIDE DRIVE COSTELLO MARINE CONTRACTING CORP. N41° I' 51" W72° 23' 48" SOUTHOLD, NY 11971 P.O. BOX 2124, GREENPORT, N.Y. 11944 SCTM#: 1000-90-3-10 (631)477-1199 (SHEET I OF 7) DATE: 05/03/23 a o� �y �a ADJACENT PROPERTY OWNERS o _ a SANDPIPER ansna BARBARA & MICHAEL D. MORICI, SR. 294 MILL SPRING ROAD s`'P IO MANHASSET, NY 11030 c (225 LAKESIDE DRIVE S) (SCTM# 1000-90-3-II) r D.4/VE JACQUELINE MOSKOWITZ v 675 CEDAR POINT DRIVE E 02 SOUTHOLD, NY 11971 (675 CEDAR POINT DRIVE E) (SCTM# 1000-90-3-14) `DAR POINT W WILLIAM & MAUREEN DANILCZYK Q P.O. Box 200 3O SOUTHOLD, NY 11971 0 �FDan Q (550 CEDAR-PO(NT DRIVE E) 5� (SCTM# 1000-90-2-16) 9` "°jtir M�Dty4y DRIVE EAST' WENDY J. AZMOUN 425 CEDAR POINT DRIVE E O O4 SOUTHOLD, NY 11971 (425 CEDAR POINT DRIVE E) (SCTM# 1000-90-3-19) ® 0 Ili MAY 1 2 2023 L� APPLICANT: PAUL VARRIALE & JEENA BELIL �,t hail o, ADDRESS: 28 AvOLET CT. Bca;d of Trusie� - MT. SINAI, NY 11766 PREPARED BY: KS 0CATI0N MAP JOB SITE: 75 LAKESIDE DRIVE COSTELLO MARINE CONTRACTING CORP. N410 1' 51" W720 23' 48" SOUTHOLD, NY 11971 P.O. BOX 2124, GREENPORT, N.Y. 11944 SCTM#: 1000-90-3-10 (631)477-1199 (SHEET 2 OF 7) DATE: 05/03/23 PROPOSED REQUESTING AN ADMINISTRATIVE AMENDMENT TO PERMIT #2037 TO ALLOW THE AS BUILT 40"x40" PLATFORM AND 3'-6"x18'-3" CATWALK LEADING TO PERMITTED 2'-4"x14' RAMP AND 6'x12' FLOAT. 7 M AY 2 2023 APPLICANT: PAUL VARRIALE & JEENA BELIL SADDRESS: 28 AVOLET CT. BoallofTrust s - MT. SINAI, NY 11766 PREPARED BY: KS JOB SITE: 75 LAKESIDE DRIVE COSTELLO MARINE CONTRACTING CORP. SOUTHOLD, NY 11971 P.O. BOX 2124, GREENPORT, N.Y. 11944 SCTM#: 1000-90-3-10 (631)477-1199 (SHEET 3 OF 7) DATE: 05/03/23 STILLWATER LAKE GJ FLOATING Doo< a'rl2' S88010'30"E 3 �H44'1_INF •~a 72,1] V � . -5 °�aArv,Y �-----�� `Jly T'NRE X �b �FE� KAYAK RACK N 0/L Lei N I o N 0 0 u �\RMti p Z 6\ � O iX �-6— rD \\ ! /LOT 62 ILOT 63 3•� ] LOT 64 Jx �j H.z _x // LJDECK ON F 1 GRADE N 1 m z DWELLINGS OUTDOOR 21.9' a W/PUt3LIC WATER �+ 3 SHOWER WO^D DEC!( 3` a 150, BAY 59.1' \ n A DWELLINGS I N> H o rGn 17.3' W/PUBLIC WATER I STY FIRMm g �N v I50' I Ca DWELLING 1 0 PORCH c. �3 C> zs.a' i ��'m:': 6 Go O u^ •..� mfr. MON. --7 1 t` ti0�0 J.H. E klF- b I�_+/ 6--' f� P 2023 16 ,.. d of I,dT: U.P. O�� Boar. J S C 'GF - -—s �,P� DWELLINGS '9�� / W/PUBLIC WATER Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,Vice President o <0 54375 Route 25 Eric Sepenoski �' P.O.Box 1179 Liz Gillooly �A • oto Southold,NY 11971 Elizabeth Peeples �Ol �� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: ouv%e ra 2.A2/3 Completed in field by: Qk7a,b p� Robert I. Brown Architect on behalf of PAUL R. VARRIALE requests a Transfer of Wetland Permit#2037 from George M. DeLisle to Paul R. Varriale, as issued on August 28, 1985 and for an Administrative Amendment to Wetland Permit#2037 for the as-built 40"x40" platform and 3'6"x18'3" catwalk, leading to an existing 2'x4"x14' aluminum ramp and 6'x12' floating dock. Located: 75 Lakeside Drive South, Southold. SCTM#: 1000- 90-3-10 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment /Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: ��ra�ah�,rhr� Present Were: G. Goldsmith N. Kr ski E. Sepenoski L. Gillooly E. Peeples J ROBERT I. BROWN, ARCHITECT P.C. 205 BAY AVENUE GREENPORT, NY 11944 631-477-9752 FAX 631-477-0973 info -ribrownarchitect.com May 10, 2023 Southold Town Trustees En� E 54375 Route 25 ® ll P.O. Box 1179 Southold, NY 11971 MAY 12 2023 Re: 75 Lakeside Dr. South Southold Town Southold, NY Board of Trustees SCTM #: 1000-90.-3-10 Trustee Permit #: 2037 To the Southold Town Trustees: We are writing to you today to respectfully request an amendment for-Permit #2037 of the above referenced property. Enclosed please find the following: • Two sets of drawings from Costello Marine Contracting Corp for the as-built 40" x 40" platform and 3'-6" x 18' x 3" catwalk leading to permitted 2'-4" x 14' ramp and 6' x 12' floating dock. • Two sets of photos of the above referenced that were taken by Costello Contracting corp. • A copy Trustee field inspection report dated 4/17/23, Permit, completed Affidavit, Applicant Transactional Disclosure form, Authorization form for Robert I. Brown Architect, P.C. to work as Agent on the Owner's behalf. • sloo.00 check for the Amendment fee. Please let us know if you have any further questions. Sincerely, Karen Szczo Agent for Robert I. Brown Architect, P.C. Encl. cc: Paul Varriale )ard of True'--es Applicatz--- Aurt-jORIZATION (where the applicant is not the owner) 1, residing at (print name of owner o,'property) (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) card of Tru r--es Applicat.-'..-- AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HFUSHE IS THE APPLICANT FORTHE ABOVE DESCRIBED PERMIT(S) ANDTHAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TOTHEBEST OF HIS/HER KNOWLEDGE AND BELIEF, AND ImAl, ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN `THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUS'T'EES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF 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 TI-TE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITI-ITHIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner SWORN TO BEFORE Ml THIS DAY OF . 20 Notary P lic Jeena R. Belil Notary Public - State of New York No. 02BE6129266 Qualified in Suffolk County Commission Expires yam„ ADPL(CANT/AGENT/R]CPI21eSENTATIV]E TRANSACTIONAL DISCLOSM FORM( The Town of Southold's Code of Ethics prohibits conflicts ofinterest on the part of town iafficcrs and employees.The arr ose of this form is to provide intbrination which can alert the town oEpossible conflicts•of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: _ �1 ct---rr� (Last name,first name,Middle initial, unless you are applying in the name of someone else or other entity,such as a company. If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance 'trustee Change of Zone �� Coastal Erosion Approval of plat Mooring Exemption frorn plat or official map __ Planning Other (If"Other",name the activity.) CL+I el U Do you personalty(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the'Ibwn af'SoUthold? "Relationship"includes by blood,utarriabe,or business interest-"Business interest"means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town off icer or employee owns more than of the shares. YES NO If you answered"Yl?S",complete the balance of this fornt and date and sign where indicated. Name of person employed by the Town of Southold 'title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check- the heckthe appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling, parent,or child is(check all that apply): --_A)the owner of grealer than 5%of the shares of the corporate stock of the applictint (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or ll)the actual applicant, DESCRlP7'ION OF RELATIONSHIP Submitte tf ' _ �f day ofb(1111 (%`'�t 20U Signatur _ Print Name t2i✓ rr j Form TS I �Y 1 St' f q h2 c�Ir_� xS� Y res .� 5 � S ,,y t ' � tr<y�f�Zi'� r �- � t�lh1,��f�♦4 L ., •. ,rw K - T>� �',x 2 it�4 :�- ,; . t ,,/ �Fria i�``�c, - � z4 1 t "'"T�•E - J � _1 s s t ' �� 1 •"r �( Yi:.r�f �' r� _I o y - •�� r i -� x,41.,�y�,.J�':. '��,'tt f r ��' t -�,".- � <.bw�4 i- f �i -r. IM t s • Y a .r Y` t^ �19a y �` t i { Il t ffi d 'x x m• t � {r: i } .w ea T..-'..� a.aa. ,Yb 4�gII�k. �t� � ..S- '-x ''� 'E'" .,r <, K"x, ., x. 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Brown, Architect on behalf of PAUL R. VARRIALE requests a Transfer of Wetland Permit#2037 from George M. DeLisle to Paul R. Varriale, as issued on August 28, 1985. Located: Located: 75 Lakeside Drive, Southold. SCTM#: 1000- 90-3-10 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: ✓Chapt.275 Chapt. 111 other Typp of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: 1 u v al jo, reAvo- -Dop- f, A,aW%n Present Were: G. Goldsmith N. Krup ski E. Sepenoski L. Gillooly ✓ E. Peeples r ROBERT I. BROWN, ARCHITECT P.C. 205 BAY AVENUE GREENPORT,NY 11944 631-4.77-9752 FAX 631-477-0973 infooribrownarchitect.com March 8, 2023 Southold Town Trustees 54375 Route 25 `^'`•` P.O. Box 1179 Southold, NY 11971MAR 9 2023 Re: 75 Lakeside Dr. South Southold, NY ...... SCTM #: 1000-90-3-10 Trustee Permit #: 2037 To the Southold Town Trustees: 1, Karen Szczotka,Agent for Owner and Robert 1. Brown Architect, P.C., request to have permit number#2037 be transferred into Paul R. Varriale's name (Owner). Enclosed is a copy of Permit, completed Affidavit,Applicant Transactional Disclosure form, Authorization form for Robert I. Brown Architect, P.C. to work as Agent on the Owner's behalf and a $50.00 check for the transfer fee. Sincerely, Karen Szczotka Agent for Robert I. Brown Architect, P.C. Encl. cc: Paul Varriale 'oard of Trustees Applicat t AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)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 BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. - t' Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF ISI f . 20D?) Notary P lie Jeena R. Belil Notary public - State of New York No. 62BE6129266 Qualified in Suffolk County Commission ExpireS44 1O (4 -.vas- APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE.FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. , YOURNAME: Va –a-i 6✓"�,d � � (Last name,first name,ipiddle initial,unless you are applying to the name of someone else or other entity,such as a company.If so,indicate the.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (]f"Other',name the activity.) �;Le... 1 • Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood ,marriage,or business interest_"Business interesf'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5°o of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when,the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION Or RELATIONSHIP Submitte t ' d o 206- Signal Ulu r Print Name Q_t. VA re-l Form TS 1 oard of Trustees Applicat t AUTHORIZATION (where the applicant is not the owner) I VC residin at 7 r (print name of owner of property) g (mailing address) S WIA do hereby authorize �i&-- (Agent) MCto apply for permit(s) from the Southold Board of Town Trustees on my behalf: rt-2-A,0-- Q (Owner's signature) ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NU~LBERS ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERMIT NUMBERS Board Of $outhold Town Trustees SOUTHOLD, NEW YORK Mooring ~ N/A · ISSUED TO G~orge M~ .D~L~s~a:-_ . ............................ " Pursuanf fo fhe provisions o{ Chaplet 615 of fhe La~ o{ ='. (~e Sfafe .of New York, 1893;' and Chapfer 404 of (he L~ws 0~ '- .... Stale of New York 1952; and ~e Sou+hold Town Ordinance en- '~ ~'~ fifled "RE~U~TIN~ AND THE PLACIN~ OF OBSTRUCTIONS ": ~.,~,iN AND ON TOWN WATERS AND PUBLIC ~NDS and ' "' ~'~" =-REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM ~NDS UNDER TOWN WA~RS:" end k accordance .with Resoluflon of The Board adop+ed a+ a meeting held on A~g~s.~:~, .: :4:: :-: ~.~ig_~Zt and in consideration 'of the sum of $_~..,.~.g_~.~.~:.pald' by -. ....... ~.~9. ~_~=....P_~A~_~_~_._~_= - .... '" :" .'t of Southol4 ........... N.Y. and subjec+ ~o fhe ..:~:Terms and Conditions lisfed on fhe reverse slde hereof. '" of Sou~hold Town Trusfees aufhotizes and perm~fs fhe follow,ag: ' '. ,..: Application approved under th~ Grandfather Clause ..-to secure a permit for ~ float -.. . an Southol~ ~ ' ' all in 'adcord~ce with' the application submitted. aJJ ;n accordance wJ~h fhe defa~ed specJ{~caf[ons as presented in " ' fha or;g;naHng applicaf~on., . .. IN WITNESS WHEREOF, %e sa~d Board of Tmsfees h~re- - ~, by causes ;~s Corporafe Seal fo be affixed, and fhese presenfs ~? be subscribed by a .majority o~ fha sa~d Boar~ as of fhls daf, e. . '. 7 77 TERMS and CONDITIONS The Permittee George M. DeLisle ' residing at 75 Lakeside Drive Southold =•• '='y` part of the consideration for the- issuance of the Permit does understand and prescribe to the fol- ` lowing: 1. That the Southold Trustees Permit must be prominently displayed on the premises effected thereby during the period Work •=: : That the said Board of Trustees and the Town of Southold are. released from any and • ;.i all damages, or claims for damages, of suits arising directly or indirectly as a result of any open- unde • 13tion performed pursuant to this permit, and the said Permittee will, at his or her own expense, the t�► "defend any and all such suits initiated by third parties, and the said Permittee assumes full liability permi • '� with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 3. That this Permit is valid for a period of 1 mos, which is considered to be the :. . sufficient time required to complete the work involved, but should circumstances warrant, request • for as extension may be made to the Board at a later date. • ' 4; That this Permit should be retained indefinitely, or as longas the said Permittee wishes �I to maintain the structure or project involved, to provide evidence to anyone concerned that Guth- orization.was originally obtained.- - • ?; 5: That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application, may because for (y! revocaricrr of this Permit by resolution of the said Board. •�° 6. That there will be no unreasonable interference with navigation as •a result of thework ' • �I herein authorized. _ 7. That there shall be no interference with the right of the public to pass and repass along relthe beach between high and low water maecs. 14 i; $. That if future operations of the Town of Southold require the removal and/or alterations i �! in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the • $�� work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, it upon due notice, to remove or alter this work or project herein stated without expenses to the Town • } of Southold. - 9 , That the said Board will be notified by the Permittee of the.completion of the work auth- • oil orized. (See tear off sheet. ) 10. That the Permittee will obtain all other permits and consents that may be required sup- Ielemental to this permit which may subju:ct';to revoke upon failure to obtain same. S� T � r s �F iVI1Vl-'l�l°V�tVNV� �CL.1�� t Y _ • t tELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, $3095 Main Road P.O. Box 728 Southold, New York 11971 GRANDFATHER APPLICATION 1. Name of Applicant: ~O~. 2. Address of Applicant: ~~ z~ ~.~ //~/ 3. Telephone N~ber: ear 5. ~ Sketch of the work including sizes: 6. Mark off on the map attached, where your properzy is located using an X. Signa~ure:.~/~~ Please noze that there is a $5.00 filing fee, which is a one time fee, for this application. Mooring Applications- $5.00 Application Fee and a $5.00 annual renewal fee each year. ~LEPHONE (5161 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 June 24, 1985 Oear~, The ~rustees are surveying the marine structures of Southold's creeks for the purpose of establishing the accuracy of the town records. Now in our fourth season, we have completed the inventories of Laurel, Nattituck, and Cutchogue creeks. We would greatly appreciate your help in ~i~,endeavor. Please, check your files for a pezunit for the~' ~Y4~4~x , which appears to be on your property. If you have a permit, simply post the permit number on the structure. If you do not have a permit, please complete ._ the enclosed application. Respond to the Trustee's office in the Town Hall with questions and/or completed applications. Thank you for your cooperation. Sincerely, Robert J. Slavonik Creek Surveyors for Southold Town Trustees Henry P. Smith, Pres. TELEPHONE (516) 765-1801 BOABD OF TOWN' TBUSTEE$ TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 PLEASE FILL OUT THE FOLLOWING FORM AND RETURN WITH YOUR SIGNED STATEMENT: 1. Was the structure put in in accordance to the plan submitted? · ~ / ~ ,. Yes ~' No If no, please explain on the reverse side. 2. Was structure placed on the applicant's property according to the plan submitted? ( The distance must be at least 15 feet ~rom his neighbor's line. ) Yes ~ NO If no, please explain on the reverse side. 3. Is there easy access over or around the structure, so that ~ pedestrians can move along the public's right of way below high water mark? Yes J NO If no, please explain on the reverse side. 4. Is the structure high enough so as not to inhibit the growth of the natural grasses along or below the structure? / Yes ~ NO If no, please explain on the reverse side. 5. Additional comments: ~ ! Signs%ute of Trustee