HomeMy WebLinkAboutTR-2209 GF Town Trustees
SOUTHOLD, NEW YORK
Mooring No. N/A
PERMIT NO .......~.2.~.? ............... DATE: A~gustL Z~,__1986
to the
the
StaJe
titled
and the
Resolution of The Board adopted at a meeting, held on II~
' 19..~.~....;;~'and in ¢onslderafion Of the sum of $~.:_.0.:~_ ................ paid by
of ........ ..S..9~9.~] ........................................................ N. Y, and subiect to the
Terms ~and Conditions .listed on the rev.er~e slde hereof,
of Southold Town Trustees authorizes and perm,ts fha following:
Approval under the Grandfather Clause to secure a permit
for m Dock_,. including a walk and floats all in accordance
with the application submitted.
all in ~ccor.dance w,?h .the detailed specifications as presented in
the originating apphcatlon. -
IN WITNESS WHEREOF, The said Beard of Trustees h.ere-
by causes; its Corporate. S.e. al to be at?xed, and these presents fo
be sul=~cnbed by a malonty of the said Board as of fhis daf, e.
Trustees
Piease tear off and return to ~he Trustee Office.
TERMS and CONDITIONS
Paul Fores tieri
The
Pcrmktce
residL~g az 845 Mill Creek Drive, Southold N. ¥., ns
low.g: 1. ~t ~e T~t~ P~t ~st ~ pr~y ~tay~ on ~e pr~ses
eff~ ~y d~g ~e ~i~ of ~rk ~d~ ~e ~t,
1. ~ ~e s~d B~d of T~s ~d ~e Town of ~u~old ~ ~d fr~ ~y ~d
aH d~ages, or d~im~ for d~g~, of ~ts ~g ~y or ~y ~ a r~t of ~y o~-
wi& r~pe~ ~eto~ ro ~e ~mplete ~d~on of ~e ~d of T~ of ~e T~ of ~old
2. ~at ~ Pe~t ~ v~d for a ~ of' Z2 m~. w~ ~ ~d~ to ~ ~e
~ated ~e r~ed to complete ~ work ~volv~ but ~o~d ~o,m~c~ ~mg r~
for an ~ion may be ~de to ~e ~d at a later da~
3. ~at ~s P~t ~o~d be ret~ Md~y, or as long m ~ s~ P~ ~
to m~t~ ~e ~e or pmje~ ~volv~ to pro, de e~dm~ to ~yone ~ncem~ ~ ~- ... -~'
o~a~on ~ ori~ly obt~.
4. ~at .&e work ~volved w~l be ~bj~ to ~e Msp~on ~d approvfl of ~e ~
~v~a~on of thi~ P~t ~ r~olufion ~ ~e said B~d.
5. ~at there w~l be no ~onable ~terf~ence ~ ~n m a r~t of ~e w~k
her~n
6. ~t there shall ~ no ~teffer~ce ~ ~e ~r of ~e_ ~b~c to pa~ ~d rep~ ~g
· e bea~ be~e~ M~ ~d low wat~ ~.
'- 7. That ff ~e op~atio~ of ~e To~ of ~ld r~e ~e r~ovM md/or
work ~ m~ ~omble obsmmon to free na~gafion, ~e ~d Peewee ~ ~
~n due no~, to rmove or alter ~is work or proj~r h~ein ~t~ ~our ~s to ~* Tm
8. ~ar ~e s~d Board w~l ~ no~i~ ~ the Pe~aee o~ ~e repletion ~ ~e work
o~ed.
9. ~at the Permlttee wi~ ~n ~ o~e~ p~ and comen~ ~at m7 ~ r~ m~
pl~ent~ to ~s ~e~t w~ ~y ~ mb~ to revoke upon f~ to o~ ~me.
(~e t~ oft ~t.I
TELEPHONE
(516~ 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall. 53095 Mgm Road
P.O. Box 728
Southold. New York 11971
GRANDFATHER APPLICATION
1. Name of Applicant:
3. Telephone Number:
5. Skegeh o~ ghe work
6. Mark off on the map attached, Where your property is located
using an X.
Please note that there is a $5.00 £iling fee, which is a one time
fee, for this application.
~ooring Applications- $5.00 Application Fee and a $5.00 annual renewal
see each year.
TELEPHONE
(516) 765-1801
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall 53095 M~n Road
P.O. Box 728
Southold, New York 11971
PLEASE FILL OUT THE FOLLOWING FORM AND RETURN WITH YOUR SIGNED
STATEMENT:
1. Was the struc~re put in in accordance to the plan submitted?
Yes ~// No
If no, please explain on the reverse side.
2. Was structure~laced on the applicant's properly according
to the plan s~bmitLed? ( The distance must be at least
15 feet f~om/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 ~hat
pedestrians c~move along the public's right of way below
high water mfk?
Yes ~/ NO
If no, please e~plain on the reverse side.
4. Is the struct~e high enough so as not to inhibit the growth
of the natu~i grasses along or below the structure?
Yes ~/ NO
If no, please explain on the reverse side.
5. Additional comments:
Signature ~ Trustee
of,,'~reek:
TELEPHONE
f516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, $3095 Main Road
P.O. Box 728
Southold, New York 11971
GRANDFATHER APPLICATION
dock
l. Name 02 Appl±cant: ;
3. Telephone Number: 7~ ~ /~ ~-~
4. Year o£ Construction: ~ ~
5. Sketch of the work including sizes:
~ " 10 ~ /
- ~- L~.p_-~ ~ ~
~ '25['
6. Mark 022 on the map a~tached, where your proper~y zs located
X.
using an
Signature: ?
Please note that there is a ~5.00 filing fee, which is a one time
fee, for this application.
Mooring Applications- $5.00 ~pplication Fee and a $5.00 annual renewal
~ee each year.
~ELEPHONE
(516~ 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
Curren~ Owner' s
Address:
Creek: ~w ~lq~-~k [~f\~'~ ~ ~-~ ~ ~ ~
Purchase Date:
Telephone No.: Date of Field Wo}k: ~
Previous Owners:
Permit Applicant:
Permit No.:
Permit Specifications:
Specifications Found:
Condition:
Comments:
TELEPHONE
(516) 765-1801
BOARD OF TOWN TllIJSTEES
TOWN OF SOUTFIOLD
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 from 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 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:
Date
S~gnature of Trustee
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
~u~old, N.-Y. 11971
BOARD OFT,O~- TRUSTEES