HomeMy WebLinkAboutGAZZOLA, LESLIEBOARD OF TOWN TRUSTEES
TOWN OF $OUTHOLD
Town Hall, 53095 Main Road
P.Q Box 728
Southold, New York 1 I971
TELEPHONE
(516) 76§-t892
July 22, 1985
The Trustees are surveying the marine strucfures of Southoid's
creeks for the purpose of updating the town's records. Now in our
fourth season, we have previously completed the inventories of
Laurel, Mattituck, and Cutchogue creeks.
Because your ~tructure is not on land within the Trustees'
jurisdiction, you are not required to obtain a permit. However,
filing a grandfather permit can be to your advantage.
If your structure is damaged in a storm, and you want to .re-
pair it, a filed grandfather permit proves that you only need a
simple rebuild permit from the town. Without this proof of the
structure's prior existence, the town may require a new permit, which
is expensive and time-consuming.
If you have any questions, contact the Trustees' office in
Town Hall.
Sincerelv,
Deborah A.
Creek Surveyor for
Southold Town Trustees
Henry P. Smith, Pres.
ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS
ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PEtLMIT NUMBERS
.I
Board'Of $Outhold Town Trustees
SOUTHOLD, NEW YORK
Mooring ~ NtA
..... P~Rk~,iT ,NOL ......... .2...g..~. % ..........
' '" IS ' -= .......... ~.,,.:.' ...~.;.,~..__:;.=..2..:=L ..................................... = ...........
-'~.:,~ ~ ."P~rsuanf':~o'fhe pr~v;s;ons of ChapTer 6t5 of the La~S 0f
~.--fhe. Sia~e 0~ New Y0~, t893; and C.hbpTer 404 Of The Laws of ~he
~'7]S~e of New Yo~k 1952: end ~he So~t~old Town Ordb~nce eh- . tJtle~ "~EGULATING~AND THE PLACING OF OBSTRUCTIONS
.._....IN AND ON TOWN~ WATERS AND PUBLIC LANDS an~
?..RE~OVAL OF~SAND~ .GRAVEL O~ OTHER ~ATERIALS
' LANDS'UNDER TO~N...WATERS; .a~ in acc°~ance:~H~
_ ReseluHon of The Board adop+ed afa meeting heJd on A~g~s~_~
~'-z,: : :~: : · '' :- "~"3' 1' .' · ~,- - . ' · -. ..... "~ "
,~.k~ i~..~JZ, ~nd' in.~s?d~tafi~n ~ ~ sum ~ $_...~.~=g..O__Z.i.p~ld by
.... ~esl~e' Gazzgla ' .~ . : ....
.vz::-Terms an~ CondiTions listed on The. revere side hereof.
of Sgu~hold Town TrusTees au~horizes and permih +he f°lJowbg: '
..... to secure a pe~it for ~
~ ell in eccordance.wH~ the detailed specificaHons as presented in
' the otig~nafbg applicaHon.
IN WITNESS WHEREOF, .The of Trustees here-
:-' by causes .ifs Corporate Seal ~o be presents ~o
".? be subscribed by a m~jorHy of ~he ~s of
Please tear off and return ~o the Trustees
Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
14OOR_r.'~g I4'0.
PF. RMIT NO. DATE:
ISSUED TO .--
I, , cernify that the work as authori:ed
in this pefmiu has been completed and is now ready for your inspec-
tion. Also, the number-"e"ui~ed~ ~ .on. this .mro4ect. is c!earlv, visible
I further understand this permit is nou valid until this tear sheet
TERMS and CONDITIONS
The Perm. i.~ Leslie GazZola
pa~ of ~ co~ide:a~o~ for ~e ~ce of ~e Pc~t d~ ~de~mnd ~d p~ to ~ fol-
l~ng: 1. That the Southold Trustees Permit must be prominently
displayed on the praises effected thereby during the period
. ~at ~e s~d B~d of T~s.~d ~e Towm of ~u~old ~ ~ed f~om ~y ~ work
~ ~.FCct ~cto, ~ ~e ~mplete. ~clmlon of ~e ~d of T~e~ of ~e To~ o[ ~old
~uff[~nL ~e r~uired to complete ~e work ~volv~ hut ~o~d ~mc~ ~oe m ~ioa may be ~de to ~e ~d at a Ia~r dam
4 ' ~t ~ Pe~t ~o~d Be re~ ~def~tety, or as long ~ ~ ~d P~ ~ '
m ma~ta~ ~e ~e or p~je~ ~volv~, to provide e~dmce to ~yone ~acem~ ~ au~- ~:':-'.:':...
5Z ~et- ~e work ~vol~ed ~l Be ~bj~ to ~e Msy~on
i~ agcatg ~d ~n~mp~nce ~ ~e pro.iota of ~e o~aa~g appli~do~
6. ~at there w~ be ~o ~eon:bte intezf~encc w{~ na~Hon
7. ~at ~erc'~aiI ~ no ~tefference ~ th~ Hghr of ~e
~e ~a& ~een high ~ Iow water
in ~e l~tioa o~ ~e work her~ 'au~O~ or ~, ~ ~e o~
~otk sh~ ~ u~mble obs~on to free ua~doa, ~e s~d Peewee.
u~n due noti~, to remove or ~ter ~{s work or proj~t herelu stated ~out ~ to ~e To~
9. ~at ~ s~d Board will ~ nodfi~ by the Perigee o~ ~e c~pleHon o{ ~e work ~-
oe~c~ (See tear off sheet.)
10 · ~at ~ P~rm~t~e wi~ obt~n a~ o~er p~ ~nd ¢o~en~
pl~ent~ to ~is ~t w~ ~y ~ ~bj~ to revoke, upon f~ to
BOARD OF TOWN TRUSTEES
TOWN OF $OUTHOLD
Town Hall, 53095 Main Road
P.O. Box 725
Southold, New York 11971
CREEK STRUCTURES INVENTORY
Current Owner's Name:
Address: l~(~ ~ ~'"~
TELEPHONE
{516) 765-1892
Index
Creek: ~.-~.)g~
Purchase Date:
Telephone No.:
Date of Field Work:
Previous Owners:
Permit Applicant:
Permit No.:
Permit Specifications:
0
Condition:
Comments:
Name' of Creek:
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
TELEPHONE
{516) 76~1892
GRANDFATHER APPLICATION
1. Name of Applicant:
2. Address of Applicant:
4_. Year of Construction: /~ ~
5. Sketch of the work including sizes:
SignaTure:
Please note that there is a $5.00 /'~ing~f/~e,/ / which is a one time
fee, for this application.
//
Mooring Applications- $5.00 Application Fee and a $5.00 annual renewal
~ee each year.
FO~I~[ NO. 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFF~CE
SOUTHOLD, N. Y.
Examined .............................. t9 ...... Application No ..................
Approved ............................................ Permit No .............................
Disapproved a/c .............................................................................................
....................................................... chairman, Board of Trustees
APPLICATION FOR PERMIT
INSTRUCTIONS
A. This application to be completely filled in by ~ypewriter or in ink and submitted to the Town Trustees in dup-
licate.
13. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public streets,
parks, em,. and giving detailed description o£ proposed layout of project must be drawn on diagram which is part
of this application.
C. The ~vork covered by this application may not be. Commenced be£ore the issuance of a permit.
D. Upon approval of this application, Town Trustees will issue a permit to applicant. Such permit shall be kept
on the premises and available for inspection ar all rimes.
E. Applicant shall notify the Board of Trustees upon completion of the ~vork covered by permit.
APPLICATION IS HEREt/Y MADE to the Board of Trustees of the Town of Sonthold, Suffolk County, New
York, for the issuance of a permit pursuant to the laws. Ordinances and regulations governing construction of: docks,
piers, bulkheads, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees
ro comply w/th all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold
the Town of. Southold, and all Town oficials free from liabilitZ and damages of any kind _
..... .........
Street Address of Property . :.~... J. .... ~../.~..//. ..... '~..~...~. ................... ~. .................... ~. .......
Come address If Other Than Location .... ///. ~..~..ZV. ~7. ?...~..~.2.z: .~...~.~..'/~..,., .~.../~. f,~/..~/....g~..o~...../~..~... .........
Creek, Bay or Harbor Frontin~gZ~roperty'/ '-- "' '/'""'''"'"' '''""'"""''""''""''"''"""''"-'' ~ .:~. fi: ( ~ ~Ct~' ~. ~'/'~/-~,zq-~ '
Permit Requested To: ..... /~,.~..(/..~./.lf'~,".~./P.~''""'''"'"'.''''''''''''''''''''''''''''''''''''''''''~'
Size of Proposed Work: Length ..... /.~.".g~-'. ~. ~..Width .............. trleighth Above High Water..d~/~J~..~..
~ -
Depth Below Low Water ....... ~.f. ..... Average Rise In Tide.. ~ .......... Yards to Be Excavated ..............
Width of Canal, Creek or Bay Fronting Property .... ..~.~ ............... Depth at Low Tide ....
·. ,/~,'Dc~~ 4'/J) r~. ,-/2'-,',4. z__
Complete plot plan to be drawn on reverse side of this application.
STATE OE NEW YORK )
)s.s.
COUNTY OF )
................................ being duly sworn deposes and says that he is the applicant ~or the above de:
scribed permit, and that all statements contained herein are true to the best of his knowledge and belie~; thgt the
work will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town
of Southold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free ~rom any
and all claims Or said permit,
Sworn to be{ore me tbls ..........
NOTARY PUBLIC, State O~ Flaw Yor~
glo. 52-3233[20 Suff0l~ C0unt~
lerm Expires IV[arch 30 19~,.~7