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Home My WebLink AboutTR-1016BOard Of $outhold TOwn SOUTHOLD, NEW YORK Trustees PERMIT NO: ~-.Q 16 .......... DATE: ~gn~ 3, 1974 ISSUED TO ...................... Faym..qg-d. A~ ~:L~.~e.-~...-.~.~ .............................. Pu~suan+ fo fha provisions 6f Chaplet 6i5 of fhe Laws of fhe 'Sfa~ of N~w York, 1893; and Chaplet ~ o~ +he ~ws ~ fhe Sfafe-~of New 'Yorb J952; and *the Soufhold Town Ordmanc& em fJfied "R~ULATIN~' AND THE PLACtN~ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and f~ REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" end in aC~rdance wJfh fha Resoluf[on of The Board adopfedaf a meefing held on ~Une .~ . 19:~.. ehd in considerafJon of fha sum o~ $[~-.~ paid by ........................ ~ymo~d A.... ~.~.~ ~.. ,a~, ........... of ~.~g.~.~g~..Lan~.~....~.~.~q~.~ N. Y. and subje~ fo fha Te~s end Condifions I~sfed on fhe reverse side hereo~, 0~ SoufhOld Town TrusSes aufhorlzes ahd permJfs fha following: ,&~ ~=o~ o[ hi~ p:ope:ty on Deep ~oZe C:~k, at Bungalow Lane, MatCituck, N.Y. a~J ~, acc~danee w~fh ~he de~a~ed spec~f;ce%~ons a~ pre~ed Jn IN WITNESS WHEREOF, The sald Board of Tru~fees kate- : by causes. ~fs Corporefe~ S.e. el to be e~flxed, and 'fhe~e presenfs fo · be subscribed by e maior~fy of fh~ dele. TERMS end C. ONDITIONS · · ' T~ P~m{~e ~ Raymond A. Hiller Jr. ~i~ng ~ Bunqalow Lane. Mattituck N. ¥., ~ ~ j. part of tile c~ff~ fo~ ~e ~ of ~e P~t ~ ~d ~ p~ ~ ~ fol- ~atM ~e ~ed m comple~ the wo~ ~vol~ but ~d ~ w~ ~u~ for ~ ~ion may be ~de to ~e ~ ar a la~ ~m to ~ove or ~ &is wo~ or p~ h~ ~ ~om ~s to ~e To~ BOARD OF I~OWN- TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold_ New York 11971 TELEPHONE (516) 765-1801 PLEASE FILL OUT THE FOLLOWING FORM STATEMENT: AND RETURN WITH YOUR SIGNED Was the structure put in in accordance to Yes ~ No If no, please explaih on the reverse side. the plan submitted? 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 If no, please explain on the reverse side. 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. Is the structure high enough so as not to inhibit the growth of the natural grasses along or below the structure? Date Yes If no, Additional please explain comments: on the reverse side. Signature of Trite& Permit #. /~/~ ~ has been posted on my _~D~7~ (Dock etc.)- Mooring ~ .... has been posted on my mooring. BOARD OF TOWN TRUSTEES Town of Southoltl Main Road Southold. New York 1]971 To' Mr. Raymond A. Hiller, Jr. Bungalow Lane, Mattituck, N.Y. 11952 ] '. Your app cat 0% doted .......... .A.p. ril.....4.......1...9..7...~. ............................. has been reviewed by this 'Bo~rd, at a meeting of the Trustees held on ...................... ~ay...6.~...1.9..7.4 ......................................... ( ............ ) Application approved. c ( ............ ) Application denied. (..._~!.......)Application tabled. The Board will investigate the site and .~. make a decision at their next meeting on June 3, 1974. Comments and remarks: 3. if your application is approved aoove, A Permit Fee is now aue, and should oe maae peyabie to the order of the Bo~ra of Southola Town Trustees. This fee is computed below according the Schedule of Rates as set forth in the Instruction Sheet (Form I/1). If the Permit Fee is paid in person to the Secrelar~ of the Board, The Permit will be obtainaSIe at the same time. If the fee is paid by mail, the permit will be mailed in reply. Computation of Permit Fee: ?oral Fee for this application ............................................................ $ ........................................ Signed ALVAH B. GOLDSMITH Chin. Board of $outhold Town'Trustee,~ ~/' ~ecretary. BOARD OF TOWN TRUSTEES Town of Southold Main Road $outhold, New York 11971 Mr,. Raymond A. Hiller Jr., Bungalow Lane, Mattituck N.Y. To: ............................................................................................................................. : ........................ l. Your application, dated ....... _A_p.,rj:.~,...4..:....~.,9..].,~. ................................. has been reviewed by this Board, at o meeting of the Trustees held on ....~..y...,~..:._.l...9..7..4,...,a.~.d.....J.~..n..e.....3..:....1..~.7..3. ..................... end resulting in the action, as indicated below: (.....~......,.) Application approvea. ' -' ' ~ ( ............ ) Application denied. t ............ ) Application tabled. 2: Comments and remarks: 3. If your application is approved above, A Permit Fee is now due, and should be made peyoo~e to the order of the Board of Southoid Town Trustees, 'This fee is computed below according ;o · e Schedule of Rates as set forth Jn the Instruction Sheet (Form /1). Jf the Permit Fee is paid in person to the Secretary of the Board, The Permit wilt be obtainable at the same time. f the fee s paid by moil, the permit will be mailed in reply. -'Computation bf Permit Fee: Walk ~ 3 ft. by 16 ft.= 48 sq. ft. ~ 10¢ sq. ft.- .... $ 4.80 _ ~ (below H.W.M.) Ramp~- 3 ft. by 10, ft.= 30 sq. ft. ~ 10¢ sq. Float 5 ft. by 16 ft.= 80 sq. ft; ~ 10¢ sq. pilings ft.- .......... 3.00 ft.- ......... 8.00 at $1.00 each .................................... 2.00 $~7.80 DUE Totdl Fee for this application .......................................................... Signed .......... . .A.F.,~..A.,.H....1}.. :... ,G. O...~.?.s, .~ ~...'~... ............. Chin. Bo~rd Of Southold Town Trustees. by ~...q.~....;..~.~~ ........ BOARD OF TOWN TRUSTEES Town O~ Southol~l Main Road Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS ]. Applicant's name and address: .......................... ,,C;,~,,~. ..................................... ............ ........ ........................................ 2. Contractor's name and address: /. (~' .............. .......... .................................................................... 3. Briefly explain the purpose of this application: ........................................................................ ........... ......... .............................. After issuance of a Permit, I expect to: (mark by an )~) (a) Commence work AT ONCE ............ , ASAP .....~......., UNKNOWN ............. (b) Complete work in -- 1 DAY ...~......; 1 MO ............. ; 1 YR .............. FUTURE ............. Secure the correct Area Map from the Secretary of this Board, and by using or~ X WITHIN A CIRCLE indicate as closely as possible the location of this dock. On the reverse side of this map, provide e 5CAKE DRAWING which will show Ordinary High Water Mark, the shape and size of the dock and any supplemental pilings which are needed to hold a floating dock or tie-up a boat. Give all dimensions necessary to determine the area of the dock surface which extends offshore from the O. H. W. M. 6. Will any portion of this construction extend offshore into Town Waters beyond an imaginary line or boundary formed by other similar structures along the area's shoreline? ~or NO. If it does extend beyond this so-called dock line indicate by how far, approximately,. ......... ft. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) ^ copy of the Contractor's Plans and Specifications. Will this construction require the Filling of any land offshore of the Ordinary High Water Mark or the Dredging of any material from Town Lands under water?~0r NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this application. In requesting approval of this application, I submit that: the information presented herein s true and correct to the best of my knowledge and belief; I am the person accountable for the performance of the work in accordance with the plans and specifications attached; I have read or om familiar with the provisions of any Southold Town Ordinance pertinent to the work involved; and Further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. ~Acce~)ted Dated: ,/