HomeMy WebLinkAboutTR-295Board Of $outhoid Town Trustees
SOUTHOLD, NEW YORK
295z 2 pilings
ISSUED TO .,Howard Ha.ss.le~
Anll ri ation
Pursuanf t'o t'he provisions of Chap'~er 615 o~ +he Laws o~
~he Sfafe of New York. ~893: and Chapter 404 of ~he Laws of ~he
S~ate of New York 1952: and +he Sou~hold Town Ordinance
rifled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS aha
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" aha 'n accoraance wi~E fee
Resoluf[on o~ T~e Boara aaop+ea a~ ~ mee+ing ~ela on ~une 5
19 72 , ~na 'n cons[aerafion o~ ~e sum o~ $16.20 pala 6y
Howard Hassler
Southold
o~ ~950 Clearview Ave., N.Y. aha sub[ec~ fo f~e
Terms aha Conditions Jisfe8 on +~e reverse s[ae ~ereo[,
of Souf~ola Town Trustees authorizes aha permits f~e ~olJowlng:
Construction of a ramp 3 ft. by 10 ft., and float
8 ft. by 14 ft., with ~wo pilings a; Goose Creek,
of~ of Clearview Avenue, Southold, all ~ acco~dancet
accoraa~e wit, t~e aetallea spe~Tl~atlons as presen~e~
+~e originafing
IN WITNESS WHEREOF, The said Board of Trusfees kere-
by causes ifs Corporafe Seal fo be affixed, and fhese presenfs fo
be subscribed by a majorify of ~'he said Board as of +his daf,i~.
Foz~n A/1~
BOARD OF SOUT~OLD TOWN TRUSTEES
TOWN CLERK'S OFFICE '"~"'~
SOUTHOLD, NEW YORK 11971
APPLICATION FOR A PERMIT
Check one or more of
TO MOOR A BOAT
the following purposes:
(secure & complete)
Form A/2
.Y
TO BUILD A BULKHEAD
TO CONSTRUCT A DOCK
TO DREDGE AND FILL
Form AZ3
Form A/~
Form A/5
OTHER PURPOSES---State and describe:
j3.
Name and Address o£
·
Estimated date of
Maximum number of
'
Contractor:
commencement of work:
months required to complete work: /
Using a DOT WITHIN A CIRCLE as a mark, indicate on the proper
Zoning MaD as supplied by the Secretary of this Boar~, the
location of this project, and attach this map as part of this
application.
List below all other forms or documents you are attaching:
7m
In requesting approval of this application, I submit that: the
information presented herein is true and correc~ to the best of
my knowledge and belief; I am the person accountable for the
performance of the work in acdordance with the plans and specifi-
cations attached; I have read or am familiar with the Southold
Town Ordinance pertinent to the work involved; and I.intend to
adhere and abide by the Terms and Conditions of the Permit, when
and if zssued.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
8. Application TF, Amount of Fee--Form A/1--~. 5.00 Minimum
Form A/4
BOARD OF SOUTHOLD TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, NEW YORK 11971
CONSTRUCTING A DOCK
1. Does this project involve the use of WETLANDS as defined in the
Wetlands Ordinance? ~ .(yes or no). If so, your application
should be filed through the Southold Town Clerk.
Will the work requzre the filling of any land beyond Mean High
Water Mark or the dredging of any Town Lands under water?
~ (yes or no). If so, Form A/5 must also be completed
and attached as part of this application.
3. State briefly the intended use for this structure:
4. Will any portion of this construction extend into Town Waters
beyond a theoretical boundary fornled by other existing docks or
similar structures.$ /~ -- --.(yes or nc). If~so, by how much ft.
Provide a copy of a Licensed Engineer's Survey o~ your proper~y
and by means of your own diagram drawn to scale thereon, show
the nature of the work to be done in relation to your own premises,
high water mark, and the adjacent body of water.
Provide a copy of the plans or drawings which will be supplied to
the Contractor performing the work.
In requesting approval of this application, I declare there will
be no interference with the right of the public to pass and
repass along the beach between high and low water marks.
o
Computation of Fee: (for use of the Board)
Area of the construction beyond M.H.W. ~the ra~e of
10¢ per sq. ft., plus $1.00 per piling for supplemental
piles.
Amount of Fee Form A/4--- $