HomeMy WebLinkAboutTR-1067Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO ............ ~c).~7 ........... DATE: ~.a..~ .. 5 ,......~9.Z5
ISSUED TO ............................. ~,:~ ~.~..e.E_~ ~.k.....t"']~.]z ~:.9 .....................................................
Pursuan~ ~o fhe provisions o{ Chapter 615 o~ ~he Laws
fhe S~afe o~ New York, 1893; and Chapfer 404 o{ fhe Laws of f~e
S~a~e of New York 1952; and ~e SoufhoJd Town Ordinance en-
flfled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and ~e
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance wifh
ResoJufJon o~ The Boar~ a~opfed afa meefing ~eJd'on ......~.~....~. ......
of3~.~..-.~.~..~.~....~-~.....~.~.g.~?N. Y. and subiecf ~o fhe
Terms and Condiflons Jlsfed on fhe reverse s~de
o~ Soul'old Town 'Trusfees authorizes and permifs fhe foJJowlng:
2 ~t., and E~oat ~ ~t. oy 5 Et. ~h t~o moo~ng
p~es at h~s p~oper~ on Mud C~eek, o[E Ba~ Avenue
aJJ in accoraance wi~h fhe ~e~ai[ed speci~icaflons as presenfed
~he orlg~nafing appJJca~ion.
IN WITNESS WHEREOF, The s~id Board o~ Trusfees h,ere-
by causes i~s Corpor8fe Seal fo be a{~ixea, and ~ese presents fo
be subscribed by a majorify of fhe said Board as o~ fhis.da~,e.
Trustees
T mS CO mONS
The Pe~tee Frederick Melin
residing at 325 Sterling Road, Cutchogue 11935 N. Y~
low~g:
p~ of the co~dera~on for ~e ~ce of ~ Pe~{ d~ ~d~d ~d p~ to ~e ~I-
L ~ ~e s~d B~d of T~s ~d ~e Town of ~old ~ ~ed from ~ ~d
~oa ~fo~ p~t to ~his ~g ~d ~e ~d Pe~R~ ~ ~t ~ ~ he~ o~ ~e,
wi~ ~pe~ ~ereto, ~ ~e ~pl~e ~d~on of ~e ~d of T~e~ of ~e To~ of ~old
2. That ~ Pe~t ~ v~d for ~ ~od of ~ ~os. w~ h ~d~ to ~ ~e
es~ated ~e r~ed to complete ~e work ~volvM, but sh~Id &~mc~ w~m% r~u~t
for an e~ensi0n may be ~de to ~e ~d at a later da~
3. ~at ~s Petit shoed ~ ~et~ ~d~telT, or as long ~ ~ smd P~=~ ~
to mainra~ ~e s~e or pmj~ ~volv~, to pro. de e~dmce to ~yone concem~ ~
orNa~on w~ ori~l7 obt~
4. ~t ~e work hvolved w~ be mbj~ to ~e ~s~on ~d approvM of ~e ~d or
i~ agent, ~d non-comp~ance ~th ~e prov~iom of ~e o~g appli~o~ my ~ m~e for
rev~afion of tNs Pe~t b7 r~olu~on of the said B~d.
5. ~nat there w'Hl ~ no unr~sonable interf~mce wi~ navi~n ~ a r~t of ~e work
herein aud~o~ed.
6. ~at ~ere ~aR ~ no ~te~erence wi~ the fi~t of ~e pubic to pa~ ~d rep~ ~oag
~e ~acB be~eea ~ ~d low water m~ks.
7. ~at ff furze op~ago~ of ~e Town of Sou~old r~e ~e rmoval ~d/or
in ~he lomtion of ~ work her~ au~o~ or fi, ~ ~e ~on of ~e Bo~d of T~e~,
work sh~ mine unre~onable obs~mon to free na~ ~e smd P~Ree ~R be
upon due nod~ to remove or alter ~is work or pro~ecr h~ein stated wi~out ~s to ~e To~
of Soa~ol~
8. ~at ~e smd Board w~ ~ no~i~ by the Perwa~ o~ ~e ~-mple~on of ~e work
orNe&
9. ~at hhe Permktee wiR obtMn ~ o~er pe~ ~d com~ ~t ~y ~ rO~ ~
plementM ro ~is Fret whi~ m7 ~ mbj~ to revoke upon f~m to ob~
PI! ~ev/6172
BOARD OF TOWN TRUSTEES
Town of Southold
Main Road
Southold, New York ]1971
1. Your application, dated ......... ~..a,~.g.h.....2..5..:.....~..9..7..5. ............................. has been reviewed by this
Board, at a meeting of the Trustees held on .....~.P..~..'.z.~....7..,...-.]:..9.Z..5.....&.....Y.*~ .~.....5.:....~.9..?..5. ........................
o,nd resulting in the action, as indicated below:
(....~...) Application approved.
( ............ ) Application denied.
( ............ ) Application tabled.
2. Cornments and remarks,:
3- If your application is approved above, A Permit Fee is now due, and should be mode payable
to the order of the Board of Southold Town Trustees. This fee is computed below according to
the Schedule of Rates as set forth in the Instruction Sheet (Form I/1).
If the Permit Fee is paid in person to the Secretory of the Board, The Permit will be ob?ainable
at the same t:ime. If the fee is paid by mail, the permit will be mailed in reply.
Computation of Permit Fee:
Dock - 16 ~t. by 4 ft. = 64 sq. ft. -'~ 10¢ sq. ft.= ....... $6.40
Ramp - 10 ft. by 2 ft. -- 20 sq. 'ft. - ~ !0¢ sq. ft.= ....... 2.00
Float - 14 ft. by 5 ft.= 70 sq. ft. - ~ 10¢ sq. ft.= ....... 7.00
2 - Mooring Piles ~ $1.00 each ........................... .- 2.00
$ 17.40 ~ee Due
Total Fee for this application ............................................................ $ .t..7...:..~.O. .............................
Signed ....r' ..~..~..v..8...~....,~....... ,~..q ~ .cl..9, .m...~.9: .~..~ ...............
Chm. Board of £authold Town TrusteeS.
..........
BOARD OF TOWN TRUSTEES
Town Of Southold
Main Road
Southold, New York 11971
APPLICATION FOR FIXED and/or FLOATING DOCKS
]. Applicant's ha,me and address:
2. Contractor's name and address:
3. Briefly explain the purpose of this application:
4. 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 ............. ; I YR..~ ........ ; FUTURE .............
5. Secure the correct Area Map from the Secretary of this Board, and by using an X WITHIN
A CIRCLE indicate as closely as possible the location of this dock. On the reverse side of this
map, provide a SCALE DRAWING which will show Ordinary H'gn 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 i'nto Town Waters beyond a.n ima~r~&
line or boundary formed by other similar structures along the area's shoreline?
If it does extend beyond this so-oalled dock line indicate by how for, approximately,..........'~.
7. Provide the following d.ocu.ments:
(a) A Licensed Engineer's Survey of the property involved.
(b) A copy of the Contractor's Plans and Specifications.
8. Will this const'ruction require the Filling of any land offshore of the Ordina,~-~!;Ligh Water
Mark or the Dredging of any material from Town La,rids under water? ~F~'o/~g~lf it does,
Form Al4 (Applioatian for Dredging/Filling) must be completed and attached as port of this
application.
9. In requesting approval of this application, I submit that: the information presented herein
is 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 am 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.
,Accepted by: . Dated: 7