HomeMy WebLinkAboutTR-2210 GF I Board Of $outhold Town Trustees
~!i SOUTHOLD, NEW YORK
.. - ES~Lmn .tO z k', ' -
Pursuanf fo fha provisions of Chaplet 6'15 of +he Laws of
' +he S'l'afe of New York, 1893: and Chaplet 404 of the L.aws of
Sfafe ~f New York 1952; and 4'he Soufhold Town Ordinance en-
titled "REC=ULATING AND THE PLACINg= OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and {'he
REMOVAL OF SAND, C=RAVEL OR'OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance wlfh fha
Resoluflon of The Board adopt'ed afa mee4'ing held on ~g.:....~ ........
"19....8...6._., and in conslderM'ion of fhe sum of $....~.t.°.(2 ............... pald by
~. Moo~/$anko~ski, ii.l).
..:!.. O~ ......... ~.o..u.t..h..o..Z..d. .......................................................... N. Y. and subject fo fha
.,. Terms and Conditions llsfed on fhe reverse slde hereof,
:, : o~ Soufhold Town Trusfees aufhorlzes and permlfs fhe following:
Approval to secure a permit for a bulkhead under the
: . Grandfathe= Clause all in accordance with the application
-~ ~ submitted.
:?.:.; all in accordance wlfh fhe derailed specifications as presenfed in
-' fhe orlglna+ing applicafion.
IN WITNESS WHEREOF, The said Board of Trusfees here-
by causes i~'s Corpora~'e Seal fo be affixed and fhese presenfs fo
be subscribed by a majorify of fhe said Board as of fhis da~,e.
Please tear off and return to the Trustee Office.
Board Of fiouth-dld Town Trustees'
' $OUTHOLD, NEW YORK
Mooring Permit- No. Date:
Mooring No.
I, certify that' the-work as"
authorized in this permit has been completed and is now ready
for your inspection. Also, the number required on this project
is clearly visible. I further understand this permit is not valid
until 'this tear off sheet is returned to the Trustee Office..
TERMS and CONDITIONS
T. Moore/Jankowski, M.D.
*~s{dh~g at Carole Road, Southold N.
lowing: 1. T~L ~e T~stee P~t mst ~ pro~y ~lay~ on ~e
~f~ ~y d~g ~e ~i~ of ~ ~d~ ~qe ~t.
a~ damage% or d,~ f~ d~ag~, of ~ts ~ ~y or ~y ~ a r~t of
a~n ~rfo~ p~t to ~s ~g ~d &e~d Pe~ at~ ~her ~ ~e,
defend ~y ~d ~1 ~ ~ ~t~ by ~d pa~, ~d &e ~d Pe~ ~ ~
~& t~pe~ ~eto, to ~e ~mpl~e ~d~on of ~e ~d ~ Tme~ of &e Town ~
2. That ~ P~t ~ ~d for a ~ of'~ 12 m~. wM~ ~d~ to
~ated ~e r~ed m complete &e work ~volv~ but ~o~d ~o,m~mc~ ~
for an e~enslon may be rode to ~e ~d ar a ~t~
3. ~at ~ Pe~t shoffid be re~ ~dd~tely~ or as long ~ ~e s~d P~
or~afion w~ ori~ly obt~.
4. ~at &e work ~volved ~1 be ~bj~ ro &e ~sp~on ~d approv~ of ~e ~d
--ira agent, ~d non-compliance ~& ~e pro. iota of ~e oH~ng appH~do~ ~y ~ ~e
rev~afion of ~ Pe~t by r~olufion of ~e said B~d.
5. ~ar there wffi be no ~son~le interf~mce ~ ~m m a r~t of
herein aufl~o~ed.
6. ~at theze shMl ~ no ~t~erence ~ the ~t of ~e p~Hc to p~s ~d rep~
~e bea~ be~een ~ ~d low wat~
- 7. Tha~ ff ~e °Perado~ of ~e Town of ~old r~e ~e r~oval ~d/or ~t~fio~
in ~e lo~fion of ~e work her~ au~o~ or fi, ~ ~e o~on of ~e Bo~d of T~e~
work sh~ ~ ~e~o~ble obs~on to free na~ffon, ~e smd Pe~uee ~ ~
u~n due nofi~, to r~ove or ~ter ~is work or proj~t h~e~ ~ted ~out ~ ~o ~e
8. ~ar ~e smd Board ~I ~ no~i~ by the Pe~uee o~ ~e c~piefion of ~e work
or~ed.
9. ~at ~e Permittee wi~ ~tMn a~ o~er p~ and comenm ~at ~y ~
plement~ to ~is pe~r w~ ~y ~ ~j~ ro revoke upon f~ to o~
......... ~(See .t~ of5 ~t.)
Name' of '~reek: .~Sq~ ~
TELEPHONE
(516) 765-I892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
GRANDFATHER APPLICATION
3. Telephone Number:
4. Year o~ Construction:
5. Sketch of the work including sizes:
6. Mark off on the ma~ attached, ~where your property is located
using an ~~~~I
Signature:
Please note ~at there ~s a $5.00 filing fee, which is a one time
fee, for th2 ~pplicatio~.
Mooring Applications- $5.00 Application Fee and a $5.00 annual renewal
fee each year.