HomeMy WebLinkAboutTR-1628 ...~ I-~OORI::GS AND STAY~E~ ~'~US~~ DiSPlAY ViSiBLE ~,:O0~iNG NU~-iBEP. S
~SF~ VISibLE P~r~.I~ L~.~ERS
ALL DCC2~ AND Bu~EADS MUST D' --,z =~"~
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Board Of 5outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO ..... Z~a8 .............. ' DAT,: ....... ~-~.~..-.6~-.- Z98,
~,,' ISSUE~ TO .................... ~.a~.a ~.,- [~ ........................................
%he S~afe 0¢ New York, 1893; and Cha~fer 404 o{ +he Laws of ~'ne
Sfafe o~ New Yor~ 19:-; and ;ne Sou;no,d Town Ordinance
~flef "RE~ULATIN~ AND THE PLACIN~ OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUELIC LANDS an~
RE~OVAL OF SAND. ~KAVm. OR OTHER MATEEIALS. FROM
LANDS UNE:~'~ TOWN WATERS;" and m" accords' nee w;~h
Resolufion o~The Boar~amc?es' ' ' ar' a meeting he[~ on
........................ R~pa¢._.~.....~.¢.~a¢2 .............
'- 0¢ ....... .q~.¢h~g.R~ ................................................. N. Y. and sub[et+
Term~ ant Cond;flons Ils;ed on +he reverse alde hereof,
o~ aoutno ~ Town Trustees au+boll=es and permi*; fha
A~plicat&on approved to secure a permit no. ~or
retainkng wall 150' kong with 2 retnrns and to
re,air a catwalk 100' x 3' constructed kn 1955
~o ~end this by adding a 4' z 12' dock with 4 pil
~he orlqlnafing appl;ca~ion,
' by causes ils Comora+e Seal fo be affixed and +hesd pres~n+s
i:,: A~ ~ ~ ¢.__.~ ............ _x .................... ~ ~ ............
......................
Board Of $oufhold Town Trustees
SOUTHOLD. NEW YORK
~4OO-q Z'.~G NO. N/A _-
PSRMIT NO ...... .1..6-28 . G..~. DATE: ...~uly 6.[....83
ISSUED TO ............... Rkymo nd....J......Ke.nn e ¥ .................
-I, cer~zfy thaU the work as au~orize~
in thls permln has been completed and ~s now r~adv for your lnspec-
rich. Also, the num~ber required on this pro3ect is clearly visible.
I further understand this permit is nec valid until this tear sheet
is reuurned to the Trustee~.
BOARD OF TOWN TRUSTEES
Town of Southold
~I=in Road
Sou~old, New York 11971
i~OTICE OF ACTION - NOT A PERPIIT
1. Your application, dated .......... .~ ./..1. . .5. /. . .8. .3. ............................................. has been reviewed b? this
Boarci, ot a meeting of the Trustees held on July. 56 ]_983
and resulting in the action, os indicated below:
(.X. JXX.~.) Application approved.
( ............ ) Application denied.
( ............ ) Application tabled.
Your application has been approved under the Grandfather
clause, and to amend this by adding a 4' x 12' dock.
A PERMIT FEE
3. If :,cur eupllcel'ion is aooroved above. R .-cr~ raft ,'-5e-~ ,s no,.~ du~ and should De made payable
to thC,or,er ot the Board of Southo[d Town Trustees Th s fee is compu~ea below accordin~ to
the.Ssne~u.l¢0f R~kesgs' s~t fo~h in the .instruction Shee~Eorm I/1) ~his f¢¢ ~ust De
pal~ %qlS~!rz ~U fla~yu or re-applying an~ a~lulonal zee w!~& De necassaL"
~f the Permit Fee is oaid in person }o the Secretary of the ~oord,/he Permit wiJJ be ob[-a~ncb~e
Com~utarion of Permit Fee:
1- 4' x 12' dock = 48 sq. ft. ~ .25 sq. ~t. = $12.00
Total Fee for this application ...................' , ......................... $ $12.00 Paid
............ ~:¢'~ "~"TTB'O .....
Pres. Board of 5outhold Fawn Trustees.
.....
Clerk
APPLICATION FOR F~ED and/or FLOAT!Z{G DOC2iS
2. C~ntraator'$ name rind address: ...................................................................................................
............................................................................................................................... ?..e..i..: .........................
'~'3. Briefly explain the purpose of this ~ppIicotion: .................... .~_,. ..................................
...... ............ .......................... ................... , ....................
~ ................................................. ~ ~ ~L~*~ ~ ~' ............ ~ ~~ ...... T;: ................. ~ ~~~~'"'T7TM ....................
4. A~tar issuance of a Permit, work musz be completed
~-n onp year.
L~ ~
5. Secure the correct Area iM~P from the Clark of this Boarc, cna by using a/X
A C~RC_z ma,cate as c!ose[v cs Doss~bJe the t~cation of thru d~cK. On me /ez~r~ sma aZ tins
mop, proy~e a SCALE DRAWING wmcn will snow Ordinary High Water Mark, me
cna s,ze cf the deck and ony s~co~men,c[ pUings which cra neeoea re hold a f!ocfing deck
or ne-u~ a boat. Give oil dimensionsn~--'~or', re J,,f~.m ..... ~ the cam o~, me deck surface'
~*,nZC:4 ..t;~:~b O~SHOP~ from the O. ~_ W. ,~. Z~ adjacen~ ~o~e~cZ owners
docks, specLfZ ~oca2&on and length ~o state.
6. ~Vill ary ~orfion of this ¢~nstrucdon ex~end offshore into Town ~Va,er. beyond an
~ne or bounda~ formed Dy other similar s~ructures along the arno's shoreIineP YE$ o~ NO.
If it does extend beyond this so-called acc~ line indicate bk how far, ~.pprox,;m~,~-.ty,. ..........
7. Provide the following documents;
(~ A L[censea Engineer's Survey of the prope~, involved.
~b) ,~ cody of the Contractors P~_ns eno Speoificationm
~} Short Environmen~a! Assessment Form.w '
.etland~ Appl ~cat =~on
8. il this ¢onsfruJion reauire the Filling of any land offshore of Ina OrdJno~ High Water
Mark or the Dredging of any material from-%wn bands underwater? YES or NO. If ~does.
Form A/4 (Application for Dredgmg/FHling) mus~ be completed and azmcnea as part of this
~pphca~ion.
9 ~n reauesring approval of thls application, [ sub~{? that: the {nfcrmcnon presenrea
is wue and correct to the best of my kno%~iedge and belief; i am znc person ccc3t~nrabJe for
[mvolvec; aha further, [ intend ro adhere to aaa aside by the ~erms aha Cona{t[ans
10. To expedite finding specific location, fo~ inspectiDn, indicate
..o::.-. Al2 Re+~' '2/82 . . + k. S ...... ' ....... ~.'..'