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Home My WebLink AboutTR-7CREEK ' YOUR ORIGINAL PEt~MIT NUMBER BOARD OF TO~ZN TRUSTEES Town of Southold Main Road Southold, New York 11971 APPLICATION FOR SPECIAL ICE DAMAGE PERMIT INSTRUCTIONS: Fill out form below and return to above address. You should have this application approved and returned to you within a week° 1. Applicant's Name& Address:~.~..~..~.~.\.~O.~.(:~.~- ............. ~ ...... 2. Contractor's Names & 3~ The purpose of this application: Redriving or replacing o~enwork dock or openwork pier piling, and mooring piles, removal o~ damaged piling, repair, resetting or replacement of floating, docks, ramps, or decking, all necessitated by ice and storm damage resulting during 19~ 4-1985 -~i_-nter- SPECIAL CONDITIONS 1. No dredging or filling is permitted. 2. Repairs to existing structures shall be limited to replacement of timbers without change in design or dimension. 3. No repair or replacemen~ of bulkheads is permitted under this permit'. 4. No freshwater or tidal wetlands are to be disturbed under any circumstances. ~5. A yellow permit sign provided by this office shall be displayed on the project au all times while under replacement. 6. Original permit numbers (3" high) must be permant!F displayed on project. .............................' ' ............................ I, , certify that the work as authorized in this permit has been completed and zs now ready for your inspection. Also, the permit number required on this project is clearly visible. PERMIT h~3~LBE R ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS ALL DOCKS 32XlD BULKHEADS MUST DISPLAY VISIBLE pEP, MIT NUMBERS Board Of $outhold Town Trustees SOUTHOLD, NEW YORK Mooring # N/A PERMIT NO. ]:.~..9..2.3: ..................... DATE: ~..e..P..-~.'.....:~.~.L.....19 8 4 ISSUED TO Robert. Pg.1....1.~9..r.i.n._i' .................... Pursuant fo 'the provisions o{ Chapter 615 of {'he Laws of {'he S{'a{'e of New York 18.93; and Chap{'er 404 of {'he Laws of {'he S{'a{'e of New York 1952; and {'he Soufhold Town Ordinance en- {'i{'led "REGULATINC= AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance w|{'h the ResoJu{.~on of The Board adopted afa meeflng held on ~..e.P..L...~......2..7.., 19..8_4...i., and in conslderafion of {.he sum of $......5........0...0.. ............ pald by .................................... .R.~ b.~..r..~.....P....e..kke, g~.~ ..n..i ........................................... ;:2£ ................... of .......Q..~.~.o...tl.o.g.~ .................................................. N. Y. and subiec{. {'o {'he Terms and Conditions lis{'ed on the reverse side hereof, of Sou{'hold Town Trus{'ees aufhorlzes and permits the foIIowlncj: ' Application approved under the Grandfather Clause to secure a permit for a. catwalk ramp and floatinq dock, all i~r accordance with the applicatibn submitted in East Creek, Cutchogue. all in accordance with {'he de{'alJed speci{ica{'ions as presen{'ed in the orlglnafing appJlcafion. by causes its Corpora{'e Seal {'o be be subscribed by a maiori{'y of the IN WITNESS WHEREOF, The said Board of Trustees kere- and {.base presents fo Trustees TERMS ~nd CONDITIONS The Permi~ Robert Pellegrini zesldin~ at 4515 Stillwater Avenue'. Cu'~ehng~= N. ¥~ ~ part of the consideration for the issuance of the Permit do~ understand md pr~s~Be ~o the fol- lowing: 1. ' That the Southold Trustees Permit mast be prominently displayed on the premises effected thereby during the period of · ~',.,". .: That the said Board of Trustees and the Town of Southold ~e r~leased [ro.m any and work · '<',~! all damages, or claimc for dam~$es, of suits arising directly o*c indirecti~ ~ a re~xk ot any oyez- l/oriel i. ~tion p~rformed pursuaut to this portrait, and the mid Pea~ni=ee ~ ar !~ o= her own e. xpause, Lhe "~'defend any and all such suits initiated by third ponies, and the said Permit~ee assumes f-ali ~ixbillty ~ermit with respect thereto, to the complete exclusion of the Board of Trustees of *_he Town of So-~otd 3% That tNs Pem~t ~ yard for a period oE 1 ? mos. whlch is considered to ~e the sufficient time required to compIet~ the work 5avolve~ but should ~r .onx~anee~ w~ran% ~equ~ for an extension m~y be nmde to the Board at a latar date. - ' 4-~ That this Permit should he retained indefinitely, or as long as the said P~mlr~e wbAes to maha~ain the strucrare or project involved, to provide evidence to anyone concerned that ~uth- otization was otiginall~ ohtained. 5% That the work involved will he subjecz to the insp~ion and approval of the Board or its agents, and non-compliance with the provisions of the originating applimtinu, may be ca=se for ravocatinn of this Permit by resolution of the said Board. 6. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 7,. That there shall be no interference with the right nE the public to pass and rep,s along the beach between high and low water rn~ks, 8. That if future operations of the Town oE Southold require the removal and/or alterations in the location of the work herein authorized, or fi, in the opirdo~ of the Boa.rd of Trustees, tl~ work shall cause unxea~onable obstrucaaon to free navigation, the said Permktee will be required~ upon due notice, to remove or alter this work or project herein stated vA',hour exFemes ~o the ~Tow~ of Southold. 9. That the said Board will Be notified by the Permit~ee o: the completion oE the work anth- or'zed. (See tear off sheet.) 10. That the Permittee will obtain all other permits and consents that may b~ =~uked plemental to this perm& which ma), be subject to revoke upon failure to obtain same. Ill BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 October 1, 1984 TELEPHONE (516) 765-1892 Mr. Robert Pellegrini 4515 Stillwater Avenue Cutchogue, New York 11935 Dear Mr. Pellegr~nl: Transmitted herewith is your permit which has been granted Please post your permit number under the Grandfather Clause. on the structure. Very truly yours, Henry P. Smith, President Board of Town Trustees Ilene Pfifferlin~~ Secretary to Board Attachments ~ ~AME OF CREEK BOARD OF TOWN TRUSTEES Town Of Southold BIaln Road Southold. New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS " I. Applicant's hame'and address' 2. Contractor's nome and address: .......................... C' Lid. :3. 13riefly explain the purpose of this application: ................................................................. ~._. 4. After issuance of a Permit, work must be completed within one year, LARGE 5. Secure the correct Area Map from the Clark of this Board, and by using a/X WITHIN A CIRCLE indicate os closely as possible the location of this dock. On. the reverse side of this map, provide a SCALE DRAWING which wilt show Ordinary High War'S{: 'Mark,' the shape and size of the dock and any supplemental pilings which are needed to hold a floating dock or tie-ua n boat. Give all dimensions necessary to determine the area of the dock surface 141q_IC~q EXTENDS OFFSHO~%E from the O. H. W. M. if adjacent propezty owners have docks, specify location and length to scale. 6. Will any portion of this construction extend offshore into Town Waters beyond an imoginan/ line or boundary formed by other similar structures along the oran's shoreline? YES o? NO. If it does extend beyond this so-called deck line indicate by how far, approximately, .......... ft. 7. Provide the fallowing documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. ~'~O'~'Cr,.~) 'i} Short Environmental Assessment Form. Wetlands Application 8. I this cons'rruction require ~'~e Filling of any land offshore of the C)rdlnory High Water Mark or the Dredging of any material from Town Lands under water? YES or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this application. 9. In requesting approval of this application, I subr4it that: the information presented herein is true end correct' to the best of my know, ledge and belief; I om 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. 10. To expedite finding specific location for inspection, indicate . _.~.. by using a temporary marker. :-- -: A/2 R.~v;"2/:q2 ':.'::.. . L S. ' ' ' "" ' " ' " ' Z6.1' M,, o o , ~ o // 'M ? 71.LS