HomeMy WebLinkAboutTR-2050 GF ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUblBERS
ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERMIT NUMBERS
Of $outhold Town Trustees
SOUTHOLD, NEW YORK
Mooring ~ N/ A
~RM, t Nu...~.Q..b.9.. ................. - ~.,.-~:=:-....~=~ ........
"*' :'- ISS ED TO - - --
~ Of fhe Laws of
~ ~he L~ws of
.. WATERS and
UNDER
~of ~o~oZ~ ~. Y. and subj,ec~ ~o
-; ~::~ ~:=mTerms ,and Conditions on .fhe '
" of Soufho~d Town Trusfees i
Application
:-- .~..~to secure a permit for ~ dock
.'-...-~_ <'-in ' Sou~hold' ' ' ' all ~n accordance with the
applicati6n submitted.
~' ,;.-all in accordance wlth fhe derailed specifications as presenfed
' ' i~e or;glnafin9 application. :. ~.~.~.~ :~ :.:_ .
',.~>.~*-~::.~,~ IN WITNESS WHEREOF, The sald Board of Trusiees kere-
' :;~;-~.by cause~ ~fs Corporai~ Sea presents
-;!~.be subscribed by a ma oHty of {he s
Please tear off and return to the Trustees
Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
14OOR/i~G NO.
PERMIT NO. DATE:
ISSUED TO
I, cernify that the work as abthorined
in thls permit has been ccmpleted and is' now ready for your inspec
rich. Also, the number required on this project is clearly visibl
I further understand this permit is no~ valid until this tear shee
· . I'ERMS and CONDITIONS
. The Prrmit~ee Albert Rodenburg
. '"~id[ngat Pine Neck Road,' Southold ~.
pa~ of ~e co~ideradon fo~ ~e ~e oE ~c Pe~t d~ ~de~d ~d p~ to ~e lol-
l_ . . l~ing: 1. That the Southold Trustees Pemit must be prominently
. d displayed on the premises effected thereby during the period of
sufficient ae r~ulred m complete ~e work ~volv~ but ~Id
m ~ra~ ~g ~e or pmjea ~votv~ to provide e~d~ce to ~yone mnc~ ~ an~- ~-'~ '"-.
5~ ~at ~e work ~vol~ed ~I be mbj~ to ~e ~sp~on ~d approv~ of ~e ~d o~'
i~ agent~ ~d non~mp~uce ~ ~e pro~io~ of ~e ori~na~g appli~flo~ ~y ~ ~ ~or
6. ~at there ~ he no ~somble inter~ence wi~
~' herein aufl~o~ed. ~ .
~. ~at ~ere ~all ~ no ~tefference ~ the dghr of ~e
· e ~a~ ~eea high ~d low water ~ks. - '
8. ~at ff lucre operatlo~ of ~e Town of ~old r~uke ~e r~o~f ~d/or ~temfio~
[n ~e ImtBa of ~e work her~ au~o~ or ~ ~ ~e o~m of
~ ~ork *h~ ~ u~mble obsm~on to free na~ga~on.
[ u~n due noti~, to remove or ~ter ~h work or proj~r h~ela stated ~out ~ to ~* To~
of ~u~ol~
9. ~at ~: s~d Board w~ ~ nod~ by the Perigee ot ~e c~ple~on of ~e work ~-
ora:~ (See tear off sheet.)
" 10. ~at &e P~tmlttee wi~ ob~n a~ o&er p~ and
_-~ff~-~'~, ti plement~ to &is pe~t w~ my ~ mbj~ to r~oke upon
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
GRAhrDFATHER APPLICATION
2. Address of Applicant:
4. Year of Construction:
5. Sketch of the work including sizes:
6. Mark off on the map attached, where your proper~y is located
using an X.
Signature: ~ ~~
Please no~e that there is a $5.00 filing fee, which is a one time
fee, for this application.
Mooring Applications- $5.00 Application Fee and a $5.00 annual renewal
fee each year.