HomeMy WebLinkAboutTR-2179 GF Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
Mooring No.
PERMIT NO....2....1..7...~..: .................. DATE: -:.-dT,~,l..Y,.,,.3....1.,~.Tl.~9 8 6
.... .!SSL, ED TO ......... .= .c....o..~..n..?..:Z..~.~...~.=...~.~..h.~..%.~..e.. ............................................... .; ......
i Pursuant ~to ~the prov[si0ns of Chapter 6'15 of the Laws of
. fhe'~Stafe of New York 1893; and Chapt~;~ 40:4- of the L.aws of the
" s~-.a}e 8f New York 952i and the South01d ~own Ordinance en-
~f[fl~d ~ REGULATIN~ AND THE PLACIN~ O~ OBSTRUCTIONS
~ IN ~AND ON TOWN W~ERS ~D PUBLI~ LANDS and
iL OR OTHER MATERIALS
' On'in accordanFe with the
Re~°lu~ien of The Board adopted a~ a. mee~ng held on ~...~Z....~.~..~
19,z .:a~ and n =onsldera~ on of the sum =f $ 2 :.~2 paid by
, ,:_...Z.'Z.L92E~.~ ~...A:.:..~.~.~.~ ..........................................................................
[e~s and Cond[h%qs- lisfed on the . reverse ~ side hereof,
of;Soufhol8. Town TrusSes aUfhorlzek': and permits ~fhe following:
· o secure a~ pe~ for a doek~ and f~oat on
~Ope~t7 .~ooated at A~s2amoma~ue ~ond, Sou¢ho~d
~ accordance w&t~ the aRpZ&oa~&on"
U~er the Gzandfat2e~ eZause. .
all.~jn accordance with fhe defai~ed speci~icaflons as presented ,n
' fh~ otiglnafing application. - -
IN WITNESS WHEREOF, The ~aid Board of Trustees here-
by causes ifs Corporaf~ ~a fo be and these 0rose fo
bb subscribed by a mkjorify 0f ~ of
'l Trustees
._ Please tear off and return to the Tz~/stee Office.
" 'Board Of Sodth-61d-Town Trustees'
SOUTHOLD, NEW YORK
Mooring Permit No. Date:
M~oring 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 ~his tear-off shee~ is returned to_the Trustee Office.
TERMS and GONDtTIONS
~ne Petn~e~ Cornelia K. Schilke
re~idLng at 426 A Heritaqe Hills, Somers ~. ¥_
p= of ~e comideradon for ~e h~ce of ~e Pe~t d~ ~de~m~d ~d p~ ~0' ~e
' lowing: 1. That the Southold Trustees Permit must be prominently
, displayed on the premises effected thereby during the period of
~.{~-?~"., · .:. ~at ~e s~d B~4 o~ T~s ~d me Town of ~u~old ~ ~I~ed ~om ~y
~i~ r~pect ~ereto, ~o ~e ~mpIez~ ~cl~o~ o~ ~ ~d of T~ o~ ~e Town of
3~ That ~Pe~th~d~ot a ~o~ 1~ m~.w~5~4~to~
sufficient ~ ~red ~ complem ~e work ~volv~ 5nt ~ould ~c~ ~
~or ~ ~e~on may be ~de to ~e ~d at a later dat~ _
:' '5' - -"' 4,~ ~t ~s Pe~t shoed be ~t~ ~def~tely, or ~ long ~ ~e s~d P~ ~
-m m~t~ ~e m~e or pmje~ ~volvM, to provide e~dmce to ~yone ~ncem~ ~ au~-
5~ ~a~' ~e work ~vol~ed ~b[ mbj~ to ~e ~sp~on ~d approv~ of ~e ~d
i~ agent, ~d non-~mp~nce ~ ~e pro. iota of ~e ori~na~g appIim~o% my ~ ~e for
· . ~afion of ~ Pe~t ~ t~oluHon of ~e sald B~d.
6. ~at: there ~ be no ~sonable int~f~en~ wi~ na~on ~ a r~t of ~e w~
herein auto.ed.
z 7. ~at ~e~e shall ~ no ~tefference ~ the d~t of ~e public to p~s ~d ~p~ ~ong "-"
· e ~a& be~een Ngh ~d Iow water ~!~. '
8. ~at · furore operatlo~ of ~e Town of ~old r~e ~ rmovM md/or ~tem~o~
in ~e lo~Hon of ~e work her~ au~o~ or ~,. ~ ~e o~ of ~e B~d of T~e~,
: woxk sh~ m~e u~e~o~ble obs~mon to free navi~on, ~e s~d Pe~ ~ ~ ~ .
u~u due no6ce, to remove or ~ter ~is work or proj~t herein stated ~out ~ to ~= To~
..-. .
9. ~at ~e s~d Board wHl ~ noHfi~ by the Perigee ox ~e cmpIe~on of ~e work
o~e< (See tear off sheet.)
10. ~at ~e Permittee wiR obt~n aR o~er p~m and com~m ~t my ~ r~ m~
plement~ to ~N pe~t wN~ ~y ~ mbj~ to revoke upon f~ to o~
- . : :.. . .. ... · .. .: . - .. .
Name' of Creek: Arsharac~ac~ond ~
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF $OIXYHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
GRANDFATHER APPLICATION
Name of Applicant:
2. Address of Applicant:
3. Telephone Number: ~/v-
4. Year of Construction:
5. S~etch of the work including
6. Mark off on the map attached, where your property ~s located
using an X.
Signature: ~/~ ~
Please no~e that there is a $5.00 filing fee, which is a one time
fee, for this ~pplication.
Mooring Applications- $5.00.Application Fee and a $5.00 annual renewal
fee each year.
TELEPHONE
{516) 765-!892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728 ~) 1~ %~
Southold, New York 11971 -~,1/~ ~ ~. ~
CREEK STRUCTURES INVENTORY
Current Owner's NameCo~t~//& 5GY%'II~- rndex NO.5]~>~
Purchase DaTe:
Telephone No.: Date of Field Work:
Previous Owners:
Permit Applicant:
Permit No.:
Permit Specifications:
Specifications Found:
Condition:
Commen~s: