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Home My WebLink AboutTR-1678 GFALL :'[CO.qi':GS AND S..=.,--o ~.US. DISPLAY ViSzz~z~ ~'.~;'.±~,u ~;U:'~BEF. S "~ ALL DCC2<S AND BULiUHEADS b[UST DiSPL;~¥ ViSiBLE PEFC'~-IT Aq3bLBERS :?:. L'_~-.-~ ~ '~'- .-~."~:'~,~'--"~';-"- ~'~;':'. - - -'~ · .o, rd Of Soutno!d own Trustees SOU-HOLD, NEW YORK ~ERMtT NO... ~.~.7..~. ................ '- ~ DATE: ...~.~.= ...$~. 198 TO. ......... ' Pursuant ~m iNe provisions ~ CN~pi~r 6t5 of the Laws ~ ' +Ne Siaie ~ New Yor~, 1893; ~n~.CH~mler 404 o~ t~e Laws o~ Siaie o~ New Yor~ 1%~; an~" ' " The Sou*nol~ Town Ordnance +,le~ REGULATIN~ AND TH~ PLACING OF OBSTRUCTIONS IN AND ON,TOWN ~TE~S AND PUSLIC LANDS an~ ' REMOVAL O~ SAN~ GKAVcL OR OTHER M:AT~R A~,FROM - EANDS UNDER TO~N WAT~RSi" ~n~ in accmr~anc~ wffN iNe ' , , j Donald Shaw '-'~ o~ Shet~er Island N Y. and su~ec~ %o Te~ms an~ Con~ff~ons lis+e~ on ~he ~everse ~i~e hereo{, o{ oou~na. Town ~fus~e~s~au~hodz~s and ~erm;~s ~ne ~o Application approved under the Grandfather Clause to ~cure.a pe~it nu~er for a dock in ~ Creek. all ;n -~ *' ' accc,~ance w~n ~ne ~e~a~[e~ speed'icad;ohS as presenfe~ ~he orl~naf~n~ IN WITNESS WHEREOF, The said ~oard o~ Trusfees here- 'by causes frs Corporafe Se~l fo be effize6 and ihes~ pres'bnfs be subscribe~ by a ma*orifl y o{ fhe said ~oara ~ ' as of fhls daf.e. TER~S and CONDITIONS Donald F. Shaw ~ permit r:~idln§ at 12 Dickerson Dr. S.I., zor prop. at Nattituck ~. y, pa~ of ~c co~d~rauon for ~ ~cc o~ ~e P~: d~ ~de~d ~d ~ to ~: low{nE: 1. That the Southold Trustees Permit mus= be prominentl[; displayed on the premises effected thereby during the period 2. ~K~t ~e ~d B~ of T~s ~d ~c Town-of ~u~o[d ~ ~ed from ~y ~d ~ damages, or da~ for dmag~, of ~= am~g ~y or ~r~Jy ~ a r~t of ~v adon ~rfo~d p~=t to ~s ~q ~d ~e ~d Pe~r~ w~g at ~ ~her own defend any =d ~] ~u~ ~= ~t~ by ~d pa~, and ~e ~d Pe~=~ ~ ~ wi~n respec~ ~ere.o, to ~e ~mpl~e =dmion of ~e ~=d of T~e~ of ~e Town of ~oldPermlt-:~ 3. That ~ Pe~: ~ ~d Eot a ~ of .O~T~ ~A~ w~ N ~d~ to su~ficien~ ~e r~uired to complete ~e work ~volv~ but should ~c~ w=~ 4 ~at ~s Per~t shoed be rera~ ~def~tety. or as loag ~ ~ s~d P~e to maintain ~e s~e or pmje~ involve, :o provide e~d~nce to ~ 'one mncem~ ~ orkafion w~ ori~lly obtMned. 5- ~at ~e work ~volved wHI be ~hj~ to ~e ~sp~on =fl approvM of ~e ~d or i: agents, and non-compEance ~Sth the provNio~ of ~e ori~ga~g appEm~o~ ~y ~ ~,,~ for revocadon of this Pe:it by r~olu~on of ~e said ~. ~ar there wHi Be no ~r~sonable inrerf~eace wi~ ~n ~ ~ re~ o~ ~e herein 7. That ~eze sha~ ~ no ~te~erence w{~ the ~ghr of ~e ~bEc to p~s ~d rep~ ~ong ~he bea~ be~een high and Iow water m~ks. in the location of ~e work her~n au~o~2~ or ~, ~ ~e opi~ of ~e Bo~d of T~e~ work ~B~ ~use u~e~onable obs~on ro free ~avi~aHom ~e ~d Pe~mee MH ~ u~n due notice, ro remove or alter ~s wor~ or project herein sra*ed ~our ~ to ~e To~ of Souu~oi~ o~ed. (See tear off sheet.) pJemenr~ to ~{s pe~: whi~ ~y ~ ~ ~o revoke upon f~-to o5~_ .... BOARD OF CREEK ~ ~/~ Towh of Sbuthold Main R~ad YOUR 0R~GINAL PEt~tT NUMBER Southold, New York 11971 /i78., 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:..../~.~.~...~. ~.~...~.~.~. ~¢ ~-~-.. . .... 2. Contractor's Names & Address:. .. ................................................. Tel. No ............... 3; The purpose of this application: Redriving or replacing openwork dock or openwork pier piling, and mooring piles, removal of damaged Pi!lng, repair, resetting or replacement of floating docks, ramps, or decking, alt necessitated by ice and storm damage resultin~ during 1981-82 winter. SPECIAL CODiTtONS 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 replacement of bulkheads is permitted under this permit. 4. ~o freshwaeer or tidal wetlands are to be disturbed under any circumstances. .5. A yellow permi% sign provided by this office shall be displayed on the pro3ect at all times while under replacement. 6. Original permit numbers (3" high) must bo permantl7 displayed on project. TELEPHON~ (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, $3095 Main Road P.O. Box 728 Southold, New York 11971 September 27, 1983 MX. Donald Shaw P. O. Box 516 Shelter Island, New York 11964 Dear Mr. Shaw: Transmitted herewith is your permit which was granted under the Grandfather Clause, for your structure. Please post your permit number on your structure, so that it can be seen from the water. Thank you for your co-operation, in regard to this matter. Very truly yours, Board of Town Trustees Clerk to Trustees Attachment Town 0£ Southold . ~f~ z",.[ a ;.n Road D~y VISIBLE PE~. NUMBE~ 2. ContraCtor's name ond address: ...PJP.~o .~. ............................................................... 4. After issuance o~ a Permit. work must be completed within one year. ~RGE 5. Secure fhe correct Are~ ~aD from the Clerk of this Board, ~nd by using a/~ WITHIN A CIRCLE indiccte os c[ose[? os possible the location of this docK. On. th~.Xeverse sioe of this mop, provide a SCALE DRAWING which will snow Ordinary High Water Mark, the cna size of the dock and any su~oJementaJ 8i[ings which are needed ~o hold a floating or t/e-ua ~ beat. Give aH dimensions necessary to determine the area of me dock surface i~HZCH EXTEl'DS OFFSHO~ from me O. ~_ W. m. Zf adjaeen2 prope~y owners have ~ocks, specify location and length to scale. 6. Will any portion of this construction extend offshore ~nto Town W~¢ers beyond an imagin~ line or bounda~ formed by other similar structures along the arec's shoreline? YES or NO. If it does extend beyond this so<alIed d~k line indlcate by how far, approximetMy,. ......... ft 7. Provide the following documents: (a) A Licensed Engineer's Survey of the prope~ ~nvolved. (b) A copy of the Contractor's Plans ~nd Specifications. ¢i~ Short ~ ~ =' Assessment Form. Wetlands +Application 8. [ this construc,ion require the Filling of any land offshore of the OrdJno~/ High Water Mark or the DredgMg of any materisl from Town Lands under water? YES or NO. If it does, Form A/4 (Applicst,on For Dredging/Filling) must be completed end attached as part of this application. 9. In requesting approval of th~s appI[cction, I sub,it that: the information pre,anted herein is true end correct to the best of my know, ledge and belief; I om the person eccountabIe for the performance of the work in accordance with the plans andspeciflcations~ttached; ~ have read or am familiar w~th the provisions of ~ny 5outho~d Town Ordinance pertinent to the work ~nvolved; and further, ~ inter~d to adhere to and cbld~ by ~he Terms and Condition~ of the Permit, when and if issued to me. 10. TO expedite finding specific location for inspection, indicate · ~ by using a temporary marker~ · ~ ~ ._. -'r. 'Q'-.~-~' ~. "~--:~ - "7::.~:'~L::;'~:~':rR:~" R~4~ 2/82 ...- L ~ 2. :~,~..2