HomeMy WebLinkAboutTR-1740 GF ALL .%IOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING N=-IBERS
ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERMIT NUMBERS
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Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
Mooring #
M 1740 27 1983. ............................ Oct.DATE: ... ..... �3. -N�5
ISSUED TO ............Beatrice C. Davids
............................................................................................................................
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§74
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Pursuant to the provisions of Chapter 615 of the Laws of
State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952; and thee -Soufhold Town Ordinance en'-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AN
D ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a-,meeting held on
19A.L., and in consideration of the sum Of ...........5...........00....... paid by Beatrice C. Davids
..................................................................................................................................................................
............................................................. N. Y. and subject to the
K Terms and Conditions listed on the reverse side hereof,
of Sou
thold Town Trustees authorizes and permits the following:
w:
" Application Approved to secure a permit number fo
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a dock in Mud Creek, under the Grandfather Clause
all in accordance with the detailed specifications as presented in
the originating application.
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IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal to be affixed, and these presents to
be subscribed by a majority of the said Board as of this date.
.........................
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Please tear off and return to the Trustees
Board Of Southold Tov.ln Trustl-ees
Grandfather SOUTHOLD, NE ALL L)o AND EIJLKPW YORK
Clause ,,(_ IFEADS N%LJST
MOORING NO. MBERS
015PLAY VISIBLE PERMIT NUI
PERMIT NO.__.1740 DATE: Oct'.. 27 , 1983
15-SUED TO Beatrice C. Davids
cerz:if! that the wozi. as authorized
in this nerm.it has been ccmpleted and is n0W ready fcr your inspec-
ticn. Also, the number required on lkh-; z
- ect is cleariv vis;*nle.
I further understand this permit is not ' i -J`lid un"-il this tear sheet
is re7:,_!:7nei to the Trustees. A1 1 , r)tNf-vr
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TERMS and CONDITIONS
The Permittee Beatrice C. Davids
residing at. P.O. Box 142, Bay Avenue, Cutchogue N. Y.
part of the consideration for the issuance of the Permit does understand and prescribe to the fol-
lowing: 1. That the Southold Trustees Permit must be prominently
displayed on the premises effected thereby during the period of
That the said Board of Trustees and the Town of Southold are released from any and work
all damages, or claims for damages, of suits arising directly or indirectly as a result of any oiler- unde
4 the;tion performed pursuant to this permit, and the said Permittee will, �at his or her own expense,
;defend any and all such suits initiated by third parties, and the said Permittee assumes full liability permi
with respect thereto, .to the complete exclusion of the Board of Trustees of the Town of Southold
3.. That this Permit is valid for a period of 12 mos. which is considered to be the
sufficient time required to complete the work involved, but should circumstances warrant, request
for an extension may be made to the Board at a later date.
4.: That this Permit.should be retained indefinitely, or as long as the said Permitree wishes =
to maintain the structure or project involved, to provide evidence to anyone concerned that auth-
orization was originally obtained,
5. That the work involved will be subject to, the inspection and approval of the Board or
its agents, and non-compliance with the provisions of the originating application, may be cause for
revocation 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 of the public to pass and repass along
the beach between high and low water marks.
8. That if future operations of the Town of Southold require the removal and/or alterations
in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the
work shall cause unreasonable obstruction to free navigation, the said Permittee will be required,
upon due notice, to remove or alter this work or project herein stated without expenses to the Town
of Southold.
9. That the said Board will be notified by the Permittee of the completion of the work auth-
orized. (See tear off sheet. )
10 . That the Permittee will obtain all other permits and consents that may be required sup-
plemental to this permit which may be subject to revoke upon failure to obtain same.
� 3
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
. October 28 , 1983
Mrs. Beatrice C. Davids
Post Office Bos 742
Cutchogue, New York 11935
Dear Mrs. Davids :
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
Ilene Pfiffer bing�
Clerk to Trustees
Attachment
FOL,
74
En
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
CREEK STRUCTURES INVENTORY
Current Owner' s Name: i'5_1?ilk 4-n,r,P Index No .
Address: P , D
Creek:
Purchase Date:
. r
Telephone No. Date of Field Work:
Previous Owners:
Permit Applicant :
Permit No. : "� u
Permit Specifications:
Specifications Found: ) X 15
Condition: n �
Comments:
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NhtLE OFCP.rEK �I U D C, Re-F !�r/ ALL DOCKS AND BU
LKHEADS MUST
DISPLAY VISIBLE PERMIT NUMBERS
BOARD OF TOWN TRUSTEES
Town Of Southold
Hain Road
Southold, New York 11971 rq
I"� UALJ
APPLICATION FOR FLED and/or FLOATING DOC �����
rs
U 1. Applicant's name and address: ...��Ke.......q....;PA.ja.P5'..... ..........................
XAY..:�� ........... ...... y �.12. ....... .`.r-..............................Tel J�
2. Contractor's name and address: ..................._................................................................................
........................................................................................................T e 1...........................
3. Briefly explain the purpose of this application: ...7T .......R-6-GII' k..'� .....,,,,so,,,.,,,,,
.......: f:-}AJ......!e�........5.0�.L : .......�. .... r� rY....... 3.....
..................................................................................................................................................................
..................................................................................................................................................................
4. After issuance of a Permit, work must be completed within one year.
LARGE
5. Secure the correct Area Map from the Clerk of this Board, and by using a/ X WITHIN
A CIRCLE indicate as closely as possible the location of this dock. On the,reverse side of this
mop, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape
and size of the dock and any supplemental pilings which are needed to hold a floatina dack
or tie-uo n boot. Give all dimensions necessary to determine the area of the dock surface
�, ICg EXTENDS OFFSHORE from the O. H. W. M. If adjacent property owners have-
docks , specify location and length to scale.
6. Will any portion of this construction extend offshore into Town Waters beyond an imaginary
line or boundary formed by other similar structures along the area's shoreline? lgi� oir NO.
If it does extend beyond this so-called dock line indicate by how far, approximately...........ft,
7. Provide the following documents:
(a) A Licensed Engineer's Survey of the property involved.
(b) A copy of the Contractor's Plans and Specifications.
((c Short Environmental Assessment Form.
ld. Wetlands Application
8. Wi I this construction require the Filling of any land offshore of the Ordinary High Water
Mork 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 subrrSit that: the information presented herein
is true and correct to the best of my knowledge and belief; I am the person accountable for
the performance of the work in accordance with the plans and specifications attached; I have
read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work
involved; and further, I intend to achere 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®s ---� /
A/2 Rev'. 2/8 2 L. S. .��.. �1''r .r:a.Gc. ........
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