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j' Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
Mooring No. N/A I
PERMIT NO. 2209
y .............................
DATE: Augus ....2 ......1986
�N;
[ a IC5UG11 TO Paul Forestieri
........................... .............................. ........................................................................
Pursuant to the provisions of Chapter 615 of the Laws of �►�` .''� .
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952; and the Southold Town Ordinance en-
titled REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the w� '
<., .� REMOVAL OF SAND, GRAVEL OR-OTHER MATERIALS FROM
30 LANDS UNDER TOWN WATERS;" and in accordance with the "k '
Au u s t 28,
;• II Resolution of The Board adopted at a meeting held on .......g....................
19.86:.... and in consideration of the sum of 5.00 I .
.� $.............................. paid by
:>
' Paul Forestieri
>'< =� of ........Southold...... ........................... N....Y. and subject to the r ',c
...... ... .
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
Approval under the Grandfather Clause to secure a permit
!`
• �, , � PP p • F;� ,.
yl for a Dock, , including a walk and floats all in accordance
with the application submitted. 'p
1I all in accordance with the detailed specifications as presented in
< .. ;.
• - "��:/%%' '+� the originating application.
<' C IN WITNESS WHEREOF The said Board of Trustees here-
by causes its Corporate Seal to be affixed, and these presents to
} ;a be subscribed by a majority of the said Board as of this date.
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Trustees...................
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Please tear off and return to the Trustee Office.
Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
Mooring Permit - No. Date:
Mooring 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 this tear off sheet is returned to the Trustee Office.
TERMS and CONDITIONS
The Permittee Paul Forestieri
residing ati 845 Mill Creek Drive, Southold N. Y., as
' Jp61L 'Vl LL!C \.V1L71Y1E1a4a3V' 1V1 tLL{r 17 Va'Yak: L i:a114L YVN 4LLY •1lbJLltV�. LV ...G aVi- '
lowing: 1 That the Trustee Pemit most be prominently displayed on the premises
effected thereby during.the period of work under the permit.
1. That the said Board of Trustees and the Town of Southold are released from any, and
all,damages, or claims for damages, of suits arising directly or indirectly as a result of any oper-
ation 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
with respect thereto, to the Complete exclusion of the Board of Trustees of the Town of Southold
2. That this Permit is valid for..a period of 12 mos. which is Considered to be the
estimated 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.
3. Tliat this Permit should be retained indefinitely, or as long as the said Permittee wishes
to ;maintain the structure or project involved, to provide evidence to anyone concerned that auth-
orization was originally obtained.
4. That. the work involved will be subject to the inspection and approval of the Board or
•_its 'agents, land non-compliance with the provisions of the originating application, may be cause for
revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of'the work
herein authorized.
G. 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,
7. That if future operations of the Town of Southold require the removal and/or alterations
in the locatron of the work herein authorized, or if, in the opinion of the Board of Trustees, the
work shall I 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._
8. That the said Board will be notified by the Permittee of the completion of the work auth-
orized.
9. That the Permittee will obtain all other permits and consents that may be required sup-
elemental to this permit which may be subject to revoke upon failure to obtain same.
(See .tear off sheet.)
I ON Ulm IMMA11--vVy'll
it ...
Name- of 'C'reek: k mi U Ue
VFW
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
GRANDFATHER APPLICATION
dock
1. Name of Applicant: i Ga s /' L'F"�,11' < xv
2. Address of Applicant :
3. Telephone Number:
4. Year of Construction: C C- 2
5. Sketch of the work including sizes:
&
f-I l G 1 w,+T r R L_ t ry r
LI
r
a3 3
6. Mark off on the map attached, where your property is located
using an X.
Signature:
Please note 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.
XL-a�
P
• ,rz � a 3
P t h
:a r TELEPHONE
(516)765-1801
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
PLEASE FILL OUT THE FOLLOWING FORM AND RETURN WITH YOUR SIGNED
STATEMENT:
1. Was the struc re put in in accordance to the plan submitted?
.Yes No
If no, please explain on the reverse side.
2. Was structure placed on the applicant' s property according
to the plan s mitted? ( The distance must be at least.
15 feet from his neighbor' s line. )
Yes NO
If no, please explain on the reverse side.
3. Is there easy access over or around the structure, so that
pedestrians c {1 move along the public' s right of way below
high water m k?
Yes NO
If no, please explain on the reverse side.
4. Is the struct e high .enough so as not to inhibit the growth
of the natur grasses ,along or below the structure?
Yes NO
If no, please explain on the reverse side.
5 . Additional comments:
Date
Signature f Trustee
Name- of.'-reek: , I rnr'-na e
6!v7 • �a\�.Jhrt lr. y�ve
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
GRANDFATHER APPLICATION
Cad C�(
1. Name of Applicant:
2. Address of. Applicant: , lC
T) I
,
3. Telephone Number: ��-
4. Year of Construction:/
5. Sketch of the work including sizes: `t'
r
— 10
6. Mark off on the map attached, where your property is located
using an X.
Signature:
Please note 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.
_� pg. is• '�
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: r5�► ( .E Index.-No.
Address• m ( t � C
Creek:' Y `7C1(r`i�C„r'��1-C1 q �j n
7
Purchase Date:
Telephone No. : Date of Field Work:
Previous Owners:
Permit Applicant:
Permit No. :
Permit Specifications:
Specifications Found:
Condition:
Comments:
X-C
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5
F
TELEPHONE
(516)765-1801
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
PLEASE FILL OUT THE FOLLOWING FORM AND RETURN WITH YOUR SIGNED
STATEMENT:
1 . Was the structure put in in accordance to the plan submitted?
Yes No
If no, please explain on the reverse side.
2. Was structure placed on the applicant' s property according
to the plan submitted? ( The distance must be at least.
15 feet from his neighbor' s line. )
Yes NO
If no, please explain on the reverse side.
3 . Is there easy access over or around the structure, so that
pedestrians can move along the public' s right of way below
high water mark?
Yes NO
If no, please explain on the reverse side.
4. Is the structure high .enough so as not to inhibit the growth
of the natural grasses along or below the structure?
Yes NO
If no, please explain .on the reverse side.
5 . Additional comments: : ;
Date
Signature of Trustee
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BOARD OF TO
WN TRUSTEES
53095 Main Roud
S TO«'N OF SOUTIIOL.D
Phone 765-1892
Southold, N."Y. 11971. A,.T9 `
RECEIVED pF; . `" Da le 84 ^
For
Dollars $ S.
A Cam d Check BOARD
�, / L�S OF TOWN TRUSTEES