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HomeMy WebLinkAboutTR-3815E John M. Bredemeyer RI,President �OgUFF04c Town Hall,53095 Main Rd. Michael J.Domino,Vice-President ��� �Gy P.O.Box 1179 a James F. King Southold,NY 11971 Dave Bergen Telephone(631)765-1892 Charles J.Sanders l � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: a�,.�C.­I, _ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 s1 day of construction / % constructed V Project complete, compliance inspection. - F01- Cnner8enc,v-Pcn�.�����'�C INSPECTED BY: COMM T ✓�/ _ (����� ah 1 Ito D pc Zd 17,, <, CERTIFICATE OF COMPLIANCE: No. 3�15 -E �urriCanc.. So►"��► fe-rM4- Issued. Ta'^ ate ,� L��9 Address- i G. Sou.-! 1 1J.-_ THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION SOU'THO'LD TR-USTEES 'SOWN TRUSTEES OFFICE,TQWN OF SOUTHOLD -SOUTH4LD, N:Y. 11971 TEL:: 76511892 ^�i ww• _ r dt Of --A-A IL � -� a �f- • �.:4rL• �; �• a .'ir s w� ',L ''�'' :.� 1YC� �'� y�y. a-G��; -s �• ell t Tom" �•� �fiT a �r {� r- - .rt�- rra•.s, ` AV m w y Ir t Nol s i a - �` i ,r °" ,. , - :tA � °`���r .c,'.. may_ �"^' ""' •e:� 4',' ,,� - tiv�i . ems ti' 7 �4 J'• �''_ r�.It�s`,�r"`�'`-�+" a'��*�'?"' "H,�y'.�y..,`.�7�>Ti'"q�F,�' '"�` _ '' :Board Ofl. S:outhld Town: Tr �, �v. r. SOUTHOLD,'NEW.YORK . •� `i' �a. :yam . ' :� i. 'PERMIT'NO ..:3. � ��:� ��g; A .v. 15 ... 8- ..• i , u-tia :ta#tt DEC = � gs t; 4� Pursuant.to the provisions of.Chapte 6.15 of t�i@i �v�rs pf the State'of New.York, 1893,•and C,I,a t r 4, 4.of the L�awstof t1ts p o-� State`.of 'N:ew Yark 1951'and the Southold:Town Ordinance en s ' tr+led'"REGULATING AND' THE PLACING Off: OBSTRUCTIONS'- IN AND ON. TOWN: WATERS AND::PUBLIC- LANDS. and the; REMOVAL OF-SANp, GRAVELS OR OTHER MATEkiALS FROti! LANf�S'°UNDER TOWN WATERS;" and :iri accordance with.the; Resolution of The Board'adop &`at.a meeting held on..;aept...... 6.: 19....8.9.::, and' in consider' 'of the sum of tt •. paid by; ............................................ .. ... NI ................................ .. ............... N. , sqf of ...... Y. -and subjecf to the-. ` - I Terms.: and. Conditions listed on. fh(e.. reveise. 'side, :hereof, 5 ' a=. of Southold Town T ustee's'authorizes.ani�.permits.the:following.Y;' %. To construct 4' X 20',fixed..dock, 4' X I6' ramp, :two 6? a° 16'-, floats, install 9 pilings on ro ert located.on E �� . .��`r �[. • P. . g P P Y R.O.W. off Narth B.ayview Road' Southold. all in-accordance with, the detailed specifications as presented- in as �yk the originating application. IN WITNESS WHEREOF, The. said Board.of Trustees Mere- � . .- by causes its Corporate Seal to be affixed,..and these:presents.ao. be,subscribed .by a Mr 4ijority:of the.said Board as.of.this.date. Cn - --� � v, .'ter.••- . �:- � �.w� , - - ..... a.. +�•` �; N�, ;i . Eon:��a•y it� Y�,y^+i fa ,:i,«�%'�h..�'g+.,vil.C4'a^.s+cs�Cs,m.��F•g�e--r,�i���a+v �+ =,:-�sc��,�,e.'�!>..n r � �1 ' x s�w,i�� �$�vc �AtiX� �5fu�g„E�' �,� �` i ;� � �f,• #,3��ti„i. �` �i�k��' �V '•;;�'�"�� ;t�' .t',�_` j �.. v�� u';;,i:�6�w.►b.%fi 43+i. 56�..,- r' r �•2�.Y �$?F �'?.- 3? }a2 Yc�: N 7 - . t it - f r�,,$T. " �,�„��u -i"ii9 !,�a "'ir�,y�.� � ��- Y �.� �A�•�►;�a;:z. :�i a,.y- �� f �. 1 ' r' keep :� ::` •�:���;':,;:.: ?. . o : r' 3 to/�. ��"•�. � �, ' •I 4 i it Ai PuiQPnSc''. P RAIA.'TE''..3QA'r �ocK � a V . r . y D ,y FL 0/9-rS x fl o12 00 �p ,E4c., ORO T-F/Y o o ti .�>ca SE CQ.sFir / ou TNo� f E yam"� —f •� 1 1 V 0 t.. -- -- E em.�m. 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B 70 6a ^ m P vn om Ixo 1000 II nD EC VE A2: s ZvIZ Southold Town Boar f Trus ees TROPICAL STORM SANDY EMERGENCY APPLICATION Valid thru June 1, 2013 Property Owner Name: VA MCA FA cve Permanent Mailing Address: Save yR2ggn ' -el Phone Number(s): 3 ( - 9"0-036 X Property Address: gS V N l7A+UI i✓✓,0 U) /Z-, 1171 �f 1 Suffolk County Tax Map Number. 1000 - o_ I � Agent (if applicable) Address: Phone Number(s): Board of Trustee Permit Number(s): Will any part of this project require a Building Permit? How much fill will be required? j'l one � Project Description: r do CI< 1 �I County of Suffolk State of New York VA� BEING DULY SWORN DEPOSES AND . T T HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature or Pr6Vrerty Owner I 1 SWORN TO BEFORE ME THIS DAY OF ,20 0— �P Notary Public CONNIE D. BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2Q �, r i 1'