HomeMy WebLinkAboutTR-110TOWN OF SOUTHOLD
fi .BOARD OF TOWN
PERMIT NO.
TRUSTEES
provisions of Chapter 615 of the Laws of 1893 of the State of
~er 404 of the Laws of 1952 of the State of New York and in accordance
.~ of the Board of Trustees of the Town of Southold adopted at a meeting
~ay 23, 1960 and in consideration of the sum of
cY!~ ....................
~,;....., lawful money of the United States, paid by. ~.~_..~...,.o..~.~..~.. r.. Terry
¥: Main Re~d, Southold, L.I.
~.~ ............................................................................................... , New York,
%o% Trustees of the Town of Southold, Suffolk County, New York, hereby
_traits said .........~--'--"-'~ '" =----" ~'-.~..=..~:~),~..f.~..."..~....'.~..=.~.~...~..M..¥..~..: ..................................... to
:'2k. 12 feet long and 3 feet wide in front of his
:~h Jockey Creek, all in accordance with the
sub~it ted.
? ~:~id ...................................................................... part of the consid;
'~, Raymond W. Terry, Jr. , as
~,.:Jonce of this permit does hereby release the said Board of Trustees and
~thold from any and oll damages claims for damages or suits that may ori.
~ly or indirectly as a result of any operation carried on under and pursuant t~
.... '~d will at his own expense, defend any and all suits which may be brought by
']']~ result of any operation carried on pursuant to or in accordance with the
.~.~2t~t, and assume full liabilit~ with respect thereto to the complete exc!u
~rd of Trustees and the Town of Southold.
.~,~,. 'Seal
'i;ATE OF NEW YORK
%¸,-
~,:~'~'HJS PERMIT is sub oct to the following terms and conditions:
~:~here shall be no unreasonable interference with navigation as a result of the
~:~'~;~ herein outhori~ed.
-~.~.
there shall be no interference with the right of the public to pass and repass
~.~.~,. ~ that portion of the beach between Iow and h[oh water mark.
~ the work sh~ll be sub~ec~ to the supe~ision ond opprowl o{ ~he s.id ~oord o~
Trees or its agents.
~ '~ . . IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southold has
,~;~;¢, its corporate seal to be hereunto affixed and these presents to be subscribed bv
' :jori~ of the said Board of Trustees, the day and year above written.
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SS:
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,~OU~I'FY OF SUFFOLK
"-~'"' ON THIS...m.2.7..t..h....day of ....... ..J~..~.e. ...................................... , 19 60 , before m
.?.~F!~rsonally oppeored Emmons Dean, of Greenport, NY; Frank Dawson, c
.... '-:.'~..t'~ S~ffolk, NY; John McNulty, of Laurel, NY; Philip Weller,
.... ~-i~,%'' Orient, NY and Alvah Goldsmith, of $outhold, a~pe~onal¥.kn
;'~,'~to me, who, being by me duly sworn, severo(ly said that they each resided in the To~
'" ~ ~"~:-'~hf Sou~hold, County of Suffolk, State of New York, and were members of the Board
.'~fees of said Town of Southoid and constituted a majority of the same; that th
~, .new... the corporate seal of said Town of Southold; that the sea( affixed to the
..; ~nstrument was such corporate seal; that it was so affixed thereunto by order of t
,:-~rd of Trustees of said Town of Southold and that each one signed his name that:t:
'~' ~ Trustee and by like order.
~ .¢. ~ ;~......~z....,,~:.~..:,,¢.. ,: r,,~... ........
.'Notary Public '
POP~I NO. 1
TOWN OF SOUTHOLD
BOARB OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLB, N. Y.
Examined -~.[¢~ ~ ..... 19 .. Application No ..........................................
ApproYed ...~..~z .... -~f-~ ............................ Permit No ....................... /~.(~-- ............................
DisaFproved a. c .......................................................................................................................................
......... ~:~.~.~.x~...~ ...................... chairman, Board of Trustees
APPLICATION FOR PERMIT
INSTRUCTIONS
A. This application to be comple!ely filled in by typewriter or in ink and submitted to the Town Trustees in dup-
licate.
B. Plot plan showing locaticn of lot and build';n~s on premises, relation to adjoining premises, public streets,
parks, elc., and ~ving detailed dc.~cr';ption of prcpcs~d layout of project must be drawn on diagram which is part of
this application.
C. Thc work covered by thi~ application may not be commenced before the issuance of a permit.
D. Upon approval of this applicatien, Town Trustees wi~ issue a pernfit to applicant. Such permi$ shall be kept
on the premises and available for inspection at all times.
E. Applicaut shall notify thc Bcard of Trustees upon completion of the work covered by permit.
APPLICATION IS HEREBY I~ADE to the Board of Trustees cf the Town of Southold, Suffolk C,ounty, New York,
for the issuance of a permit pursuant to the laws, Ordinances and regulations governing construction of: docks,
piers, bulkheads, jettys and dredging in; under, and over the waters of Tewn of Southold. The applicant agrees
to comply with all applicable laws, erdinances, regulations an:l conditions specified by said trustees, and to hold
the Town of Sentheld, and all Town ofllcials free from llabili[y and damages of any kind.
Name of owner of premises . ~27331~. ~..~I~.~....~F ...........................................................................................
Street Address of Property ... P~:.Y~2.~....z~q~d .............................................................................................
Home address If Other Than Location .........................................................................................................
Creek, Bay cr Harbor Fronting Property ........ ~oc.~.~..~f....~l~e.~k ...........................................................................................
Permit Requested To: . ...~7:c ~. ~o.C.k ..................... · .........................................................................................................................
Size of Propesed Work: Length .~L2 £~; .......... Width ~p.~.,...~£.~. .... Heighth Above High Water 1....£.1; .................
Depth Below Low Water ~f~', ...... Average Rise In Tide 2:~i~..~. Yards to Be Excavated ................................
Width of Canal, Creek or Bay Fronting Property .....~.!~ ...................... Depth at Low Tide .~ ...................................
Is This For Private or Business Use? ...... ~3~.~'.~ ~.e ...........................Area Zoning ...3~.e.a~_.dan~±.a]_ ...................................
Complete plot plan to be drawn on reverse side of this application.
STATE OF NEW YORK)
)s.s.
COUNTY OF su£I~olk )
.... i~.,-fmo, lu.d...h[o....T.e, mm~...~ ......... being d~dy sworn, deposes and says that he is the app~cant for the above de-
sc~bed per,t, a~d that a~ statements contained herein are t~e to the best of his knowledge ~d be~ef; that the
work ~ be done in the manner set forth in the app~cation and as approved by the Bo~d of T~stees of the Town
of Southold, and the app~cant agrees to hold the Town of Southold and said trustees hornless and free from any
and a~ damages and claims arising under or by vi~ue of said permit.
. //
......... ~ ........... ~..~:.=:.L- ~-~...)..~ .............
~ (applicant) /,,, ','
Swo~ to before me this ~.~ ........ day of .....~.~.~ ............... 19....~.~ .
Notary public ..................... county of S~.~.~.~k ...........
~) , ALBIN JA~UICK
~¥ 24o
~0
~ 23 '60 ~t to ~ect · aock in ~o~k~y
$ 10 O0