HomeMy WebLinkAboutTR-355TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
PERMIT NO .... . .~...~.'~..~..( . .
P~,rsuan-t. to the provisions of Chapter 615 of the Laws of 1893 of the State
of New i~0.rk; Chapter 404 of the Laws of 1952 of the State of New York; the pro-
visi,ons of an .ordinance entitled "Southo]d Town Ordinance Regulating the Placing
of Obst.~cfi, ons in and on Town Waters and Public Lands, ~d the Removal of Sand,
Gravel or ~other ~¢ateria]s from Lands unde~ Town Waters", and in accord~ce with
the resolution ,of th.e Board of Trustees of the Town of South, old adopted at a meet-
ing of said Board on ..... ~X~. ~, · .~96~. ....... and in consideration of the sum
of $~0 .... lawful mo~ey of the United States, paled by . .~.
.~, .... , New ~k, the said
~t~, New York, hereby
autl~orized and pe~its said ........ ~Y..~,..~~ .................... to
bUil~ ~ ~k 4~' ~ 4' in ~d Creek, ~
Fee $ 22.50
The said ..... .J.af~. ~.,.. ~!;]2~11 ............ , as part .of the considerati.on
for the issuance of this permit does hereby release the said Board of Trustees and
the T. own of Southold from any and all d.amages cl. aims for damages or suits that
may arise ,o.r .occur directly or indirectly as a result of any operation carried on un-
der and pursuant to this permit, and will at his own expense, defend any and .ali
suits which may be brought by third parties, as a ~result of any operati.on carried
on pursuant to or in accordance with the terms of this permit, and assume full
liability with respect thereto to the complete exclusion of said Board of Trustees
and the Town of South.old.
THIS PERi%IIT is subject to the following terms and conditions:
1. That there shall be no unreasonable interference with navigation as a result of
the work herein authorized.
2. That there shall be no interference with the right of the public to pass and re-
pass along that po.trion of the beach between 1,ow and high water mark.
3. That t'he work shall be subject to the supervision .and approval of the said
Board of Trustees ~or its agents.
4. That if future ,operations of t.he Tow,n of Southold require the removal and/or
alteration in the l, ocation of the work herein authorized, or if, in the opinion
of the Board .of Trustees of the Town of Southold, such work shall cause un-
reasonable obstruction to free navigation, the said -Jay-'$-;.' ~ku~][-]: .......
will be required up.o,n due notice from the said Board of Trustees, to remove
or alter the location .of the work hereby authorized without expense to the
Town of .Southold, so as to render navigation reasonably free and unobstruct-
ed.
The authority conferred by this permit may be terminated 'by the Board of Trustees
for a failure on the part of the said .................... ~T~]~"S'~-"~A']~']E .............................. to
comply with the terms and conditions herein imposed. In fhe event of such termination,
this permit shall be deemed revoked five (5) days after the date whemthe Board of
Trustees shall mail to the said ................. ~"~:,'"~'~T~.' .................................. at the
address given in his application, a certified copy of a resolution of the Board of Trustees
directing such termination.
IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southold has
caused its corporate se,a~l to be hereunto affixed and these presents to be subscribed by
a majority of the sa.id Board, of Trustees, the day and year above written.
r ........... Z ........... ~'~ ........ '~ ............ ·
~" (k' $')TM ' ~' ~
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ON THIS ..... ~.~ ........ day of ............. ~ucj~S.t, ........................ , 19.~..., before me
personally appeared
Alvah B. Goldsmith, Frank DA~on, John F.
~c~ulty, ~eorge ~impson an~ D~uglas Rober~son,
al:li personally known
to me, who, being by me duly sworn, severally said th.at they each resided in the Town
of Southold, County of Suffolk, State of New York, and were members of the Board of
Trustees of said, Town of Southold and constituted a, majority of the same; that they
knew the corporate seal of said Town of Southo~d; that the seal affixed to the foregoing
instrument was such corporate seal; that it wo.s so affixed thereunto by order of the
Board of Trustees of said Town of Southold and that each one signed hiS name thereto as
a Trustee and by like order.
Notary Public
F/1ARJON A. REGENT
No 52-3233Z20 Suffolk County
~e~rm FxpJr~s [Vi. arch 30, t9_.~'7
FOI~,iV~ NO. 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined .............................. 19 ...... Am~lication No ..................
Approved ... J~.¢r~.~,. b.: .,4.~/.e'..G'~ ': ............... Permit No ~' ~ ~-~
Disapproved a/c ............ ,..~ ....~.~. ~7 .... ~.. ~'
~,¢.~///'/,~,.:7_/'~/./':?f~. ,,4 :' ' '~L' '~, .' ........................................... . , ..........
-APPLICATION FOR PERMIT
INSTRUCTIONS
A. This application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup-
licate.
B. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public streets,
parks, etc., and giving detailed description of proposed layout of project must be drawn on diagram which is part
of this application.
C. The work covered by this application may not be commenced before the issuance of a permit.
D. Upon approval of this application, Town Trustees will issue a permit to applicant. Such permit shall be kept
on the premises and available for inspection at all times.
E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit.
APPLICATION IS HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, 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 Town of Southold. The applicant agrees
to comply with all applicable laws, ordinan.ces, regulations and conditions specified by said trustees, and to hold
the Town of Southold,' and all Town officials free from liability and damages of any kind.
Name of owner of premises .......... , ..~:~ ....... .~...~. ....... /.'.~.~?~.~.~.~.Z:...g.: ........................... ~ ....
Street Address of Property ............... ..~..~.-.~....~....~.~.~.....?~.~..~. ......................................
I-tome address If Other Than Location "~ ~5~ C~ ~-~ ~¢:~'~"' '~': ~ '~?'~'~' '~' "~'" :~:C,,~ .... .~.-~ ~_..t ,~;~i~.'~4~.~...
Czeek, Bay or Harbor Fronting Property .[~¢?.,.~.?~..... >.~.-:r.~.~.,..~..~ ........ '~""657'~' "~ '~'- '('/'~' ' ' '[~'~'~'~'4~7' 'U'
Permit Requested To: ..~.~..~?.t~.~.~. .... ~.~./.'.~ ...............
Size of Proposed Work: Length~ ...... .~.~ ....... ,\¥idth.. :.~.. ...... .~l-teighth Above High Water .... ~ ........
Depth Below Low Water...2~. ........... Average Rise In Tid~e .... ~ ....... Yards to Be Excavated
Width of Canal, Creek or Bay Fr°nting Proper~y..[...j,. Y?'~ ........... Depth at Low Tide ....... ?..~. ..........
· . . .
Complete plot plan to be drawn on reverse side of this application.
STATUE OF NEW YORK )
Sworn to before me this... '. ..... ~_.._d~z~.~2~ ~. 1~...
P