HomeMy WebLinkAboutTR-725Board Of
$ou ho]d Town
SOUTHOLD NEW YORK
PERMIT NO. 725 DATE:..J[une 5, 1972
iSSUED TO Nargare.~ .~?a. gner
Pursuanf fo fhe prov[sions of Chepf.er 615 of fhe Laws of
fhe Sfafe of New York, t893; and Chaplet 404 of fhe Laws of fha
Sfafe of New York 1952: and fhe SoufhoJd Town Ordban~e en-
flfled "R
EGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and fhe
REIvIOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;'" and in accordance wffh fhe
Resobfion of The Board adopfed afa meefbg held on June 5
~9 72, and in cons[derafion of fhe sum of $ 6.40 paid by
Margaret Wagner
o{ Garden City, N.Y. and sub[ecl fo fhe
Terms and Condlflons Jisfed on fha reverse side hereof,
of SoufhoJd Town Trusfees aufhorizes and permffs fhe foJbwbg:
construct a dock, 16 ft. by 4 fno at orivane
rood on south side Corey Creek Southold New
York, ' '
all in ~ccordance wifh fha derailed specfficafions as presenfed in
fhe or[g[naf~ng applcafion,
IN WITNESS WHEREOF, The said Board of Trusfees here-
by causes ifs Corporafe Seal fo be affixed,
be subscribed by a ma[orffy of fha sa;d Boardandasfheseof fhisPresenfsdaf,e.
fo
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TERMS and CONDITIONS
The Permiaee Margaret Wagner
residing at 142 Whitehall Boulevard, Garden Citv, N.Y., as
part of the consideration for the issuance of the Permit does understand and prescribe to the fol-
lowing:
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 dLrectly or inclirec~dy as a result of any oper-
ation performed pursuant to this permit, and the said Permittee wi!l, at his or her own expense,
defend any and all such saks irfitiated by third parties, and the said Perrrdttee assumes full liability
with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold
2. That this Permit Ls valid for a period of ~__ mos. which is considered to be the
estimated time required to complete the work involved, bur should circumstances warrant, request
for an e_~ension may be made to the Board at a later date.
3. That 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 knspection 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.
5. That there will be no unreasonable interference with navigation as a result of the work
herein autkorized.
6. That there shall be no interference with the right of the public to pass and repass along
the beach bet~'een high and Iow water marks.
7. 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 ~vithout expenses to the Town
of Southold.
8. That the said Board will be notified by the Permirtee of the completion o£ the work auth-
orized.
9. 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.
BOARD OF SOUTHOLD TOWN TRUSTEES
TO~I~ CLERK' S OFFICE
SOUTHOLD~ NEW YORK 11971
Form
NOTICE OF BOARD ACTION
To: Mrs. Ernest Wagner
142 Whitehall Boulevard, Garden City, New York
11530
Your application, Number 725 has been revzewed by the Board
at a regular meeting held on June 5, 1972
and the following action was taken:
application granned to construct a dock 16 ft. by 4 ft. at
private road, on south side Corey Creek, Southold, New York.
o
**Note:
If your application was approved, a Permit Fee is now due and
payable to the order of the Board of Southold Town Trustees
and is computed as follows:
Form A/i-- (application)
Form A/2--(to moor a boat)
Form A,/3--[bulkhead)
Form A/4--(docks) 16 f~o by 4 ft.
Form A/5--(dredging/filling)
Other Charges:
S ~xX4~mum Filing
S
$
S 6.40
** Total Permit Fee $ 6.40 ~¢t\
If this Total Permit Fee is paid in person the Permit is
obtainable at the same time; if paid by mail, the Permit
will be mailed°
3. Comment and Remarks:
Chairman, Bo~d of Town Trusnees
d', { ~r/~ Secretary
FOI~IV[ NO. I
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ...... >.'7-.i ...~.2.,-:'. ..................... '"'Pe;mit No
DisapproYed ...... '~,,~'~'~7/~;'~j~ ......................................................
......... ~..~e,~ .... ....... -~i'. ............ chairman, Board of Trustees
APPLICATION FOR PERMtT
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 pro~ect must be drawn on diagram which is part of this
applica~tion.
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 wilt issue a permi'~ to applicant. Such permit shall be kept on
the premises and available ~or inspection at all times.
E. Applicant shall notify the Board of Trustees upon completion o~ the work covered by permit.
APPLICATION IS HEREBY MADE to the Board of Trustees of the Town of Southotd, Suffolk County, New
York, for the issuance of a permit pursuan't to the laws, Ordinances an.d 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 w/th all applicable laws, ordinances, regulations and conditions specified'by said trustees, and to hold the
Town of Southold, and ail Town officials free from liability/~ damages of anW kind
Name of Owner of Prem~*.~~ .'.~ ~'~'
.._ . '~ ...:[ ........... .~-~.~.~.~...:-..~... ........................
Street Address of Property .'.~ ............... ~~ ~~'~) X~~~~ 7~-
~ ~ ~ .:'."e~~z~--~' ............ ~ ..... ' ' . .............. ~ .......
Home Address ~ Other Tha. Location Z~¢.
Creek, ~ay or Harbor Fron~ng Property ...~~A .~-/~ ...................................
Permits Reques'ted To: .. fi~ ¢~'g<'~ ~e~ ............
. · ........... ................... > .......................................... ,> .....
S~ze of Proposed Work: Length .... ~ ........ Width . .~ ....... Heighth Above High Water... ff~...
Depth Below Low Water .~.~. tz._ ~.~.. Average Rise l.n Tide ~ / Yards to Be Excava'ted
W~dth of Canal, Creek or Bay Frontin Pro e't' ~C~t/<~~ D n Low Tide ..~.~(T.Z( ......
g ~ P ,~y ........ , ............... e~_th at
Is This For Private or Business Use?...~~.~. .... j} ................... Area Zoning ..
Complete plo't plan to be drawn on reverse side of this application.
STATE OF NEW YORK )
)s.s.
.... · ~-~ff.((.g-~..~...)./{../P.~.~..'.~:.~. being duly sworn deposes and says tha~he is the applicant for the above described
permit, and 'that alt statements contained herein are true to the best of his knowledge and belief; that the work
will be done in the manner se't forth in the application and as approved by the Board of Trustees of the Town of
Southold, and the applicant agrees to hold ~the Town of Southold and said trustees harmless and free from any and
all damages and claims arising under or by virtue of said permit
Sworn to before me this . / Y day of 77.,~.~. ................ 19~.l~..
Notary
,P ~~~~unty of