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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 ':' .... /'"'l'- /' ..~i, /- ' ,. z / .'~ . /., /.~-.. /(., '. . ... ............ :¢,.,:_...~:.,.~ % "' > '"'/'"-" '-' .Z/;:'*"' ......... ...... 7 ...... ~' '?"-z."' ....... ' ~'r....~z~ .,, .~,:,. . ....................... ~::. ~/. ~ ~,~ .... .....-_-- · r~stees 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