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HomeMy WebLinkAboutTR-518 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES PERMIT NO .... f/.~. ...... P~u'sueult to the provisions of Chapter 615 of the Laws of 1893 of the State of Hew Y~ork; Chapter 404 of the Laws of 1952 of the State of New York; the pro~ visions of an ordinance entitled "Southold Town Ordinance Regulating the Placing of Obstructions in and on Town Waters and Public Lands, and the Removal of Sand, Gravel or .other Materials from Lands under Town Waters", and in accerdance with the resolution of the Board .of Trustees of the Town of Soutl~old adopted at a meet- ing of said Board on ..... ~toh~'. 3.~. ~68 .... and in consideration of the sum of ~..2~..00.., lawful m.oney of the United States, paid by . .~..~...~i~h~% residing at . ~%Y. S~f~l~; ..AVenue., · ~%~u~,. ~, ~., ~ew ~ork, the said Board of Trustees of the Town of Sou~o!d, Suffolk County, New York, hereby authorized and permits said ....... ¢,..~..~kD~m ....................... to The said ........ ~,..~t,..~i~ .......... , as pa~ .of the consideraiion fo~ the issuance of this permit does hereby release the said Board of T~stees and the ~own of Southold from any and all d~mages claims for d~ages or su~ts ~ay ar~se ~or occur directly or indireclly as a result of ~y operation ca~ied on der and pursuant ~o this pe~it, and will at his own expense, defend any ~d .all suits which may be brought by third parties, as a result of any operation c~ied on pursuant to ~or in accordance with the terms of this pe~i/, and assume full liability w~th respect thereto lo the complete exclusion of said Board of T~slees and the Town of Southold. THIS PERMIT is subject to ~e following terms and conditions: 1. ~at there shall be no ~reasonable inte~erence with navigation as a result of the ~ork herein authorized. 2. That there shall be no interference wi~ the right of the public to pass and r~ pass along that po~ion of the beach between lo~v and high water m~k. 3. That the work ~haH be subject to the supervision ~d approval of the said Bo~d of T~stees or its agents. 4. ~at if furze operations of ~e Tow.n of Sou~old require the removal ~d/or ~teration in ~he tocation of the work herein authorized, or if, in the opinion of the Board of T~stees of the Town of Sou~old, such work ~all cause un- reasonable obst~ction to free navigation, the said .....~.. ~,..Wi~h$~ .... will be requi~d upo~ due notice from the said Bo~d of Trustees, to remove or alter the location of the ~ork hereby au~orized without expense to the Town of Southold, so as to render ~vigation reasonably free and unobst~cl- ed. The authority conferred by this permit may be terminated by the Board of Trustees for a failure on the part of the said ................... ~,,..~,,..~'~ C~h~. ................................. to comply with the terms and conditions herein imposed. In the event of such termination, this permit shall be deemed revoked five (5) days after the date when the Board of Trustees shall mail to the said ........... ..C,..~,,...~£~k~ ........................................ 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 seal to be hereunto affixed and these presents to be subscribed by a majority of the said Board of Trustees, the day and year above written. (L. Sm) ........................................................ (L. S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS .......~. ..... day of ........ ..~.?.Y..~. ........................ , 19..6..~...., before me oersonally appeared ~tv&h ~, ~ all pemonally known to me, who, being by me duly sworn, severally said that they each resided in the Town of Southold, Coun~ of Suffolk, State of New York, and were members of the Board of Trustees of said Town of Southold and constituted a majori~ of the same; that they knew the corporate seal of said ToWn of Southoid; that the seal affixed to the foregoing instrument was such corporate seal; that it was 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 ~ted. Southol~, Oct. 8, 68 ~ew Suffolk Av~nueo ~attituek, L. Io 11952 Hole Creek 48~ ~ .50 Hr ft. $24 00 September 12, 1968 Fir. C. H. Wickham New Suffolk Avenue Mattitu~k, L.I.,N.Y, 11952 Dear Mr. At a meeting of the Southol~ Town T~u~tees held on Monday, September 9, 1968, y~ur was held ia abeyance for more information. Wit! you kin~ly make a hana ~rawin~ on ~he reverse sade of the appli=ation indi~a2i~g the location of the d~ck in reference ko y~ur property and ~he adjoining property owners so that the Trustees =an site the area ~n a map. Very truly yours, .~rs. Marion A. Regent Secretary Southold, Town Trustees TOwN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFF CE SOUTHOLD, N. Y. Examined ..... ............... 19 .. Application No ......... ~. ......... / /;; ;",;; ........... Approved ........... ' ............ ...................... , Permit No .... [q~j .~ ................. Disapproved a/c ........ :'. ...... z .... .:: .... f..;..../.,: ' ............................. [ .......... · ...... .................. :. .............. chairman, Board of Trustees APPLICATION EOR PERMIT INSTRUCTIONS A. This application to be completely filled in by typewrl~rer or in ink and submitted to the Town Trus'tees {n 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 thls 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 will issue a permit to applicant. Such permit shall be kept on the premises and available for inspection at ali times. E. Applicant shall notify the Board of Trustees upon completion of the xvork covered by permit. APPLICATION IS HEREBY blADE to the Board of Trustees of the Town of Southold, Suffolk County, Nexv York, for the issuance of a permit pursuant to the laws, Ordinances and regulations governing construction of!: ~ocks, piers, bulkheads, jettys and dredging in, under) and,over the waters of Town of Southold. The applicant agrees to comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold the Town of Southold, and aH Town officials free from liability and damages of any kind. 2¢ame of Owner of Premises ...... ~ .:. H...'...x~/.. J..~...~...M...~.~ ............................................ Street Address of Property ...... ../~...~.?~..?..~..~.....~,.~.~..~-,'~'-. ........................................... Home Address If Other Than Location ..... ~.~k,l...~.. ?...'J~..o..~.~.4~i. ~{:~.~.~ .................................. Creek, Bay or Harbor Fronting Property ......~'-~.~..-]r:~,k~..~,..., .~-~.....'J'~. ~(~ ................................ Permits Requested To: .... . .~..O. ~..~..~.......~.... ~ .~..~. ( .~. .................................................... Size o{ Proposed Work: Length ....~.~..~. ...... Width ...~...~ ...... Heighth Above FIigh Water .../.~.~f. .... Depth Below Low Water., ?I~. ,.~ ....... Average Rise In Tide .,~. &, ! ..... Yards to Be Excavated~. .... ~ .... Width of Canal, Creek or Bay Fronting Property ...... ~. D.: ............. Depth at Low Tide .... .~...~ .......... Is This For Private or Business Use? . ....~. ~£~,*~i~. ...................... Area Zoning .................... Complete plot plan to be drawn on reverse side of this application. STATE OF NEW YORK ) )s.s. COUNTY OF ~u4?PoZ_k, ) ~.....~.O~.e.¢...b:)..(.~.k~l.. being' duly sworn deposes aud says that he is the applicant for the above described permit, and 'that ail statements contained herein are true to the best of his knowledge and belief; that the work will be done ~n the manner set forth in the application and as approved by the Board of Trustees of the Town Southotd, and the applicant agrees to hold ~he Town of Southold and sa~d trustees hannless and free from any and all damages and claims arising under or by virtue of said permi'~ Sworn to before me th~s ................ day of .......................... ATotary n~,hl;~ ANDR~ IGNOTOWICZ. nt ~ No. 52-7031050 Commission ~pires March 30,