HomeMy WebLinkAboutTR-395 TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
..... 3.'::/..5q.. ....
l~o~rsuant to the p~ons ~f Ch~ter 615 of ~e Laws of 1893 of the State
of New '~ork; Chapte~ ~0i of the Laws Of ~52 of the S~te of'New York; the pro-
vis~ons of an ordinance entitled "S'ouiho,l¢ Town O~d~ee R~ating the ~a~g
of Obs~det~ns m and one.own Waters mhd Pubic Lands. and~,e ~meva] 0¢ Sand,
Gravel 0F ,o~er ~ai~a~ from L~as a~de~ Town Wares;, sn~ m acc~dan~ w~h
tae l~solu~on ,of ~e Bo~ o~ ~ustees of the To~ of ~uih¢l~ ~opted at a meet-
n.= ef ~i~ ~'d on and t~ sum
of~
~>a~l ¢ ~teCs Q~ fiscal.TOga oi New Yor~ hereby
au~r~bd, and ,pe~its SCd. ............ to
~ said : .~g~ .~.~ ..................... as pa~ ,of the consideration
for the ismaanee ¢ ~his De~li does hereby release the ,said :Board of Trustees and
the,T, oiin of Soul,hold from ~y and all d~ages ct8Jms for damages or su~s
may =~tse ,or occur dz.~ec~y or mdtrectiy as ,a rasult of any operatzon ¢a~led on
def,'and p~suant %e thzs, pem~i, and w~lL a~ ~s own e~e~se, defead R~y ,~d all
suits whiek may be brought by third par'des, as a ~esuli of guY'%pOtation c~ed
on pur~an~ ~o o~ in ac&ordance with the te~s of this permit, and assume full
tia~t~ ,with respect th~eto to the comn{ete exclusion of smd Bo~d o~ ~stees
and !he,Town of
T~S P~MIT is subjec~ to the foEowing ter~s ~d conditions:
~1.. That there shall be no unreasonable interference with narration ~ a resull of
the work herein auth~'ized.
That thee shall be no interference wi~ the right of the public to pass and re-
pass alone ~hat Do,ion of the beach between low and high water mark.
3. That the work sh~l be subject ~o the supe~ision ~d aD,oval of the said
Bo~d of ~s~ees or its agents.
4. %hat if future ,opera~ons of the Tow,n of Southold requ~e the removal and/o~
alteration in the location of the work herein authm-ized, or ~, in the opinion
of ~e E~rd of Tmslees of the Town of Southold, such work ~all cause
reasonable ,obstruction to ¢ree navigation, the said ..... ~ .~l~h .......
will be requ~ed upon due n0tice'~0m the said Board el'Trustees, ~, remove
or alter the location of the ~ork hereby authorized without exDe~e ~o the
~o~ of $ou~hold, so as ~o ~ende~ navigation reasonably free and ,unobs~ct-
ed.
The au~hor, i~, conferred, by tbis~permi~may~be t~erminated b¥~flie, Board:of~T~r~ustees.
faro failure on the,pa~ of the sa d ...........,..,~rct~,~, ~,,~..~., ~..,~, ....................... to
comply with the terms and conditions ~ein i~osed; I~ ~he, ,~ent OE ~uch termination,
this permit shall be deem~ revoked five ('5) days a~er the, d~e: when t~ Board of
Trustees shall mail ~ the sa d ~ ~ ~ ~, , ;,,, ........... . at the
address gfven in his appli~tion, a ce~f~ed~ copy of a resolution of the Boar~ of T~stees
directing ssch, ~8~mina~fgn.
IN WITNESS WHEREOF, the said Board of Trustees Of the Town of Southold has
causad~ its corporate seal 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.. ............... : ..................... (L. S.)
SS:
,COUNTY Of SUFFOLK )
ON THIS . ..3.~..C]. day of ~ ~.~.it 19 ,~G,7. before
..p.e.rs_ona)lyappeared Al~ca]'t ;B, GoZc~m.~, Frank Daw~o~,
~al~y, George Si~n and Douglas Rober~on,
cd;l per;sooa1~ known
to me, who, being bY me duly sworn, severally said that 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 ~be same; 1,hot' they
knew the corporate seal of said Town of Southold; that the seal affixedto the foregoing
instrdmenf was such corporate seal; that it was so affixed thereunto by ,order of the
Board of Trustees ,of said Town of Southdld and that each one signed his name :thereto as
a Trustee and by like order.
z
~]o. 52-323~Z20 Suffolk County/
(/
Term ExL~ res ~[ardh 30 19~ ~;
FOR~ NO. 1
TOWN OF SOUTHOLD
BOARD OF'TOWN TRUSTEES 5'c~,~
TOWN CLERK'S OFFICE
,-
SOUTHOLD, N. Y.
....., , _ ^ppli tlonNo ..................
Disapprov ...... .... :kC .................................................
......... 0{~b~A{. ~.V..~'.~ ............. chairman, Board of Trustees
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 re adjoining premises, public streets,
parks, etc., and giving detailed description of proposed layout of project must be drawn on diagram which is parr
of this applicatidn.
C The work covered'by this application may not be,~.omm~need before the issuance of a permit.
D. Upon approval of fhis application. Town Truste~s wi,l~issue a permit re applicant. Such permit shall be kept
on the premises i~nd ~¢ailable for inspection at all timeg~
E. Applicant shall n?tlfy 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 Sonthold, Suffolk County, New
York, for the tssuance of a permtt pursuant to the Iaw% ~Qrd~9~ances and regulatmns governing construchon of: 0ocks,
.... ~ ~ T~.~ ·
pints, bulkheads, jettys and dredging m, under, and:~over the waters of Town of Southold. The applmant agrees
re comply with all applicable taws, ordinances, reg{lla~ons 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 ... J.~.. ~..~.~....~.~.~../~...'k ......................................................
Street Addres~ of Pro[~6~ty .... ~. ~..~../~/..~Jr~....~..i~I.~.~5 ...................................................
Home address If Other Than Location...'~".;~.QkO.. A%_~/.q.~.t~_.~[4-~.:.Lo./QG..[~.~sJ%I.~;.G~.,.[pt'~.,. j.i/~G.. ..........
Creek, Bay or Harbor Fronting,..r,._ ._ .. Pr°pertx: ~'D4~' "~ '~' ::,~]~,~ O~.6..~,, ,b~. ................................... ..... ,..
Permit e nested .....................................................
B dth.
Size of Proposed Work: Le.ngth,,.,,~ ~'- ~- .......... .~A~..O.~...;... ~Heighth Above High Water ..............
Depth Below Low Water...~,~.....'7(. · f..Average Rise I~ Tide..~....-'.G. ...... Yards to Be Excavated..
Width of Canal. Creek or Bay Fronting Property.,~.~.~. ...... - ......... Depth at Low Tide .G/:-~.. ~
Is This For Private or Business Use? ...~..~3.~.7/..~ ...................... Area Zoning ..........................
Complete plot plan to be drawn on reverse side of this appl.,~mei~.~
(
STATE OF NEW YORK )
) S.S.
COUNTY OF..l~.k.,~...~.' )
· .~;~. ;... ................ being drily sworn depose~ and says that he is the ~ppHcant ~or the ~bove
~cribed permit, and that all statements contained herein are true re the best of his knowledge and belief; that the
Work will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town
of Southold. and the applicant agrees re hold the Town 6f Southold and said trustees harmless and free from any
and all damages and claims arising under or by virtue of said permit.
....... (applicant)
Sworn to b~fore rr~ thisxT~?i ~ - d~-y~of .~,.~.x?..~.?,~.~ 19 d W
No. 4i-7290505 Q ual. in Queens ~ Term ~xpires March 30, t9 6 ~'