HomeMy WebLinkAboutTR-397 TOWN OF SOUTHOL
BOARD OF TOWN TRUSTE,ES
PEm¥':[T .... . .....
Pursuant to the provi~ons .of C~apter 615 o~ the
o~ ~e~ ~o~A, C~, A o~ t~e ~sweto~ I952 o~ tAe St~
v~s,.ons ........ of ~ ordinance:,, eni~tle,d S~uth,old Town O~ Reg.~ting',~he ~laczng
of Obst~c~ans ~n ,~ on To~n WatSrs' and Pub]i-L~s, ~d ~e ~oval ~ S~d
Gravel or other ~mM f%'om La~s,~der Tawn Wate~and
~he resolu~on of ~e ~oard of, Trusts of the Town of S.0~o~d ~opt~ at a meet-
Lng o~ s~d Board on ..... ~.~h,. ~$. ~ ...... and in ~nsid~at~n of
o~'~.~¢~;~., l~W~Ul mo~ey of the .United States,
~bsfrd ef Trustees :~'~tbe Tb~ of ,$onthold~ S~f~ C~t~, New
autt~ed .and per~s said ........ ~e 'T~~- ...................
The said: [] [~.r~.~, ,~ ..r~...~.7 ........... , as' p~r¢ ,of the consideratfon
~or tne iSsua~nce qf this t~emit ~oes herebY release the sa~ Boar~ of Trustees and
the ~.o~n 0f soU~old from any and all d~mages cl~ f6~ dam~es ~ su~s that
may ~q or occu. d,~ctty er md~zec~y as a r~ult o¢, any opera~on ca~ed on un-
der ~d pursuant ~o lhis pe~i~, and will a~ his o~ eKPe~se, defend a~ ~d
suits w~ich may b~ bro~h~ by ~hh~ parties, as a f~u1~ ~o~ a~ opera, on ~ied
on p~suant ~ or in ~accordance w th ~he terms of~ ~xs .~em~t, and assume full
Mabiliiy with~ respe~ there~ to the complete exc~s~on of~sa~d Board of ~stees
and the Town of Snuthold.
~S ~ER~ffT is subject to the fo llo%~ng terms an~ conditions:
I. ~at there shall be no unreasonable inte~erence with navigation as a result of
the work hereln authorized.
2. ~ai there shall ~e no inte~erence w~th 'the righ~ of the public to pass and re-
pass along that potion of the beach, betwesh 1o~ and high water m~k.
3. That the ~0rk ~nall'be subject %o .the supervision .~d approval of the ~id
Board of Trustees or its agents.
4. That if future operations of the Tow~ of Sou/hol~ require the remov~ ~d/or
alt~ratio~ in ~e location of the work herein author~d, or fi, in the opinion
of the Board of T~s~ees of the Town of Southold, sudh work .shall cause un-
reasonable 0bs~dction to free navigation, the said ~ ~,~E~ ....
will be re.quired upon d,de notice from the said ~ard' of TImstees, to remove
or alter lhe lo~tion of the ~ork hereby authorized ~ithout expense to the
Town of Southold, so ~ ~o render navigation reasonably free and
ed.
The~uthority conferred ,by this permi~ may,be terminated ~b¥ t~he iBoard of Trus~e~
for a rd[lure ,on the oart af t~e ,said ............. ~J~~ ..............................
comply With ~the terms and ~difions h~erein ,impo~. In the 'e~eot' ~f :such terminafion~
this pe~mitshali b~ deem~~ re~dk~ five (5) days after ~the ',date,~hen the Board
Trastees::~hdll ~mai~ to the said.._.? ~,.,:.~:. .~?,~ ................... at
ad~ress g~en :in his applica¢~an, a codified copy o~ ~ resolution afChe ~Board of Trustee~
directing s~h 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 sa,id Board Of Zr~stees,.the day and yea,r abovew 'tten.
seql ... S.)
......
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ONTH S ....... ...... day of ........... ............................... ']9.?...., before me
to me, who, being by me duly sworn, severally said.that th~ each resided in the To~
of SouthoM, County of Suffolk, State of New York, and .were membe~ 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 SouthoM; 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 ~ said To~n of.Southold and that:each one~ signed his name thereto as
a Trustee and by like order
FOI~M NO. 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y. "3¢'-,-c-e- 'z/d)
· .........
APPLICATION FOR PERMIT
INSTRUCTIONS
A; This application to be completely filled in by ~ypewriter or in ink and submitted to the Town Trustees in dnp-
Iicate.
B. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public streets,
parks, etc., and giving detailed descriptio~ of proposed layoht 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. Upgn apprpval of this application. Town Trustees will issue a permit to applicant. Such permit shall be kept
on the premises and available for inspection ar ail 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 governir~ construction of: docks-
piers, bulkheads, jettys and dredging, in, under, and over~ the wa[ers of Town of Southold. The applicant agrees
ro comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold
the Toy, re of Southold, and ail Town officials free from liability and damages of any kind.
Name of owner of premises ...G..c.c..r~.e...T..~.m..m.e..r.m.a.p.q ........................................................
Street~dress of Property .. ?.?.?P...H.o..1.e...D.r..i.v.? ...........................................................
Home address If Other Than Location .2..1.~.7.~.7..J..a.m..a.~.c..a..A.v..e.,...Qg.e.e..n.s...V.i..1.! .a.~.e.~' .N..e..w..¥.o..r.k,..1.!.~.2.8'
Creek, Bay or Harbor Fronting Property . .D.e..cp...H.o..1.e...C..r?.e. ,k. ................................................
Permit Requested To: ...D..r.e..d.g..e .............................................................................
Size of Proposed Work: Len~.0...f.~..' ...... Width..B..O...f.t.~ .... Heighth Above High Water...2.. f.~ ......
Depth Below Low Water..~ ..... Average Rise In Tide. 3..f.~ ....... Yards to Be ExcaYated ..............
Zero to~' ft~
Width of Canal, Creek or Bay Fronting Property...6.QQ..f..~.~ .......... Depth at Low Tide .....................
Is This For Private or Business Use? ....P..r.i..v~.~..e ..................... Area Zoning ..........................
Complete plot plan to be drawn on reverse side of this application. Plan attached to application
of C. Edward Nelson, one of owners requesting permit for similar and con-
STATE OF NEW YORK )
)s.s.
COUNTY OF QUEENS )
.G.e..oi?.e' ..T.i..m.m..e.r..m.a.n..n ........ being duly sworn deposes and says that he is the applicant for the above de-
scribed permit, and thai ali statements contained herein are true ro 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 to hold the Town of Southold and said ~smes harmless and free from any
and ali damages and claims arising under or by virtue of sald,~ermlt.j~/> .//~_A,~..~~:
Sworn to before me this.. 18th .day of. February 67~ .... (apPG~t}qe Timmermann