HomeMy WebLinkAboutTR-363TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
PERMIT NO ..... .~...~..~. .....
Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State
of New York; 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 accordance with
the resolution .of the Board .of Trustees of the Town of Southold adopted at a meet-
ing of said Board on .... ~,~iB.t;. ~..l~ .... , and in eonsideration of the sum
of S-.~,.QO .... lawful money of the United States, paid by .~,..~. ~n
r.~idin~ at .~ ~Y~' ~, ~t~,~ .. ~ , New York, the said
Baard of T~stees o~ ~he Town of .Soutl~old, SuffoI~ ~ounty, New York, hereby
authorized and permits said ........ ~. ~0~..~B .................. to
rebuild a ~all d~k 12' x 45" tn ~s CreW, s~Ject ~
ati~lation ~a~ ~ia dock will ~t ener~ch u~n ~e
dredq~ chapel, all in accordance wl~ ~e application
s~it~d.
The said C, ]~tonda ~,llen as part .of the considerati.on
for the issuance of this permit does hereby release the .said Board of Trustees and
the Town of Southold from any and all damages claims for damages or suits that
may arise .or occur directly or indirectly as a result of any operation carried on un-
der and pursuant to this pemnit, and will at his own expense, defend any and all
suits which may be brought by third parties, as a result of any operation carried
on pursuant to .or in accordance with the terms of this permit, and assume full
liability with respect thereto to the complete exclusion of said Board of Trustees
and the To~vn of Southold.
THIS PERMIT is subject to the following terms and conditions:
1. That there shall be no unreasonable interference with navigation as a result of
the work herein authorized.
2. That there shall be no interference with the right of the public to pass and re-
pass along that portion of the beach between Iow and high water mark.
3. That the work shall be subject to the supervision and approval of the said
Board of Trustees or its agents.
4. That if future operations of the Tow.n of Southold require the removal and/or
alteration in the location of the work herein authorized, or if, in the opini.on
of the Board of Trustees of the Town of Southold, such work shall cause un-
reasonable .obstruction to free navigation, the sald(~. ~o~dB. ~]~l~ ......
will be required upon due notice from the said Board of'Trustees, to remove
or alter the location of the work hereby authorized without expense to the
Town of Southold, so as to render navigation reasonably free and unobstruct-
ed.
FORM NO. 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ..... . .~.~[..~ .( ...... ./(~. ..... 19.t ...... // Application N9 ..................
'". ..............................
..................... ~.~.,..i'?.~.~.i~5).~..(.~.~... chairman, Board of Trustees
APPLICATION FOR PERMIT
INSTRUCTIONS
A. This application to be cothplet~.y'~l~d 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 Iay0ut of project must be drawn on diagram which is part
of this application. ~
C. The work covered by this application may t~ot be comm, e~ced, 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 all 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 governing construction of: docks,
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 all Town officials free from liability and damages of any kind.
Name of owner of premises ....~..*..~.~J.l~.~.~.~..8...~.J..J,.q .il,. ........................................................
Street Address of Property ....~..~.q .~.~...~.~'e.,. }~e.~J.~l.{lJl[ ...................................................
Home address If Other Than Location ...... .~..J.8.?..4.~.~...J.&.8.~...~..~.~..h...8.~.~..~.J..~.11...J~..J..?.~.~.~...~.J..~.~., ........
Creek, Bay or Harbor Fronting Property ... ~JI[ .8i.q Ill..(~.~l.~.~..$j .1~.~...~.~. ~J.JJ .~..J~lJ.$~l~J ii.J[. ~. ....................
Permit Requested To: .~.q.J~..$~-~...q.J~. ii.it..d, lJ.~.J[ ..............................................................
Size of Proposed Work: Length .... .J'.~...~..~ .......Width....~.~...~.1~. .... Heighth Above High Water .... J....~. .....
Depth Below Low Water..ii..~..J~JL ..... Average Rise In Tide...Ii..*...J~....Yards to Be Excavated .... ~.~.~..~ .....
Width oi Canal, Creek or Bay Fronting Property...I!tZ".~IJ~..J[ee.~ ..... Depth at Low Tide . ..~...~...~.0..~.~. ......
Is This For Private or Business Use? ..... .~.~..J%~.$.~.8. ................... Area Zoning ...~..J.lJ.~.~.$.~.~.J..J.. .......
Complete plot plan to be drawn on reverse side of this application.
lists, This is not a new doek b~t a zepZaeeaemt fez the
ere ~e~n wp by the d~edge when the e~eel w~demed aid
deepened, The same pests will be tied,
STATE OF NEW YORK )
)S.S.
COUNTY )
.. ;..~.~...-..-~,...:-... being duly sworn deposes and says that he is the applicant for the above de-
scribed permit, and that all statements contained herein are true to 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 trustees harml~ss and free from any
and all damages and claims arising under or by virtue of said permlt.
Notary publ[c.~ ..................... county of ...................
The authority conferred by this permit may be terminated by the Board of Trustees
for a failure on the part of the said.,....(~.,....]~l~.~.;~.lL.~..~.l...~.~. ....................................... 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 ............f~.,...J~l~lL~.],el~. ................................. at the
address given in his opplioation, 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 seol 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.
....... i (L. S.)
, · ............................................. (L. S.)
.......................................................... (L. S.)
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ON THIS ...... ~... day of ...~.e.l~..~.~ ............................ 19..6..6...., before me
personally appeared A1v~h B. GOldlllmi'cl~, P~'&l~k Da.'~/llon, John Fo
McNulty, .C-__~__._~,r, and Dougl&e itobe~tson,
all personally 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 Soathold and constituted a majority of the same; that they
knew the corporate seal of said Town of Southo]d; that the seal affixed to the foregoing
instrument was such corporate seal; that Jt 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.
Piled s
Notary Public ~
~/,ARION A. REGENT
NOTARY PUBLIC, State of New York
No. 52-3233120 SufiolX Count~,,
Term Expires March 30, 19 k"7
Southold, L.I. Aug. 4, 66
Mr. C. Edmonds Allen
leeve Avenue, M~ttituck, L.I.
Aug.
1966
Permit to rebuild dock 12'x45" in
· ,~e. Creek, subject ~o at£~ulation
that ~his dock will not encro~mpon
dredged channel.
$ 6 O0