HomeMy WebLinkAboutTR-159 TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
PER,k41T NO ........J...~..~...
Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of
New York and' Chapter 404 of the Laws of 1952 of the State of New York and in accordance
witl~ the resolution of the Board of Trustees of the Town of Southotd adopted at a meeting
of said Board on.....O.~.~..°...~_?.. ..... .3..0..:.....]:~.~...3: .................. and in consideration of the sum of
................ by Josep!% & ESteZle Serdinka
$10.00 , lawful money of the United States, pa|d ................. ; ......................................
residin~ at Sound Ave., Mattituck, N.Y.
~r~er~"%'6"S&"'H~&~'"~'~{'"~'6~i%'~{~'fa';"'~'l'~2 ......................... , New York,
the said Bqard of Trustees of the Town of Southold, Suffolk County, New York, hereby
s" Joseph & Estelle Berdinka
author|zes and permits a~a .............................................................................................. to
dredge out a drain along their property in West Creek,
Southold, N.Y., for a length of 45' x 8' wide x 2' below
low water.
T. . Joseph & Estelle Berdinka
ne sa~a .............................................. ....................... , as part of the consideration
for the issuance of this permit does hereby release the said Board of Trustees and the
Town of SouthoJd from any and all damages, claims for damages or suits that may arise or
occur directty or indirectly as a result of any operation carried on under and pursuant to this
permit, and will at his own expense, defend any und 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 assures full liability with respect thereto to the complete exclusion of
said Board of Trustees and the Town of Southold.
THIS PERMIT is subject to the following terms and conditions:
]. 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 repass
along that portion of the beach between Iow at~d high water mark.
3. That the work shall be subject to the supervision and approval of the said Boa.rd of
Trustees or its agents.
IN WITNESS WHEREOF, the said Beard of Trustees of the Town of Southold has
caused its corporate seal to be hereunto affixed and these preser~ts to be subscribed by
a majority of the said Board of Trustees, the day and year above written.
seal ..~~ ...... ...~..~. S.)
...... [~ ..~....%~.~.....,.....~~ ....... (L. S.)
..... ...........
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK .)
ON THIS .... .~.7....~..~......day of ....... .~...o..~...e...m~....e..=. ................................ 19.6..[..., before me
personally appeared Frank Dawson, Alvah Goldsmith, John McNult~,
Philip Weiler and Emmons Dean
oil 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 -~aid Town of Southold and constituted a majority of the same; thlot they
knew the corporate seal of said Town of Southold; that the seal affixed to the foregoing
instrument wasl 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 the. rata as
a Trustee and by like order. ,
~1~ PubJic~ Rate ef New Yor~
61
$ 10 O0
FORM NO. 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined . .~. ~...~...~ ............ ~... 19ff./... Application No ..................
Approved . .~?~,~~...~~ ............. Permit No ....... /...~.~. ...............
i'. i'. 'ZJ 'i i 5 .........
,/ 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 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 this application.
C. The work covered by this application may nor 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 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 ail applicable laws, ordinances, regulations and conditions .specified by said trustees, and to hold
the Town of Southold, and all Town officials free from lialo~/ty and damage~ of any kind
Name of owner of premises x~=O.~..~..~.~.~.. &~..~~~ '
Street Address of ~roperty ~_~~' ~'~'.~;~'~ ..................
Home address If Otl~er Than Loca~'.. ~.;~~ ~..~~~~'' '~.~ ~'"
.... ........... :' ....
Permit Requested To:.. ~~.~ .... ~ ~ ~ ~e ~. ..... : ....................
Size of Proposed Work' Len~h ~ ~ ' 'w~2 ~"~"~ii;~t~'~;;;;'~i;~'~k;;;''':~''~'~'''
Depth Below Low Water... ~.~z .... Average ~se In Tide. . .~. ~. .Yards to Be ~cavated...~:~,
Width of Canal, Creek or Bay Fronting P~er~y .... ~..~4 ...... Depth at Low Tide' ~.
Is This For Private or Business Use? .. ~.~.~.T.~ ................ Area Zoning .... .................. ' ....
Complete plot plan to be drawn on reverse side of this application.
STATE OF N~SW YORK )
)s.s.
...~~being duly sworn deposes and says that he is the applicant ~or the above
scribed pe/fmit, 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 Sonthold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free from any
and all dam'ages and claims arising under or by virtue of said permit
x~ (applicant)
Sworn to before me this ..... ?~,~...day of .... ~.. 19..~./...
Notary publi~.~z~/~./~.~~..county of.~..~...~....
JUDITH [. BOGEN
~fy Public. State of New York:
~¢, 52-q3,~,~963, Suffolk Coun~
K
/
/
E