The URL can be used to link to this page

Home My WebLink AboutTR-337 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES PER~IT NO. '~ Pursuant to the provisions of Chapter 615 of the Laws ef 1893 of the State of New York and Chapter 404 of the, Laws of 1952 of the State of New York ahd i-fi accordance with the resolution of the Board of Trustees of the Town of Southold adopted et e meeting of said Board on ....... ~.~,~....,~;.,.,..~L~ ..................... and i~ consideration of the s~ of $...~[,~., I~ful money of the United States, paid residing at ,..~..~[~g.~..,~~...~,.~ ........................ ~ .......... , N~ York, the said B~ard of Trustees of the Town of Southold, Suffolk ~un~, New York, hereby authorizes and permits said....~..~.~[~.~ ...... :..~ ....................... to Thesaid,.....~r~f..~.~.,.&.:..~'.~.~;,~.~.:.B.~,*¢'~;~..,.~..,,, as part ~f ~t~e consideration for the issuance of this permit does hereby release the said Board ~f Trustees and the Town of Southdld from any and ell damages, claims for damages or suits that may arise or occur direct~ly or indirectl?'as o ~'esult~of any operation corried on 'under.and pursuant to this perm'it;andv/[l'l iJt-his own expense, defend an yand al,l' suit~ ~vP/i~h :may beTbrought by third parties as a result ;of any operation carried on pursuant to ar ~inaccordanee with: the terms of this permit, aha assume full lial:/i[it¥ with respect thereto to :~he comp'lete ~xclusion of said Board of'~rustees and the Town of Southold. THIS PERMIT is subject to the following terms and conditions: I. 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 o~d high water mark. 3. That the work shall be subject to the supervision and approval of the said Board of Trustees or its agents. IN WITNESS WHEREOF, the said Board of Trustees of the Towr of Sduthold 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. seal ((L. S,) S.) ............................................................ (L. S.) STATE OF NEW YORK ) - SS: COUNTY OF SUFFOLK ) ON THIS.....2.~ ......... day of ...................... .ta~..~. ........................... 19....~.~, before me personally appeared ~ ~'~Je ~mI~so~ ~ I:~ucjl~s Ro~'~on, all personally ~own to me, who, being by me duly sworn, severally said that they each resided in the To~ of Southold, Coun~ of Suffolk, State of New York, end were members of the B~rd of Trustees of said Town of Southold and constituted a majori~ of the same;, that they knew the corporate se~l of ~id Town of Southold, that the seal affixed to the foregoing instrument was such corporate seal; that it w~s so affixed thereunto by order of the Board of Trustees of said Town of Southold ~nd that e~ch one signed his name thereto ~s o Trustee and by like order. ~e~, ~6 i~& ~__ Notary Public TELEPHONE {516} 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, $3095 Main Road P.O. Box 728 Southold, New York 11971 CREEK STRUCTURES INVENTORY Curren~ Owner's Name: ~/~tj~ £~' .,~/~ Address: Index No. ~ Creek: Purchase Date: Telephone No.: Previous Owners: Date of Field Work: Permit Applicant: ~:~{~k~i Permit No.: 53~ Permit Specifications: Specifications Found: Condition: Comments: ~ LIPETZ ~ 'MCN[.ILTY &pril l, 1968 Trustees of the Town Town Dlerk's Office Southold, New York of Southold Gentlemen: We enclose herewith on behalf of our client Edward S. Buchak, application in d,~p!icate for Permit to install a floating dock in Front of ~. Buchak~s premises at East Cutchogue, New York. If further information is required we request that you contact the applicant. eno Thank you for yo~mr kind consideration. / Y~ob~ s ve: / FORi~ ~0. 1 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........... ~...f.~ ..... 19,.~...~.~.~. Application No .............................. Approved ..................... ~..~: .......... ..~..~...~. ~. ................... Permit No ....................................... Disapproved a/c ~~ ................................. tmon, Board of Trustees APPLICATION FOR PERMIT INSTRUCTIONS This application to be completely filled in by typewri'~er or in ink. end submitted to the Town Trustees in duplicate. Plot plan showing location of lot and buildings on pFemises, relation to adjolni,ng premises, public streets, parks, etc., and giving detailed descriptibrL of proposed layout of project must be'drawn on, diagram which is part of this appli- cation. C. The work'covered by, this application may not be commenced before the issuance of a. permit. D. Upon~ approval of thiSapplication, Town Trustees will issue o permit to applicant. Such permit shal premises and avai[al~le for inspection at all times. E. Applicant sh~: notify the Boa,rd of Trustees upon completion of the work covered by permit. be kept on the APPL CATION IS HEREBY MADE to the Board of Trustees of the Town of Southokl, Suffolk County, New York, for the ~ssuance 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 appli- cable laws, ordinances, regulations and conditions specified by said trustees, and te hold the Zown~ of Southold, and all Town officials free from liability and damage.s of any kind. Name of owner of premises ......... ~9.~..~.,...:~.9.~:....~.. ,~..O.],~.~._D.*g,.9~,t¢~..:9,,¢.~..~ .............................. Street Address of Property ......... .I~..J~,tt~.~.~...~a,~..~.,.Q~4L~O~,~.~...~[,~ ...... ~ ..................................................... Home Address If Other Than Location ..................................................................................................................................... Creek, Bay or HaCbor Fronting Property ................................................................................................................................. Permit Requested To: ...... i~'~P~i~..~',].~t~,~,~,..~.9.~.}Z .................................................................................................... Size of Proposed Work: Length ...... ~0,f:..~.-+.. .......... Width .. q.Z~,i~,~. ........ Heighth Above High Water......~.~.~.....-+. ........ Depth Below Low Water .......................... Average Rise In Tide .......................... Yards To Be. Excavated .......................... Width of Canal, Creek or Bay Fronting Property ....... ~D.r30~;~..~+ ............... Depth at Low Tide .......................................... Is This For Private or Business Use? ............... ..~.....?~.¥..~..~...e. ................. Area Toni ng .... ~.e..~..~?.~._..~..Z.~ ......................... Complete plot plan to be drawn on reverse side of this application. STATE OF NEW YORK) )S.S. COUNTY OF ~f..~;.~.?..~.."...~.~."~?..,~...~. ....................... being duly sworn, deposes and says that he is the applicant for fha above described permit, and that all statements contained herein are true to the best of his knowledge and belief, that the work ~vill be don~ in the manner set forth in the appliaation and as approved by the Board of Trustees of theTown of S0ufhold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free from any and ali damogf~ ~nd claims arising under or by virtue of said permit. ~ /~ (~pphcant) Sworn to before 's ~ da of ~CH ]9 66 befo~ .............. y .......................................... Nota~ P~ ......... ~.....~..~.. Coun~ ~f ........................ /