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HomeMy WebLinkAboutTR-1120Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO.._'J. :1.20 DATE: .._..lVlarch...8., ISSUED TO ....... d.osez~z_...C......C ozmell .................................................................... ntl nri ati n PursuaM' fo ~'he provisions of Chap'l'er 615 of fhe Laws of'" · +he SC'ale of New York, 1893; and C. hapfer 404 of fh~ Laws of fhe -Sfafe of New York i952; and +he Soufhold Town Ordinance eh- :: filled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND-ON TOWN WATERS AND PUBLIC LANDS and fhe REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance wifh fhe Reso]uflon of The Board adopt'ed afa mee'fing held on ..M~rCZL..B, 19.:/Z6, and in cons~derafion of fha sum of $ 18,.00 paid by~ ....................................... ,Eo~eph....C....Cornell ........................................................ of ...... Southolct ................................................... N. Y. and subjecf fo fha Terms and Condifion~ llsfed on "fhe reverse Side hereof,' of Soufhold Town Trusfees aufhorizes~and permifs fha following: permission to znsval_ C~%~-alk 30'x3' and float 18'x5' d~re~tiy in front o£ applicator's property at Goose-Creek, off Wa~erview Drive, Southo!d, N.Y., all in accordance whh fhe derailed specificafions as preseM'ed in fhe Originaf[ng appllcaflon. IN WITNESS WHEREOF, The said Board of Trusfees here- by causes ifs Corporate Seal ~'o be affixed, and fhese presen~'s 7o be subscflbed b~ a majorffy of~f~. ~ said Bo?r~./%?f ~his def,e, ........... .... ......... L ~,~ "?? z-'~...'r~....~ ~.~:..... ~.-~ ~F' ................. ~ ....................................... ~--.~-j.y,.j .................................. TERMS and CONDITIONS The Perm{tree residing at N. ¥., as part of the consideration for the is~aance of the porto;{ does understand and prescribe to the roi- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or ~l~im~ for d~m,ges, ot5 suits arising dixectly or indirectly as a result of any oper- ation performed pm-suent to this permig and the said Permittee. ~ at his or her own expense, -defend any and all such suits initiated by thkd parties, and the said Permitree a&mmes ~ l~ah~lity with respect thereto, ro the complete exclusion of the Board of Trustees Of the Town of Southoki 2. That this Permit is valid for a period of mos. wklch is considered to be the estimated rime required to complete the work involved, but should circumstances wasmt, request for an extension may be made to the Board at a hter date. 3. That this Permit should be retained hadefirfitely, or as long as the said Permittee wLshes to maharain the structure br pro,iect involved, to provide evkie~ce ro anyone concerned that auth- orization was or~ginally obtained. d. That the work involved will be subject to the inspection and approval of the Board or ks agents, and non-compEance with the provisions of the otiginath~g application, may be cause for revocation of this Permit by resolution of the saki Board. 5. That there will be no unreasonable interference with nav/gation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to ,pass and repass along the beach between high and low water marks. 7. That if fu,~e operations of the Town of Southotd require the removal and/or alterations in the location of the work herein authorized, or .if, in the opinion of the Board of Trustees, tile work sh~ll cause m2~reasoashle obsrmctaon to free m~qgation, the said Perm[tree will be zequllred~ upon due notice, to remove or alter thLs work or project herein stated without expenses to the Town of Southold~ 8, That the said Board will be not.ed by the Permittee m flat completion of the work auth- orized. 9. That the Permirtee will obtain all other permits mad consents ttmt may be required su~- . ptemental to this permit which may be subject to revoke upon failore ro obtain sam~ BOAPd) OF TOWN- TRUSTEES Town of Southotd Main Road Sonthold, New York 11971 P/1 iqev/6/V2 To: .............. J.o s.~ eh.. C......C orme!l.,...:~mterv, i e:w.. ]~r. ±v. e.,... S.o~thml ~ ~ .. lkI- Y. ...... .1.19.7..l 1. Your application, doted ..... ~]~51ff~I~ 2~(]~ .19.7.6 .................. hos been reviewed by this Boord, ota mee?ing of the T~stees held on ....... .MsL~.Gh.-.8.~....1.97~ ..................................................... a,nd resulting in the action, as indicated below: ) ) Application approved. Application denied Application tabled. 2. Comments and remarks: 3. If your application is approved above, A Permit Fee is now duc, and should be made payable to the order of the Board of Southold Town Trustees. This fee is computed below according to' ?he Schedule of Rates as set forth in the Instruction Sheet (Form 1/1). If the Permit Zee is paid n person to the Secretar~ of the Board, The Permit wi] be obt~oinoble at the same ~ime. If the fee is paid by mail, the permit will be mo/led in reply. Compu?ation of Permit Fee: catwalk 30'x3'=90 sq._ft, x .10 = 9.00 Floa2 18'x5'=90 se.£~, x .10 = 9.00 $18. O0 Less ~5.00 £i!ing flee 5.00 $ 13.00 _&MOUNT DUE Total Fee for this application ..... ~ J S. O0 ~.~.-?----D-.--U~-~) Signed .ALYrAI-~. ]3....GOLD.~Tkl ....................... Chm. Board of Southold Town Trustees. Rev. BOARD OF TOWN TRUSTEES Town O~ Sot~thold Main Road Southol& New York 11971 APPLICATION FOR FIXED and or FLOATING DOCKS 2. Contractor's name and address: ............ .~.~..~'~'-' ......................................................... 3. Briefly explain the purpose of this application: ........................................................................ ..... ..... ....... ........ .......... After issuance of a Permit, ] expect to: (mark by an X~ (a) Commence work -- AT ONCE ~......; ASAP ............ ; UNKNOWN ............. (b) Complete work in -- 1 DAY ............. 1 MO...~......; 1 YR ............. ; FUTURE ............. Secure the correct ^rea Map from the Secretary of this Board, and by using on X WITHIN A CIRCLE indicate as closely as possible the Iocatior~ of this dock. On the reverse side of this map, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape and size of the dock and any supplemental pilings which are needed to hold a floating dock or tie-up a boat. Give all dimensions necessary to determine the area of the dock surface which extends offshore from the O. H. W. M. Wil any portion of this construction extend offshore into 'l'own Waters beyond c~n imaginary line or boundary formed by other similar structures along the area's shoreline? YES or NO. If it does extend beyond this so-called dock line indicate by how fa:r, approximately, ......... ft. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. Accepted by: ~. ~). Will this construction require the Filling of any land offshore of the Ordinary High Water Mark or the Dredging of any material from Town Lands under water? YES or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as port of this application. In requesting approval of this application, I sa'bruit that: the information presented herein s true and correct to the best of mv knowledge and belief; I am the person accountable for the performance of the work in accordance with:the plans and specifloations attached; I have read or om familiar with the provisions of any S0uthoid Town Ordinance pertinent tc the work involved; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. ................................ Dated: