HomeMy WebLinkAboutCRAWFORD, WILLIAM TOVVN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
PERMIT NO .................
Pursuant to the provisions of ChaDter 615 of the Laws of 1893 of the State
of New Y, ork; Chapter 40i of the Laws of 1952 of the State of New York; the pro~
visions of an ore.nco entitled "South,01d Town Ordin~ce Re~lating the PI~ing
of Obst~c~ons in and on Town Waters and ~blic Lands, and the ~emo~al of S~nd,
Gravel er ,other ~iaterials from L~ds under Town Water", and ~ accord~ce
the resolution of the Board ,of T~stees of '~he Town of Sou~old adopted at ameet.
ing of sa~d Bo~d on ~ $¢ [~6 , and in co i
' ' . ....... ' · · - ~- - . ns
of $.. ~¢*~¢., lawful m.~ey of lhe United States paid by ~.~$~ ~.;[ .~
Board of T~stees of lhe Town of .Southold, Suffolk County, New York; hereby
anmorhed and pe~i~s said ...... ~!~-~r..~ ............... to
The said ...... .~.i..~..].~..~.: ...~.~..~..O.~.C]. ..... as part of the consideration
for the issuance of this permit does hereby release the said Board of Trustees and
the Town of SouthoId from any and all damages claims for damages or suits that
may arise ,or occur directly or indirectly as a result of a_ny operation carried on un-
der and pursuant to this permit, and wilt 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 tcrms of this permit, and assume'full
liability with respect thereto to the complete exclusion of said Board of Trustees
and the Torch of Southold.
2.
3.
4.
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.
That there shall be no interference with the right of the public to pass and re-
pass along that potation of the beach between low and high water mark.
That the work shah be subject to the supervision and approval of the said
Board of Trustees or its agents.
That if future operations of the Tow.n of Southoid require the removal and/or'
alteration in the ~ocation of the work herein authorized, or fi, in the opinion
of the Board of Trustees of the Town of Southold, such work .shall cause un-
reasonable obstruction to free navigation, the said W~.~:[am ~, Cz'&wf.o.~d
will be required upon due notice from the said Board of T~ustees, 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.
. . The authprity conferred by this permit may be terminated by: the I~erd. of:Trustees
for a roi'lure on the part of the said'. ........... ~[,~[~.~^..:~r~@~:f[...., ............. ; ......... to
comply'with the terms and conditions herei=n imposed. In the event of S~.ch. termination,
this permit shall be deemed revoked five (5) days after the date when the, Board of
Trustees shall mai to the said..~,.....~.~..~..[.~..a~.~..iC~.~/~O~ ................... at the
address given ~n his application. ~ certified copy of c resolution of the BeoFd, of Trustee~
directing such termination.
IN WITNESS WHEREOF, the said Board of Trustees of the Town ef Southold has
caused its corporate seal to be hereunto affixed and these presents to be subscF bed by
a majority of the said Board of Trustees, the day and year above written.
seal ....
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ON THIS ..... l.~J;~ ..... day of ........... .O~r. ........................19..~,G.., before me
personally appeared Alvah ~. Go~sm,f.~:h, F~'ank Dawa~, John ~.
~cNult~, George Simeon and Douglas Rober~son.
alt personally known
to me, who, being by me duly sworn, severally said thor 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 Southold 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 it was so affixed thereunto by order of the
Board of Trustees of said Town of Southold and that each one signed his name thereto os
a Trustee and by like order.
NOTARy PUBL C, $'~Ie of R'e-,~¥~f~
No. 52-3233120 Suf:ol2, Ceu:~;~
Term Expires March 30. 19~.~--~ ~
FORH NO. I
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ....... ~ .... Permit No .............................
Disapproved a/c ~.~~.~, !
........................... chairman, Board of Trustees
APPEICATION 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 not 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 upcm completion of the work c6'~ered 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, bulkhe~ids, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees
To comply with ali applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold
the Town of Southold, and all T~,w~fficials f;~ fr.~liability and damages of any kind.
Name of owner of premises .~. 3~...~J..~ .~.'.~..~.....~.q. ~..~. ....................
Street Address of Property ...... .~...~x..~'.~..~..~....~..~.(~..~ .... ~.~.~.'.~..~. .......... iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
Home address If Other Than Location ...... ~.0...~.~..~.q t.C[ ......................................................
Creek, Bay or Harbor Fronting Property .. ~.~. 00~'~ C/'~/~I<, ,
Permit Requested To: ... ~1. ~./~-../~..~../.~..~..~.~.~...~...~..~...~..~°~...R~.!i~.~;~..~.i~-~~
Size of Proposed Work: Length../.'.~.~..I ......... Width..f.~./f~.6:'J~4.Heighth Above High Water...~../. .......
Depth Below Low Water ..... (~ ......... Average Rise In Tide....~.~.~. ...... Yards to Be Excavated.. t~..d.*.g~- ....
Width of Canal, Creek or Bay Fronting Pr, p, pe,rty.../.?~,'..~ ............ Depth at Low Tide /.~Z/
Is This For Private or Business Use? ... A~.~.~.?.'.~.?P.- .................... Area Zoning .........................
Complete plot plan to be drawn on reverse side of this application.
STATE OF NEW YORK )
) s.s.
COUNTY OF )
................................ being duly sworn deposes and says that he is the applicant for the above de-
scribed permit, and that ail 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 harmless and free from an7
and all damages and claims arising under or by virtueof said permit.
Sworn to before me this...,~,,...~.. .... day of .... ~ ...... l~.~,f //(applicaht)
~o. 52-3233120 Suf%~k County
~rm ~pire8 ~arch 30~ 19~
in a~rdan~ewith the appli~ation
~ 4~ ~0