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HomeMy WebLinkAboutTR-427 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES P .RmT ...... Pursuant to the provisions .of Chap ter 615 of the Laws of 1893 of the State of l~ew ~ork; Chapter 404 of the Laws of1~9o2 of the State of New York; the p~o- visions of an ordinance entitled "Soutbold Town Ordinance Regul~g the Placi~g of Obs%~act~ons in ~d on Town Waters and Public L~ds. ~d the Re~v~ of Sand, Gravel or .other Materials ~om Lands under ~own Water", and in accordance with the resolution ~of the ~m~ of Trustees of the To~ ~ Sou~old adopted at a m~t- lng of s~id Board on ~4. ~,..~.~ ........ and in consi~ration ( of $.. ~., lawful money of the United Sta~s, p~d by residing ~a~ ...... :~.~ .~i~$~..~~. ~., ~ew Z~k' lhe~ s~d authorized and pe~Ls sa d ...~. ~..~ .~. ~ .......... T~he said ~iS....Jr.~ .~. ~ife .......... as pa~ of the considera~io~ for ~he issuance of ~h~s 9er~ does hereby re)ease the said Board of T~stees and the ~o~vn of Southold from any and all d~ages claims lot d~ages or suits may ar~se or occur directly or indirectly as a result of tony operation c~ied 0n un- der and pursu~l to this permit, and will at his own expense, defend any ~d Suits which may be brought by third parties, as a ~es~t of any operation c~ied on pursuant to or in accordance with the terms of this pe~it, and assume full liability with ~spe~ thereto to the complete exclusion of said ~d of T~stees ~nd the ~oxvn of Sou~old. T~S PERRI~ is subje~ ~o the fo]lo~ng terms and conditions: I. Thai there mhall be no unreasonable int~erence wilh navigation as a reset of the ~ork herein auth~ized. 2. That there shall be no interference with ~e right of the public to pass and re- pass along thai po~ion of ~e beach between Iow and high water mark. 3. That the work sh'all be subject ~o the supervision ~d approval of the said Board of T~stees or its agents. 4. ~ai if ful~e .operations of the Town of Southold require the removal and/or alteration in the ~ocation of the work herein authorized, or fi, in the opinion of lhe B~rd of ~stees of lhe Tow n of Souihold, such work ~all cause un- reasonable .obstruction to ~ree navigation, the said ~..~!~ .~a. ~ will be required upon due no~ice from the s~d Bo~d of T~stees, to remove or alter the location of lhe ~ork hereby authorized wifhout expense to the Town of Southold, so as 9o render navigati~ reasonably free and unobs~uct- ed. The authority conferred by this ~ermit may be terminated by the Doard,~ Trustees for a failure on the part of the said Fr&~-~ t~l~t~;[s Jr, &. ~, compiy with the terms and conditions herein imposed. In the event ef ~uch termination, this permit shall be deemed revoked five (5) days after the date .when the Board of Trustees shall mail to the saic[. ............... :~4'..a.~.,..~/~,..~,.~.~.,.~..,~i,~~ ....... at th~ address given in his application a certified copy of a reso uriah of the Board of Trustees directing such termination. IN WITNESS WHEREOF, the said Board of Trustees of the TOwn ef Southold has caused its corporate sea. I to be hereunto affixed and these presents to be subscribed by a majority of the s~id Board of Trustees, the day and year above written. '" (L. S.) ..................................................... (L S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS ..........2..n~....... day of .....O~.~...¢:.~.~...e..=. .................................. 19.6..?...,, before me personally appeared Alvah ]~ GO~LSS~_~t, ~'ra]~ DaWSon, John F, all penally known to me, who, being by me duly sworn, severally ~id tho¢ they each resided in the Town of Southotd, County of Suffolk, State of New York, and were membe~ of the Board of Trustees of said Town of Southold and constituted a majori~ 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 co~or~te seal; that it was so affixed thereunto by order of the Board of Trustees of said Town of Southold and tho¢ each one signed ~is name thereto as a Trustee and by like order. . FOEI~ NO. 1 TOWN OF 5OUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE //~ Examined ...... ,~. · :..., .................. 19 ...... Application Np ..... , ............ /~P~"/~. .............. , Permit No ....... '' -" .~.~. 7...[ ......... Approved Disapproved a,c .*. .........: ...................... ........... ............. .......... 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 adjoinlng premises, public streets, parks, etc., and giving detailed description of proposed layout of proiect 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 perr~il shall be kept on the premises and available for inspection at ail times. E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HEREBY MADE ro the Board of Trustees of the Town of Southold, Suffolk County, New York, for the issuance of a permit pursuant ro 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 ali 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. >*amc of owner of premises ...... .F~a.U.~. C ~.Z. r,..~....J~.. ~..~..~ ....................................... Street Address of Property ~"%T~/~ ~'/~.1,~. DRI %' c- Home address If Other Than Loca~ion~ ./OO. ........... J?5~..~ ~)t~l i~.. ......... - .~/..~..{(.F~.. ~,~.T.R.~qMj..t~:~,..j.l.~8o Creek. Bay or Harbor Fronting Property ...... .~...~.~..~..~....~..~..~..~/~. ......................................... Permit Requested To: ........................ .~)..~..~..~..~...~ ................................................... Size of Proposed Work: Length ..... /.g..O...F.~. ....Width..~ .O...~..73,. .... Heighth Above High Water....-r ......... Depth Below Low Water....~ r~ ..... Average l~ise InTide...2~.~. ..... Yardsto Be Excavated...~.~.'.o.9 .... Width of Canal, Creek or Bay Fronting Property...2,..o..0..0...,~..T., ....... Depth at Low Tide ....~. ,F.-.r... ........... Is This For Private or Business Use? ........ .~..R.I..I/.~.?..~ ............... Area Zoning . ~..~.,3.1.~.fi..~.Tt~.~. ....... Complete plot plan ro be drawn on reverse side of this application. .... S~ATE OF NEW YORK ) .. being duly sworn depose~ and says that he is the applicant ~or 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 Trusmes of the Town of Southold, and the applicant agrees to hold the Town of Southold and said trustees harmless and fte~ from any and all damages and claims arising under or by wirtue of said permit. (applicant~ Sworn to bef~ th/ ~ ..... day of..~~.. 19. ,~.. ?LoT PLJ,U Frank Curtis Jr. 1~ Park Drive, ~alley ~ream, L.I.,N.Y. 11580