HomeMy WebLinkAboutTR-375TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
Pursuant to the provisions of Chapter 615 of the Lows of 1893 of the State of
New York and Chapter 404 of the Laws of ~952 of the State of New York and in accordance
with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting
of said Board on ..... $..~.~.~14!~.~:~...~...~.~ ............... and in consideration of the sum of
$ ....... ..~.~..tg..0L ............. lawful money of the United States, paid by ..~@~.~....~..-....g~.~..~,~,.~
residing at -.~.a~.k.,A~-~.~...~¢.~.~,¢k.v,-T~.~.~'..~ ....................................... New York,
the said Board of Trustees of the Town of Southold, Suffolk County, New York, hereby
authorizes and permits sold .........Jo~e~h..,J~,_O~.~-tz ................................................... to
place a dock 100', ramp 8' and float 20~ in Deep ~ola Creek,
~attituck~ ali in accordance with the application ~ub-
mittedo
The said .......... JQs~p~...J,~...C~z~y ......................... as part of the consideration
for the issuance of this permit does hereby reJease the said Board of Trustees and the
Town of SouthoJd from any and aH damages ciaims for damages or suits that may arise or
occur directiy or indirectly as o result of any operation carried on under and pursuant to this
permit, and wilJ at his own expense, defend any and al! 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 assume full liebiJity with respect thereto to the complete exclusion of
said Board of Trustees and the Town of Southo!d.
THIS PERMIT is subject to the following terms and conditions:
]. That there shall be no unreasonable interference with navigation os e result of the
work here~n authorized.
2. That there shell be no interference with the right of the public to pass and repass
along that portion of the beach between Iow and high water mark.
3. That the work shall be subiect to the supervision and approval of the said Board of
Trustees or its agents.
IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southold 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
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ON THIS...,..B.~C¥..day of ........... ~o~'e~' ......................... 19.GG ...... , before me
personally appeared Alv~i% Bo Goldsmith, Prate D~,~son~ J~nn F.
Mc~ulty~ Geog.'ge SL~Dson and Douglas ~ob~rtson~ all personally known
ro 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 said Town of Southold and constituted a majority of the same; that they
knew the corporate seal of said Town of Southald; that the seal affixed to the foregoing
instrument was such corporate seou that it was so affixed thereunto by order of the
Board of Trustees of said Town of SouthoJd and that each one signed his name thereto as
a Trustee and by like order.
Notary Public
FOR2~ NO, 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE -~-~~~"
SOUTHOLD, N.Y. ~
~xamined .... g, ff~.', . ~ ................ ~9..~.d Application Bio ..................
Approved .......... q ................................. Permit Bio .............................
Disapproved
............. ............
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 street~i
parks, etc., and giving detailed description of proposed layout of project must be drawn on diagram which is par~
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 upon completion of the work covered by permit.
APPLICATION IS I-IEREBY MADE to the' Board o~ Trustees of the Town of Southold, Suffolk County, New
York, ~or the issuance of a permit pursuant to the laws, Ordinances dud regulations governing construction of: docks,
piers, bulkheads, ]ettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees
to comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold
the Town o~ Southold. and all Town officials free from liability and damages of any kind.
Name of owner of premises ...... [~ .':.~.......~..-.....~..f}...~..~. f. .................................................
S~re¢~ Address o~ Proper~y ...... F.,s. .a. . .~. . . . ~ .u. .~ ........ 2L'7.. .,¢.~. ~c. . .<'. .... .~. .-5/?. ..................
][:Iome address If Other Than Location .... ~ ..... ~...~-~...~fi~ ...........................
Creek, Bay or Harbor Fronting Proper~y . .~' .'~.-~<~ .... ~/-;...~9.,z!. ~...../?/?P.A~..~ .~.~t .......................
Permit Requested To: ....~.C:..~..47../.'./:¢.~././..a/ .... .~r.~.)'.~.~._.~'./~.....~..k}.A'.(.~\.A/. ............................
Size of Proposed Work: Length. Z0.~...~. ......... Width...~. ~ ....... !Geighth Above I~igh Water.[..)~..
Depth Below Low -Water...JL/PA/.~: ...... Average Rise In Tide.~. ........... Yards to Be Excavated..../~. q.~.~,~. ....
Width of Canal. Creek or Bay Fronting Property../..~P.. T~..~..~....~.....Depth ar Low Tide ..... '.~.....C¼~.~..~.f
Is This For Private or Business Use? .. ~..~. (..U.~.~.~.' .................... 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 thai he is the applicant for the above de-
scribed permit, and that all statements contained herein are true ro 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 Sonthold and said trustees harmless and free from an7
and all damages and claims arising under or by virtue of said. permi~ ~~-" '/'~'?"~
(appb'c~3{t)
Sworn ro before me this .............. day of .................. 19 .......
Notary public ...................... county of ...................
66
Joseph J, Oarey
Park, Avenue, Mattituck,
$ 64 O0
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