HomeMy WebLinkAboutTR-419 TOWN-OF SOUTHOLD
BOARD OF TOWN TRUSTEES
..... .... /
PERMIT
NO
Pursuant to the provisions of Chapter 615 of the Laws Of 1893 of the Stat~
of New ~ork; Chapter 404 of the Laws of 1952 of the State of New Yock; the
visior~s of mn ordinance entitled "Southoid Town Ordinance RegulAting the Placing
of Oba~ructi, ons in. and on Town Waters and Public Lands, and the Removal of Sand,
Gravel or other Materials from Lands under T.o~vn Waters", and in accOrdance with
the resolution of the Board of Trustees of tile Town of South~old adopted at a meet~
lng of said' Board on . .'~t~;..~.,. ~h~7 ...... and in consideration of the sum
of $ 2:,~.0~ ta~ful money of the United States, aid bv .~I~...]~..tt ~P~.ie/!~
....................................... '*,~.~.~N~w ~orK~ r. ne 'Said.
Board of Trustees of the Town of ,South01d. Suffolk County, New York, hereby
autl~orized mad permits said . J ........................... to
The said .~.~..~..~.
.................. as p~t ,of the considerati, on
release the ~aid Board of Trustees and
the Town of dm,ages claims f, er damages or suits that
may av~se .or occur as a result of any operation carried on un*
der and and will at his own expense, defend any and all
parties, as a -result of any operation carried
on or in with the terms of this permit, and assume full
liability respect thereto to the complete exclusion Of said Board of Trustees
and the Town of Southold.
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.
2. That there shall be no interference with the right of the public to pass and re-
pass along that portion of the beach between tow and high water mark.
3. That the work shall be subject to the supervision .and approval of the said
Board of Trustees or its agents.
4. That if future operations of the Tow,n of Southold require the removal and/or
alteration in the l~cafion of the work herein authorized, or if, in the opinion
of the Board of Trustees of the Tow a of S,outhold, such work shall cause un-
reasonable obstruction to free navigation, the said . ~.]~..~.~..~..Z'.~, .~:t. .........
will be required upon due notice from the said Board of Trustees, to remove
or alter the location ,of the work hereby authorized without expense zo the
Town of Southold, so as vo render navigation reasonably free and unobstruct-
ed.
The authority conferred by this permit may be terminated by the Boerdo~:Trustees
~. ~be~. ~ ~e~ ......... to
for o failure on the part of the ._~d ................ .........................................................
comply with the terms and conditions herein imposed. In the event of such termination,
this permit shall be deemed revoked five (5) days after the date when ~the 'Board of
Trustees shall mail to the said ............. .....~.~.~....~.~...~.?.~ ....................................... at the
address g~ven in his application, a certified copy 'of a resolution of the Board of 'Trustees
directing such termination.
IN WITNESS WHEREOF, the said Board of Trustees of the 71'own-0f:Southold has
caused its corporate seal to be hereunto affixed and:these presents to,.be~subscribed by
a maj0rity;of the sa.id Board 0f Trustees, the day and year above~wriffen.
(L. S.)
(L. S.)
(L. S.)
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
~---- Se~e~ 67
ON THIS .................... day of .................................................... , 19......~.., before me
personolly appearedAlva~ B. ~l~s~i~ ~r~ Damon, Jean F~
all person~lly known
to me, who, being by me duly sworn, severally said that they each resided in the Town
of SouthoJd, Coun~ of Suffolk, State of New ~ork, and were members of the Board of
Trustees of said Town of Southold and constituted a majori~ of ~e same; that they
knew the .co~orate sea~ of said Town of 5outhold; that the seal affixed to the foregoing
instrument was such corporate seal; that it was sa affixed ~hereunte b~ order of the
Board of Trustees of said Town of ~uthold and that each one signed his name ~hereto as
a Trustee ~nd by like order.
%JAR[ON A. REGENT
NOTARY FU~L:C S,~:~ o~ N~w Yor~
~ . ~ . Nc, 523~s312~ ~aholx :cun~
FOR~ NO. !
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y. z/~ f,~
Examined ..... ~ ...... ~ ........... ~ 19 ...... Application No .............. ~.,.
D
TruStees
APPLICATION FOR PERMIT
INSTI~UCTIONB
A. This application ~to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup-
licate.
B. Plot ptan 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 nor 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 [or ~nspection at all times.
E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit.
APPLICATION IS HEREBY MADE to the Board of Trustees ofi,,~_~ Town of Southold, Suffolk County, New
~rk, for the ~ssuance of a permit pursuant to the laws, Ori~mances and~13tlons govermng constructmn of: docks,
pints, bulkheads, jettys and dredging in, under, ~a~d over the waters o~:';~{~n of Southold. The applicant agrees
to comply with al1 applicable laws, ordinances, regulations and conditior~k' s~pecified by said trustees, and to hold
the Town of Southold, and all Town officials free f~on}, liability and damages of any kind.
Name of owner of pre~ises ..~.~..~-. ..... h.~...!.=. ~ .......................................................
Street Address of Property J.~.~...~.'9.~..%..~. .... .~..~.9.G.... )%. ~..~.'.~.9 ~....9,.R ..~ .~. ................................
Creek, Bay or Harbor Fronting Property .~.03.-.k-.....~9.~)~. .......................................................
Permit Requested To :~-'~.~...~ .q...?.~. ?....~.~.9~.~...~..~.~.\~....'?.~..k,.~.~. .......................................
Depth Below Low Water .... T .... '7 ...... Average Prise In Tide...~.,~..t-~..-..Yards to Be Excavated....~.D.~ ~ ....
Width of Canal, Creek or Bay Fronting Property. bBp. u.~...~,~.~,.Depth at Low Tide ~.~.~ ~Y.. 7..~..?:.~:..
Is This For Private or Business' Use? .'..~.~.\~.~..~..~. ................... 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 all statements contained herein are true to the best of h/s knowledge and belief; that the
work will be done in the manner set forth in the application and as approved by the Board of Truszees of the Town
of Southold, and the applicant a~ees ~o hold the Town of Southold and said trustees harmless and free from any
and all damages and claims arising under or by virtne of said~P~
.................. ................ ...... ................
(applicant)
Sworn to before me this ........ ~,.~..day of .......... .~. 19.~.~...
Notary public.~l~/~.eo~i___..,~,~v ....... : ...........
3 W~mh~g~on ~la~, ~rt ~ash~ngt~n. N.Y. 11050
in ~ulI ,~nd $ 2 O0