HomeMy WebLinkAboutTR-398TOWN OF SOUTHOLD
BOARD-OF TOWN TRUSTEES
.....
Pursuant to the provisions of Chapter ~615 of the Laws of 1893 .of the State
of New York; Chapter 404 of the Laws Of 19o2 of the State .of New York; the pro-
vision, s of an ordinance entitled , South.old Town Ordinance Regulating the Placing
of Obstructi~ons in and on T, own Waters and Public Lands, and the Removal of Sand,
Gravel or ,other Materials from Lands; under Town Wa~cers'', 'and in accordance wifh
th~ resolution ,of the Board .of Trustees of the Town of South, old adopted at a meet-
said Board ...... and in onsi ration % th um
The said ........... as part ,of the consideration
for the issuance of this permit does hereby release the said Board of Trustees and
the Town of Sou[hold from any and ail dc_Jnages claims for daff4ages~or suits that
may arise ,or occur directly or indirectly as a result of any operation carried on un-
der and pursuant to this permit, and will 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 terms of this permit, and assume full
liability with respect thereto to the complete exclusion of said Board of Trustees
and the Town of Southold.
TI-IlS PERMIT is subject to the following terms and conditions:
1. That there shall be no unreasonable interference with navigation as a result of
the work herein authorized.
2. That there shall b6 no interference with the right of the public to pass and re-
pass along that portion of the beach between Iow 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 removai and/.or
atteration in tZae location of the work herein authorized, or if, in the opinion
of the Board of Trustees of the Town of Southold, such work .shall cause un-
reasonable obsh~ction to free navigation, the said . .f~..1.~e~ .?....~??.'.x.n.~.~.
will be required upon due notice from the said Board of Trustees, to remove
or alter the location of the ~vork hereby authorized without expense to the
Town of Southold, so as t,o render navigation reasonably free and unobstruct-
ed,
The authority eonferred by this permit may be terminated by the Board of Trustees
for a failure on the part of the said ........ ~..1...~..[...~..~...~.s. ................................... to
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 ................. .T~],,.~;...~.~....~.~.~[~..,.,~ ................. at the
address given in his application, a certified copy of e resolution of the Board of Trustees
dJrectin~ such termination.
IN WITNESS 'WHEREOF, the said Board of '['rustees of the Town af,South01d has
caused its corporate sea,l ,to be hereunto affixed and these presents ~to :be,subscr bed by
a majority of the said Board of Trustees, the day and year above written.
seal . S.)
.... s.,
· ~ ~(L. S.)
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
A~=L]. _~o67
ON ,THIS .......~ ...... day of ..................................................... ~[ ........ before me
John F.
all personaUy known
to 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 Southold; that the seal affixfdto 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 as
a Trustee and by like order.
FiletS:
Notary Public ~/ '
~ARION A. ~EGENT
NOTARY PU3dC. State o~ New Yor~
~o. 5£-323312g Suffolk ~oun~
~erm Expires ~arch 3Dy I~
FOR~ ~0. !
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ............................. 19 ...... Application t~o ..................
Approved ...... ........ ...... Permit ..... ...............
. .. .. .. .. .. .. .... . .. .. .:. .. .. .. .. .. .. .. .... ...... . .:..;;:: .........
APPLICATION FOR PERMIT
INSTRUCTIONS
A. This application rd 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 ar all times.
E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit.
APPLICATION I8 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, bulk, heads, jettys 'and dredging in, under, and over the waters of Town of Southold. The applicant agrees
rd comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold
the Town of Southold, and all Town officials ~ree from liability and damages of any kind.
Name of owner of premises .... ?~.~.~.~.17..~.,..l~v, ge ..........................................................
Street Address o{ Property .... ..~..~..~.~..~..~...G..~.a...t~. ?.~1~.~:.~.~. .........................................
Home address I{ Other Than Locatio~ .....~...~.5.~.~.!.~. ~e..n~.~ .~i,],l&$~S~.~. L~.i~,. 31~ .................
Creek, Bay or Harbor Fronting Property ..... .~..~...~tlal .......................................................
Permit Requested To: ... ~.~.S.~.. ~f!...da...~..a.l~..~ ..........................................................
Size of Proposed Work: Length.....~-.~. ........... Width...Z O?. ....... Helghth Above High Water...3~ ........
Depth Below Low Water ................ Average Rise In Tide... ~. ....... Yards to Be Excavated .............
Width of Canal, Creek or Bay Fronting Property.. ,1,5~.~ ............... Depth at Low Tide ...'~. ................
Is Thi~ For Private or Business Use.?...~.~.fty_~:.~. ........................ Area Zot~ng ~d. ext~J, aYu .~.J~., ........
Complete plot plan to be drawn on reverse side of this applicaticm.
STATE OF N]gW YORK )
) S.S.
COUNTY OF )
................................ being duly sworn deposes and says that he is the applicant Jot the above de-
scribed permit, and that all sratemenrs 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 any
and all damages and claims arising under or by virtue of said permit.
Sworn to before me this .............. day o{ ............
(applicant)
Notary public ...................... county of ...................
~ £ pomD
March 14,
67
Mr. W~lter T. ~nings
580 Willis Ave., Witltston Park= LoIo~N.Y.
Pond,
£nstalt ~l~at and ram~m in