HomeMy WebLinkAboutTR-357TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES'
Pursuant to th, e provisions of Chapter 615 of the Laws of 1893 of the State
of New Y~ork; Chapter 404 of the Laws of 1952 of the State of New York; the pro-
visions of an ordir/ance entitled "Southo.ld~T0wn Ordinance Regulating the Placing
of 0bstrfictlons-~' in' and on Town Waters and Public Lands, ~nd the Removal of sand,
Gravel or ~other 5([aterials from Lands under Town Waters", and in accordance with
the resolution ~of .the Board of Trustees of the Town of South,)Id adopted ara meet-
ing of said; Board on ...... ~.~7..6.~..~.~.~. ...... and in consideration Of the sum
of$..~ .... ~,~t~i., lawful n~oney bf the United States, paid by
r~siding at . .'.~.'~.~ ~. ;~.t;~. '~;t~1A.~4~$.~,~ .~1['~.., New:¥orlc, the said
Board 0f. TrUstees of the Town of Southold, Suffolk County, New York, hereby
autl'/orized-a2nd permits said ......... ~JL~t~e..1~t,I~ .................. to
The said S~I.V.~.~.~'~ ~110 as part .of the eonsideration
for the issuance of this permit does hereby release the .said Board of Trustees and
the Town of $outh.old from any and all damages claims for damages 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 South.old.
THIS PERiVIIT is subject to the following terms and conditions:
1. Tlla~ there shall be no unreasonable interference with navigation as a result of
the work herein authorized.
2. That there shall be no interferanee with the right of the public to pass and re-
pass along that portion of the beach between low 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 ~ocation 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 obstruction to free navigation, the said I~.A~. ,~¢1.~ ......
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 to the
Town of Southold, so as to render navigation reasonably free and unobstruct-
ed.
ii
The authority conferred by this permit may be terminated by the Board of Trustees
for a faiture on the part of the said ............. .'~.~..~2~.~.[.~...~..~. .................................. to
comply with the terms and conditions herein imposed. In the e~ent .et such termination,
this permit shall be deemed revoked five (5) days after the date ~when the Board of
Trustees shall mail to the saki ................ ~....~..V...~..~.D.~...~m,~,_.~i~,~ .................... att he
address given in his applica~i~n~ a certified copy of a resolution, of the' Board. of Trustees
directing such termination.
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
o majority of the said Board of Trustees, the day and year-above.written.
L ~ S.)
........s.,
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )~
ON THIS ...... ...... day of .......... .......................... ,, 1D...ZZ., before me
personally appeared ~ B. G~¢~.i.~-~i, G~s~'g~ ~, ~ ~.
all p~onally known
to me, who, being by me duly swam, severally said that they each resMed in the Town
of Southold, County of Suffolk, State of New York, and were membe~ of the Board of
Trustees of said Zo~n of Southold and constituted a majori~ of the same; that they
knew the corporate seal of said T~n of SouthoM; that the seal affix~ 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 as
a Trustee and by lik~ order.
Notary Public
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FORI~f NO. 1
TOWN OF'SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, Y.
Disapproved ~/c ...; ..... ~.._..~.~_~ ~.~f~...~...~ ..................................................
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 pla,n 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 [or inspection at all times.
,E. Applicant shall notify the Board of Trustees up(m completion of the work covered 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 gdvermng construction of: docks.
piers, bulkhe~/ds, jettys 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 h01d
the Town of Southold, and all Town officials free from liability and damages of any kind.
Name of owner of premises .. $.~'g~Ol~.~ ~. I~.'I0 .............................................................
Street Address of Property ...~.~.~.~.~;t~.0.0. Cl. ~: ..............................................................
Home address If Other Than Location . 32..P. aJ~lg. ~.~I~oZ....L.~ldel:lbll~%,. ~,y, ...............................
Creek, Bay or Harbor Fronting Property .... . ,~..gg.n.e.l.~...C~..e.e..~...(~?-~'IE.~J~ ................................
Permit Requested To: .1~..e..dg~..o~..~...Cr.e..~:. ~ .~':~{~llt. o~f. ~l*opl~.~7. .(.0..1~....~...~.. 9..I~..e~. ) ........................
Size of Proposed Work: Length...~1~[..1.~.! ..... Width...2.,5~ ...... Heighth Above High Water .......
Depth Below Low Water ...... ~? ........ Average ease In Tide....~.~.* ....... Yards to Be Excavated..~JP~.'. .~.
Width-of Canal. Creek or Bay Fronting Property .... .~.~.~ .............. Depth a~ Low Tide . ..1~.. fi. ..............
Is This For Private or Business Use? ........ l~lq-lra'~®. ....................... . .Area Zoning ..........................
Complete plot plan to be drawn on reverse side of this application.
STATE OF' NEW YORK ) -'
)S.S.
COHHTY OF )
scribed permit, and that all statements contained herein are trtle 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 Sonthold. and the applicant agrees to hold the To~vn of Southold and sa{d trustees harmless and free from any
and all damages and claims arising under or by virtue of said permit,
(applicanC)/
Sworn to before me this ..... ?../ ...... day of. ~/! ..~-r~... ........ 19. ~ .c,..
Notary,, public .............. F'Zx .... county of ...........
No, 30-4195385
Qualified in Nassau County
Certificate flied in New York Cou~lty
Commmsmn Expires March 30, 19~7