HomeMy WebLinkAboutTR-627 TOWN OF SOUTHOLD
BOARD OF TOWN tRUSTeES
PERMIT NO. . .6.27. ....
Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State
of New York; Chapter 404 o£ the Laws of 1952 of the State of New York; the pro-
visions of an ordinarzce'entifled"Southold Town Ordinance Regulating the Placing
of Obstructions in and on Town Waters and Public Lands, a_~d the Removal of
Sand, Gravel or other Materials from Lands under Town Waters", and in accord-
ance with the resolution of f~he Board eX Trustees of the To~m of Southold
adopted at a meeting of said Board on De~,..7.,. L.9~0 .... , and in consid-
eration Of the sum of $ ~ 28...00 , lawful money of the United States, paid by
E~-- .~a -l~ha~ ........ residing at. ~Lb~:rok I~i,, ~.at~igu~,. , New
Y?li, the said' Board of Trustees of the Town of Scuihol~ Suffolk County, New
~'~Y~'~;. hereby authorized and pe~its said .... ~d..~...
56' x ~ ~ ~d ~eek in ~ o~ prop~y
ali in a~cor~nue
The~said . .~rd. ~!.~ .h~..~ .......... , as part of the consideration
for the issuance of ihis ; does hereby release the said Board of Trustees and
the 'Town of Southold from any ~d all d~agas, claims for damages or suits that
may :arise or occ~ directly or indffectly ~ a reset of any operation carried on
un&ei' an~ pursuit tO this pe~t, and will at his ~ expense, defend any and all
s~ts~whi~.may be brought by third parties, as a result of any operation carried
on nurs~nt lo or in accordance with the terms of this permit, and assume full
l~ab~ty .~th respect thereto to the~ complete exclusion of said Bd~d of Trustees
and ~he Town of Sou~hold."
THIS PERMIT is subject to the following terms and conditions:
That t~here shall be no unreasonable interference with navigation as a result of
the work herein authorized.
That there shall be no interference with the right of the public to pass and
repass along that portion of the beach between low and high water mark.
That the work shall be subject to the sunerwsion and approval of the said
Board of Trustees or its agents.
~b. at if future operations of the Town of Southold require the removal and / or
alteration in the location of the work herein authorized, or if, in the opimon
of'. the Board of Trustees of the Town of Southold, such work shall cause un~
reasonable obstruction to free navigation, the said Ed~rd.H~ll~han.
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.
The authority conferred by this permit may be terminated by the Board of Trustees
for a failure on the part of the said .......... ~t~i7~¢].. JJ~l,l~,t~.aZt ..................................... to
comply with the terms and conditions herein imoosed. 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 ............. ...~....~..a.,r.,~..,.~..~..]...]:~, .................................. at the
address given 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 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 .~~.. ..... (L S.)
:: ... ~L. S.)
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ON THIS ..... .~..t~ ....... day of ....... JiS~.~. ............................ , 19..7.],. before me
oersonally appeared Alvah B. ~[~ai~h, ~a~ Damon, J~ F,
McNu~ty, ~orge S~ape~ ~ ~uglas ~r~so~,
aI,L pe~onally known
to me, who, being by me duly sworn, severally said that t~ey 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 majori~ of the same; that they
knew the corporate seal of said Town of Southold; that the seal affixed to thc 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 s~gned his name thereto as
........................ ¢ ........
FO~ NO. 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES~?~
TOWN .CLERK'S OFFICE-~--~/'~, .4~ v.
SOUTHOLD, N. Y.
Examined ................................ ]g ..... Application No ......
Approved ...'.~'-~'.--~ .~.~,.../{..~..~,,~ .................. Permit No ..............
Disapproved a/c . ~ /~ ,'
........... 4~.~.~, ................ chairman. Board of Trustees
APPLICATION FOR PERMIT
INSTRUCTIONS
A. This application robe completely filled in by typewriter or in ink and submitted to the Town Trustees in dup*
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 ~ssnance 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 ail 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 of the Town of Southold, Suffolk County, New
York, for the issuance of a permit pursuant to the laxvs Ordinances and regulations governing construction of: docks,
pmrs, bulkheads, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees
to comply with ail applicable laws. ordinances, regulations and conditions specified by said trustees, and to hold the
Town of Southold: and all Town of~c)a~Is {~.r~;/~C~i~b~i/~%~nd~Tges ~y kind.
Name of Owner of Premises ..... X ~.~... ~.~ ~ .....................................
Street Address of Property . ~.~ ......
Home Address H Other Than Location ...... ~ ................................................................
......................................
..... ........ , .........................................
Size o{ ~roposed Work: Len~th/~.~ ............ ~V~dth . ~ ......... ~e]~hth ~bove ~gh %ffater ...'...~ ........
Depth Below Low ~a¢er .... ~ ...... ~era~e ~]s¢ In Tide ,w.~ ...... Y~rds ~o Be Excavated ~..
Complete plot plan to be drown on reverse side of this application.
STATE OF NEW ~fORK )
CO N} o
· ~~~'-being duly sworn deposes and says that he is the applicant for the above described
permit, and ~ha~ ail statements contained herein are true to the best of his knowledge and belief; that the work
wilt 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
ali damages and claims arising' u~der or by virtue of said permit.
..... .......
, .(~) (applicant)
:S~w~rntobeforemethis~/j_.~--....,... dayof~/ ~~ ~.~.~. ' 19
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