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HomeMy WebLinkAboutTR-640 TOWN OF SOUThOLD BOARD OF TOWN :TRUSTEES PERMIT NO. 640 .......... 4 stakes %259 Pursuant to the provisions o£ Chapter 615 of the Laws of 1893 of the State o£ New York; Chapter 404 o£ the Laws of 1952 of the State of New York; the pro- visions of an ordinance entitled"Southold Town Ordinance Regulating the Placing of Obstructions in and on Town Waters and Public Lands, and the Removal of Sand, Gravel or other Materials from Lands under Town Waters", and in accord- ance with the resolution of the Board of Trustees of the Town of Southold adop~ted at a meeting of said Board on ...M~y..3.,..~97.1.... , and in consid- eration of the sum of $ ~9... 0.0.. , lawful money of the United States, paid by Jos.eph. ~.. :Ha. ~ ier ..... residing at. 140~*. Beebe. Dr.,. o.C.u~:ch~:~ue, New York, tile saki Board of TruStees of the Town of Southold, Suffolk County~ New York said ....... to BuiLd by 12 ft. by 2 ft. 10 ft. a~ Beebe all in accordance · t subm~ t ,ed. The said . .J_Os.e.~..~.: . H.a.t~!9.r. ........... , as part of the consideration for the issuance of this permit does hereby release the said Board of Trustdes and the Town of Southold 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 under and t~ursuant 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 witch respect lhereto to the complete exclusion of said Board of Trustees and the Town of Southold. THiS PERMIT is subject ;o the following terms and conditions: That there 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 cepass aIong that portion of the beach between lo~v and high water mark. That the work shall be subject to the supervision and approval of the said Board of Trustees or its agents. That 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 opinion of the Board of Trustees of the Town of Southold, such work shall cause un- reasonable obstruction to free navigation, the said . Jp~eph..G~. H~taier will be required upon due notice from the said Board of Trustees, ~o 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 ........... ~OJ~tDh...G.,...~l~tie,~:: ................................ to comply with the terms and conditions herein imoosed, n the event of such termination, this permit shall be deemed revoked five (5) days after the date when the Board of Trustees shall mail tc .the said ......... GQst~...G,...~e-~ir~ .................................. at the address given in his application, a certified copy of o resolution of the Board of Trustees directing such terminCtion. 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 ) iL. S.) ..... (L. S.) ..... (L. S.) ON THIS ..... .7.._.t~.. ........ day of .............................. .~'~ ........... , 19.~.,~... before me De~sanallyappeared A~vah B. Goldsmith, Southold, N.Y., John MeNulty, Laurel, N.Y., George Simpson, Greenport, ~.Y~, Frank Dawson, New Suffolk, N.Y., and DougZas ~bertson, Orien~l~p~§~llyknown 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 o~ said Town of Southold and constituted a majority of the some; that they kr~ew the corporate seal of said Town of Southold, that the seal affixed 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 nome thereto as a T~ustee and by like order. /~ ~ . ,/ ~ ,/ JUDITH T. NO..1 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............................... 19 ..... Application No ................. Approved ...?./J(.~..~...//.~..?./. ..................... Permit 1kro ............................ 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 streets, parks. etc., and giving detailed description of proposed layout of project must be drawn on diagram which is part of this · . ~tpplication, .... ~. 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 msue a perm~x 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 HEREBY MADE to the Board of Trustees of the Town of Sonthold, Suffolk County, New York. for the issuance of a permit pursuant to the laws, Ordinances and regulations govermng construction of: docks, piers, 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 officials free from liability .and damages of any kind. ~Tame of Owner of Premises ...... .~.'q.~?.'P. h....~7.;. ,/.~?1../?(.~?~. ................................................ Street Address of Property . j/.j?,o....~.~.~'..~?.~..~..F./.Ir?_.~....~,.~:../~j~. ?..~?.... C~..~.c.~,~..~.&'....J~.-)(....j/.?.~.6..'~. .......... Home Address If Other Than Location ....................................................................... Creek. Bay or Harbor Fronting Property . ~.t':~..~.-.A~.~.-.~.~....C..~.~.(/~. ................................................ Permits Reauested To' ,,~N¢Ii~ I'~y-J-;IT.' 4iv~ [I~A~.,¢ g/4al~- I~/i~Jr, ~i~iJ W/ii, i( ~l,~Jl~.. (~o¢~..2' ~ ' .............. j:7~/~ ~,i/2 ~rZ -'; "k'"~ ......... ~r ~/v~/:~" ..... ~/~ ..... ~ ; ............................ 3"~ ....... . Size of Proposed Work: Lengt.h ................ ;~idth ............ Heighth Above High Water ........ Depth Below Low Water . .~.. ...... Average Rise In Tide .............. Yards to Be Excavated ~/nA/a-" ,. Width of Canal, Creek or Bay Fronting Property . .~?.~.. ~ ............... Depth at Low Tide . .~. ?.~. ~ ....... Is This For Private or Business Use? ......... ................... Area Zoning . ./?.~.~../?.~].~.???..~.... Complete plot plan to be drawn on reverse side of this app Iication. STATE OF NEW YORK ) )S.S. COUNTY OF ~ ,wor. and says that he is the applicant for the above described permit, and that all statements contained herein are true to the best of his knowledge and belief; that the work will be done in the manner set ~orth in the application and as approved by the Board o{ Trustees of the Tow~ of Southold. and the applicant agrees to hold the Town of 8outhold and said *rusrees harmless and free from any and all damages and claims arising under or by virtue of said permih ................ ........ ........... . Notary pubhc ................................................... ~C~~ .~. ~missioa Expires March 30, ~9~ ~ .... vT~cAN T - .... t)v ¢"" , ¢? BOARD .OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Halt, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE f516) 765-1892 CREEK STRUCTURES INVENTORY Current Owner's Name: Address: Index No. ~ Creek: ~,~ Purchase Date: Telephone No.: Previous Owners: Date of Field Work: Permit Applicant. Permit No.: La ~iO -- Permit Specifications: Specifications Found: Condition: Comments: I<. # 2.3 ., i · .- 9. qo r-r. ~2