HomeMy WebLinkAboutTR-435 TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
P~l~ilT NO ............
Pm~sua,nt to the provisim~s ef Chapter ~15 ~ the Laws of 18~3 of the S~ate
*f New ~ark; Chapter ~ of the LaWS of 5~52 of ~he State ~ NeW Yorkl the pro-
v~sio~ of m~ ~ord~anee entitled "Sout~o~ Town Ordin~ee ~egffi~ting the Placing
of Obs~etians in and on T,own Watts and Public Lands, and the ~
Grovel or ~0ther ~rori~s from Lm~ds m~der ~own Wators", ~d in aee0rd~ee with
the resolution of the Bo~d of T~ees of the Town of South,0~d adopted at a m~t-
o~ 8..~,,.~ .... lav~ul money of the ~nited Sta~e~ p~d by;J ,~,
~es~ding at .. ~.:~, .~..~.~tK~g¢..~.~;~.., New York, ,me
. B~rd of T~astees of the To~ of Southold, Suffolk County,~:N~.~Y~ h~eby
ut ,or ea +an a{a ...................... to
The said ...Ph, i..l,~lp..R.: .t~..r{.i.n..e~. ............ as part ,of the consideration
for the issuance of this permit does hereby release the .said Board of Trustees and
tt~e %,own of Southold from any and all dmuages claims fc~ damages or suits that
may arise ,or occur directly or indirectly as a result of any operation carried on un-
tier 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 :T. own of Southold.
THIS PER~IT is subject to the following terms and conditions:
I. That there mhall be no unreasonable huterferenee with navigation as a result of
the work herein authorized.
2. That there shall be no interference w~th ~he right of the public to pass and
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 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 Mllf,~il~..R,. ~£1;~..
will be required upon due notice from the said Board of Trustees, to, remove
or alter the location of the w<)rk hereby authorized without expense ~o the
Town of Southold, so as ~o render navigation reasonably free and unobstruct-
ed.
1
The authority conferred by this permit may be terminated by the Beard of Trustees
for o failure on the - rt' of the said ;~li,?...~., ~e~ .... 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 ......... ~.~..~.~....~...,...~..~.~..~..e.~ .............................. at the
address given in his applications a certified copy of c resolution of the Board of Trustees
directing such termination.
IN WITNESS WHEREOF, the said Board of Trustees of the Towr~ of Southold has
caused its corporate seal tO be hereunto affixed and these presents to be subscribed by
a majority of the sa,id Board ef Trustees, the day and year above written.
. f ~ , (L. S.)
/ .)
:~; (L. $.)
STATE OF NEW YORK
SS:
COUNTY OF SUFFOLK )
ON THIS .................... dey of ....... ........................ 19..'""., before me
personally appeared AlVah ~. Goldsmith, ~rank Dawso~
M~Nul~y, Sr~, D~u~la~ ~ber~son and George Simpson
all personally known
to me, who, being by me duly sworn, severally said that they each resided in the Town
of $outhold, County of Suffolk, State of New York, and were members of the-Board of
Trustees of said, Town of Southold and constituted a majority eJ th~ same; that they
knew the corporate seal of said Town of Southo]d; 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 Trustee and by like order.
Public
N]ARJON A. R£~Elfr
FORI~ NO. 1
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ....................... r: ..... 19 ...... Application No ..................
............. ~.7..~..~.': .~40 ....... .,. ....................... chairman. ]Board of Trustees
APPLICATION, FOR PERMIT
A. This application to be completely filled in by typewriter or in ink and snbmitted to the Town Trustees in dup-
licate.
B. Plot plan showing location of lot and buildings on premises, relation to adjoinbg premises, public s~reets,
parks, etc., and giving detailed description o~ proposed !ayou~ of project must be drawn on diaKram which is part
of this applicatiou.
C. The work covered by this application ma~ not he commenced before the issuanee o~ a permit.
D. Upon approval o~ this application. Town Trustees will issue a permit to applicant. Such permit shall he kept
on the premises and available [or inspection ar all times.
E. Applicant s~ali notifF the Board of Trustees upon ¢omple~ion of the work covered by permit.
APPLICATION I8 HEREBY i~ADE to the Board o~ Trustees of the Town of Southold, Suffolk County, New
York, for the issuance of a permit pursnant to the laws. Ordinances and regulations governing construction of: docks,
piers, bulkheads, jerkys and dredKing in. under, and over the wa~ers of Town o£ Sonthold. The applicant aKrees
to eomply with ail applicable laws, ordinances, regulations and conditions specified by said ~rusmes. and to hold
the Town o~ SouthoId, and ali Town offi¢ial~ free from liabilit~ and dama[es o~ any kind.
Home address If Other Than Location .........................................................................
Creek, Bay or Harbor Fronting Property...~ ~,~.. ~.~..~.g4~. ........................................
Size of Proposed Work: Length... ~.~.1. ......... Width..~../ ......... Heighth Above High Water.. J. f.~.~ .......
Depth Below Low Water .... t'f/Y.~.. ..Average Rise InTide.
................ Yards to Be Excavated........'--"~. ....
Width of Canal Creek or Bay Fronting Property .... ~.~ ............ Depth at Low Tide .. ~../ ...............
Is This For Private or Business Use? ... ~J.~..~..~.~r'. .................... Area Zoning .........................
Complete plot plan ro be drawn on reverse side of this application.
STATE OF NEW YORK )
)S.S.
COU~NTY/~ ]~ ~ ,O~
of Southold. and the applicant agrees ro hold the Town of Southold and smd trustees harmless and free from any
and ail damages and claims ~ismg under or by virtue of said permk.
(appl,icant)
Sworn to before ..day
Notary
No, 52-0618100 Suffolk ~o~
'~emmJssie~ Ezplres ~arch ~0~ 1~