HomeMy WebLinkAboutTR-578 TOVV'N OF SOUTHOLD
BOARD OF TOWN TRUSTEES
PERZ%,fiT .NO ........ ~...~...~,.
Pursuant to the provisions of Chap ter 615 of the Laws of 1893 of lhe State
of New ~ork; Chapter 4~ of the Laws of 1952 of the State of New ~ork; lhe pr~
vis~ons of an ordinance entitled "South.old Town Ordin~ce Regulating ~e Placing
of Obstructions in and on Town Waters and Public Lands, and the Remov~ of Sand,
~ravel or .other 5¢ate~aIs from Lands under Town Water", and ~ accord~ce with
the resolution of the Bo~d of Trustees of the Town of South,old adopted at a meet-
~ng of said Boar~on ...~tO~. ~,..~96.~.., and in consideration of the s~
o~ $....~$~.~5, larval money o~ the United States, paid by ...~$~Q~.
~siding at ...~$~..~ .~.~V$.~.~t~t~¢~, ......... , New ~k, the said
Board of T~staes of the To~vn o~ Southold, Suffolk CounW, New ~ork, hereby
authorized and permits said ......... Ja~. ~i~ .....................
buil~ a ~Lkhea~ 75 ~ee~ i~ leng~ in fron~ o~ hi~ ~ro~rty
The said ........ ~g~ .~ ........... as p~ of the consideration
for lhe issuance of this permi~ does hereby release the sa~d Board of T~s~ees and
the ~own of Sou2ho!d from any and alt d.~a~es c~aims for damages or suits
may arise or occur dh~ectly or h~d~rectly as a rasu!~ of any operation ea~ied on
~er and pursuant ~o this pe~i~, and wi]! a~ hfs ov~ expense, defend any ~d all
suits which may be bzou~ht by third parties, as s result .of any ope~a~ion ca~ied
on pursuant to or in accord~ce with the terms of this permit, and assume full
liabilhy with respe~ ~hereto ~o the complete exclusion of said Bo~d of T~ees
and the Town of South,old.
THIS PERA~IT is subject %o the following terms and conditions:
1. That there sh~l be no unreasonable inte~erence with navigation as a resul~ of
the work herein authorized.
2. That there sh~l be no ~nte~erence w~h the right of the public to pass and
pass along that potion of the beach between low and high water mark.
3. That the work ~hal] be subject ~o the supervision s~d 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 ~e opinion
of the B~rd of T~stees of the Town of Southold, such work shall cause
reasonable obstruction to free navigation, the said . .~Q~ .~%~i~ .......
~ill be required upon due notice from the said Board of T~stees, ~o remove
or alter the location .of the ~ork hereby authored without expen~ to the
Town of Southold, so as $o render navigation reasonably free and unobs~uct-
ed.
The authority conferred by this permit may be terminated by the Board of Trustees
for a failure on the part of the said Jacob ~l~.J:.ck . . to
comply with the terms and conditions herein imposed, tn 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 .......... .~.?.,.~.?.,~.....~..O.,I...]:~..q.~. ..................... ~ ..................... at the
address given in his application, o certified copy of o 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 o{ the said Board of Trustees, the day and year above written.
(L. S.)
iL. S.)
S.)
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
~ ~ove~er
ON THIS ...... ~. ............ day of .................................................... , ]~...., ~efore me
personally appeared Alvah B. ~ldsmith, Fra~ Dawson, John F.
~u!ty, ~orge Simpson and ~uglas
all personally known
~o me, who, being by me duly sworn, severally said that th~ each resided in the Town
of Southold, Coun~ of Suffolk, State of New York, and were members of the B~rd of
Trustees of said Town of Southold and constituted a majori~ of the same; that they
knew the cor~rate 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 name thereto as
a Trustee and by like order.
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
SOUTHOLD, N. Y.
Examined .............................. 19 ..... Application No ...................
Disapproved a/c ........................................................................................ ~.)~
. ~t~/~... chairman, Board of Trustees
APPLICATION FOR PERMIT
iNSTRUCTIONS
A. This application to be completely filled in by typewrker or in ink and submitted to the Town Trustees in dup-
licate.
B. Plot plan showing location of lot and buildings on premises, rela'tion 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
appliea'tion.
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 permi~ 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 I~ADE to the Board of Trustees of the Town of Southold, Suffolk County, New'
York, for the issuance of a permk pursuant to the laws, Ordinances and regulations governing construction of: docks,
piers, bulkheads, jettys and dredging in, under; and over the xvaters of Town Of Southold. The applicant agrees
to comply with all 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.
Home Address If Other Than Location .......................................................................
Creek, Bay or Harbor Fronting Property .....~..r~.t~/.T.~..~.~.C.. [..~.e~'L~. ......................................
Size of Proposed Work: Length . ...~.~.. f ........ Width ............ Heighth Above High Water .....~..
Depth Below Low Water .............. Average Rise In Tide .............. Yards to Be Excavated ............
W~dth of Canal, Creek or Bay Fronting Pr~.e,rty ...... '~.~P. .............. Depth at Low Tide ..................
Complete plot plan to be dra~vn on rever~e side of this application.
STATE OF NEW YORK )
. )s.s.
)
p ' 0~e: ' ' ' g ' ; ~ at the work
will be done in the manne~ 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
alt damages and claims arising under or by virtue of said permit
Sworn to before me tbls .... ~.~ ...... d~f .; .... ~'..~ .......... 19~ .4,