HomeMy WebLinkAboutTR-405 TOWN OF $OUTHOLD
BOARD OF TOWN TRUSTEES
No ..... .....
Pursumnt to the p~ovisi~ns of Chapter 615 of the Laws of 1893 of the S~te
of New %ork; Chapter 404 of the Laws of 1952 of the State of New York; the p~
wsions of an ordinance en~tled "South.old Town ~din~ce Re~lati~ the Placing
of Obs~actions in and on ~o~ Watts and Public Lands, and the Remov~ of S~d,
Gravel or other Materials from L~ds under Town Wat~s", and in acc~rd~ce with
the resolution ~f the ]Board of Trustees of ~e Town of Soutbold adopted at a meet-
ing of s~d Board on ..... J~. ~, .lgfi.~ ...... and in consideration of the sum
of $..~.~0O.., lawful mouey of ~e United States, paid by ~. ~$~.~ ~e~
residing at .~a=~iaw. ~i~,. So~ol~,. ~.Z ....... , Ne~ ~a s~d
Boa.rd of T~stees of the Town of Southold, Suffolk County, New York, hereby
aumorized and permits said .~3..~. ~ .~. ~ .............. to
~g~ 100 f~ x 50 fee~ ~ ~o~ ~e~, sOU~l~, ~1~ 'in
The said ~,.~.~Y..6. ~I~t~. ~r.~ ..... , as part ~of the consideration
for the issuance of this permit does hereby release the ,said Board of Trustees and
the Town of Southold from any and all damages claims fo~ damages or suits that
may arise ,or occur directly or indirectly as a result of any operation carried on un-
der and pursuant ~o 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 corn plete exclusion of said Board of Trustees
and the To%vn of Southold.
THIS PERI%IIT is subject to the following terms and conditions:
1. That there shall be no unreasonable interference with navigation as a resuk of
the work herein authorized.
2. That there shall be no interference 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/er
aiteration 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 ~/....Bz'adle~ .&. ~/e~. ~ore
will be required upon due notice from the said Board of T~ustees, to remove
or alter the location .of the w. ork hereby authorized without expense to the
Town of Southold, so as %o 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 af the sa~d,,.,,,.~,.~......~...~...~.~.....~..;..~.?...]~...~...,~..~ .................... 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 ..........~,....~..~..~.~.~.Y...~..~)-...~..~.,,~.~...~. ........ ~ ....... 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 Beard of Trustees, the day and year above written.
..... r~ ........................................... (L, S.)
-: / ..... ....... :""T ................ ............ (L. $.)
/
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
2 6 th June ,?.7.
ON THIS .................... day of .................................................... , ID. .., before me
personally appeared Aivah ~. Goldsmith, Frank Da~on, Geoz~j-e
~imp~on, John F. ~cZ~lty and D~ugl&s ~ob~rt4~on
all personally known
¢o 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 of said Town of Southold and constitut~ ~ majori~ of the same; that they
knew the corporate seal of said Town of Southo]d; that the seal affixed to the foregoing
instrument was such corporate s~l; 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.
......
~ / ~X / ~ 7 Notary Public J
~OTARy PUBLIC o[ [~c.~
FO~M NO. 1
c a 's omc
SOUTHOLD, N.Y. ~z~ ~~
~z~mi~e~ ..... A ...................... ~. t~ ...... Apgiic~tio~ No ..................
Approved J~ /~ Pemit No ' ~~
............ ¢ ............. ........ ¢ .................
...... , .... ...............................................
.............. ¢~[~..v~.~~ ............. chairman, Board of Trustees
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 w~ich 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 for inspection at all times.
E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit.
APPLICATION IS HEREBY ~ADE to the Board of Trustees of the Town of Southold, Suffolk County, New
York, for the issuance o~ a permit pursuant to the laws, Ordinances and regulations governing construction of: docks,
piers, bulkheads, jettys and dred~ng in, under, and over the waters of Town of Southold. The applicant agrees
to comply ~vith 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.
Name of owner of premises .. H. B~Y MO0~ & ~E~ H. M00~
Street Address of Property .~/~..~g~.~Y.~. ~.-.~. ~9~O~,..~.,Y ...................................
Home address If Other Than Location . ~. ~9~¢fl~. ~.%Y~..~gDg~Qr.g,..~.~. ~ ........................
Creek, Bay or Harbor Fronting Propgrty .~?~. ~.~..9~9. ~g.qg~. ~Y. ...............................
Permit Requested To: ...... 2-~¢~c~' .......................................................................
Size of Proposed Work: Length ........ ;,; ;'~ ..... Width...~;q~'~'i/...Heighth Above High Water ..............
Tide...~d~.j ..... Yards to Be Excavated.
Depth Below Low Water.. 0...,. :.~;. :...Average ~se In .......
Width of Canal, Creek or Bay Fronting Property.... ~:,~:"~ .......... / . ....Depth at Low Tide . ' ............. .......
Is This For Private or Business Use? .. Er&rate .use ................ Area Zoning . ~g~E~..~. ........
Complete plot plan to be drawn on reverse side of this application.
STATE OF NEW YORK )
)s.s.
COUNTY O~ S~oL~ )
, tto..BP, AD,~F_,¥. MOOREt ...... being duly sworn deposes and says that he is the applicant for the above de~
scribed 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 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
or by virtue of sai~it.
and all damages and claims arising under ~ ,¢
v~ / } (applicant)
Sworn to before .day of .... ,~,pzz.l., ..... 19,62...,i,
Notary of ....