HomeMy WebLinkAboutTR-651 TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
PERMIT NO...
Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State
of New York; Chapter 404 of 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 inandon TownWaters and Public Lands, and the Removal of
Sand, Gravel or other Materials from Lands under Town Waters", and in accord~
ance wi~h the resolution of the Board of Trustees o£ the Town Of Southold
adopted at a meeting of .said Board' on . ~u~.~'. ~.2,. ~.~.~]. .... , and in consid-
eration of the sum of $~00 .... , lawful money of the United States, paid by
...a~a~ea;.~ir~. ........ residing at..~. 'y.~..~.o~. ~,...~. ~.~.i.~u..~., New
York, the said Board of Trustees of the Town Of Southo!d, Suffolk County, New
York, hereby authorized and permits said .~. Ja~e~ .l~2~nins ........... to
The said ... ~-~lne= .g£~ins ............. , 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 for damages or suits that
may arise or occur directly or indirectly as a result of any operation carried on
under 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 exelnsion of said Board of Trustees
and the Town of Southold.
THIS PERMIT is subject to the following terms and conditions:
1. That there shall be no unreasonable interference with navigation as a result of
the work herein authorized.
2. 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.
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 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 um
reasonable obstruction to free navigation, the said ...,,'ames. gi~um£r~ ..
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~l~..K~l~b~ ...................................... 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 ............ .~.~..~'1~,~. ........................................ at the
address given Jn 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 seaJ 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 IL. S.)
IL. S.)
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ON THIS ....~.~1~ ......... day of ...................... ~,~LI~ ............... , 19...'/...],.. before me
oersonally appeared Alvah B. Goldsmi~h, John F. Mc~l~y,
~r~son, F~a~ Damon, a~ G~rge S~pson.
~11 pe~onally known
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 of said Town of Southold a~ constituted o majori~ of the same; that they
knew the corporate seal of said Town of Southol6; that the seal affixed to ~c 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
N~r}; Public
JUDITH T. BOKEN
F~ ~gus~/~, 1971~ No~ Pu~ s~ o~ N~
Commission ~pims ~,~r~ 30,
BOARD OF TOWN TRUSTEES
..... chairman, Board of Trustees
APPLICATION FOR PERMIT
INSTRUCTIONS
A. This application ro be completely filled in by typewriter or in ink and submitted ro the Town ~rusiees 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 pa~ of this
application.
C. The work covered by this application may nor be commenced before the issuance of a permit.
D. Upon approval of this application, Town Trustees will ~ssue a permh ro applicant. Such permit shall be kept on
the premises and available for inspection ar all times.
E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit.
APPLICATION IS HEREBY ~ADE ro the Board of Trustees of the Town of Southold, Suffolk County, New
York. for the issuance of a permi~ pursuan~ to the laws. Ordinances and regulations govermng construction of: docks.
piers, bulkheads, jettys and dredging in. under, and over the ~varers o~ Town of Southold. The applicant agrees
ro comply with all applicable laws. ordinances, re~iations and conditions specified by said trustees, and to hold the
~own of Southold, and ail Town officials free from lia)ility a~d damages of any kind.
~treet Address o~ Property ...... ~'/~'~ ..... ~J~}"~'~( ......... ~. .......
Size of Proposed Work: Length.... ...... ~,ridth .... 4~-'~ Heighth Above High W~_..~.__ .....
Depth Below Low Water... ~. ....... Average ~se In Tide...~ ......... Yards to Be 2card,ed ~ ,~
Width of Canal, Creek or Bay Fronting ProperS- ...... ~.~ ......... Depth at Low Tide ..
~s This For Private or Business Use?..~~/ ......................... Area Zo~ng ..
Complete plot plan to be drawn on reverse side of this application.
STATE OF NEW 3fORK )
)s.s.
COUNTY OF ~ )
~..~. - · ~..' ' ~.....~ing duly sworn dcooses and says that he is the applicant for the above described
permit, and that all statements contained herein are true ro 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 o{
Southold. and the applicant agrees to hold 'the Town of Southold and sa~d trustees harmless and free from any and
all damages and claims arising under or by virtue of said permit.
.................
Notary publ nty o~ .......... ~.~,~ ~N.Y~