HomeMy WebLinkAboutTR-59 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 \fork and Chapter 404 of the Laws of 1952 of t~e State of New York and in accordance
,,ith the resolution of the Board of Trustees of the Town of Southold adopted at a meeting
of said Board on ~Jo~e~r 2~ 1.~.~ . , and in consideration of the sum of
..................................................... Alz~ed O. &
$ ....... .1..O..,..O..Q .............. lawful money of the United States, paid by
residing at ............ ~.~t:~J,e.~...D-~.l.v.e~.._¥~*~..~tJi~k ............................... , New York,
the said Board of Trustees of the Town of Southo/d, Suffolk County, New York, hereby
authorizes and permits said ..... .~...]:~.~..~.;.~....~...~.....~...~.~.~.~,~....~,,o...~.O.~.~ ......... . ............. to
cons~rU¢~ a pier an~ install two moo~im~ piles ~11 in
accordance with the ame~de~ plans submitted.
for the issuance of this permit does hereby re]ease the said Board of Trustees and the
Town of Southold from any and e!l dam. ages claims for damages ar suits that may arise or
occur directly or indirectly as a result of ar~ operation carried on under and purSUant to ~hJs
permit, and will at his own expense, defend any and oil suits which may be brought by third
parties ~S a result of any operation Carried on pursuant to or [n accordc~nce with the Corms of
this perm'S, and assume full liability with ~espect thereto to the comp ete exclusion of
said Bo~rd of Trustees a~d the Town Of SOuthold.
THIS PERMIT is subject to the following terms and conditions:
I. That there shall be no unreasonable interference With navigation as a .result of the
work herein authorized.
2. That there shall be no interfe.rence with the right of the public to pass and repass
along that portion of the beach between iow and high water mark.
3. That the work shalt be subject to the supervision and approval of the said Boare of
Trustees or its agents.
IN WITNESS WHEREOF, the said Board of Trustees of the Town. of Southold has
caused its coroorate seal to be hereunto affixed and th~se presents to be subscribed by
c majority of the said Board of Trustees, the day and year above written.
sea[ ~~ ........ (k S.)
S.)
...... ('L. S.)
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ON THIS......~- .... day of .............................. , 19.....~..~...., before me
oersonolF¥' appeared Emmons Dean~ of Oreenport~ ~,Y. ~ Alvah B,
goidsmiht~ of Southold, N,Y. ~ Jo~n McNulty~ of Laurel~ N.Y. ~
Fra~ Dawson~ of New Suffolk~ snd Philip Wailer all pe~onaltyknown
of 0risnt~ N~Y.~
to ma, who, being by me duly sworn, severally said that they each resided in the Town
of Southo[d, Coun~ of Suffolk, State of New York, and were members of the Board of
Trustees of said Town of Southold and constituted a majoriW of the same; that they
knew ;the corporate sea[ of said Town of SouthoJd; that the seat a~fixed to the foregoing
instrument was such corporate seal; that it was so affixed thereunto by order of the
Bbard~ of Trustees of sa~d Town of Southold and that each one sign~ his name thereto as
a Tr~tee and by li~ order.
Notaw Public
.OAR, O, TOWN TRUSTEES .
SOUTHOLD, N. Y.
A~oved
Dis~o~a~~, ~ ................................. ~ ................................................................................................................ ' .........................................................
.......... ; ...................... ~halrm~n, ~o~rd oi
-. ~'L' APPLICATION FOR PERMIT
A This a~p~cati~n to ~e comple~teIy fi~ed in by type~'iter or fn ~ aa~ sub~tte~ to the To~ T~stees ~ dup-
licate.
B. P]~t pl~ showing loca{ion of ~0t and b~ngs on prem~es, re~atio~ to adjo~ing premises, pubic s~ree~s,
~arks. e~c., and ~iving detailed de~cr~p~ion cf proposed ~o~ of pro~ect m~t be ~a~ o~d~gr~ which is ~ of
t~s a~p]iCatfon.
G. The wor~ covered by l~s ~pp~tion may not be commenced befere the issuance of s per~t.
D. Upon apprev~ ef th~ spp]icsti?n, Town ~ustees ~ issue ~ pe~mi~ to ap~cant. Such perm~ sha~ be kept
on the pr~ses and available fc~ ~p~ction at a~ times.
E. App~cant sha~ notify the Boar,.of ~stee~ upo~ c~m~letion of the work ccve~e~ by permit.
APPLICATION IS HEREBY I~ADE to the Board o£ Trustees of the Town of Southo~ld, St~ffolk County, New York,
for the isslua~ce of a per~t p~sua~t to the laws~ Or~ances aud reg~stions gove~i~ const~c~ion of. docks,
piers, B~eads, ~ettys and dred~h~ ~; under, and over theaters of To~ of So~thold. The app~cant agrees
i~ comply ~h a~ app]icsble la~vs~ 0fdinances~ reg~a~ions aaa- con,tEens spewed by said trustees, and to hold
the To~ bf Southol~, and free of ~y
Name of owne~ of premises
S~ree~ A~ss o,f ~ope~ty
~ome ~dress ~ Other ~a~ Loc~tion
Creek, Bay
Permi~ Requested To:
S~e of Preposed Work: Width ............ ~ ................... ~eighth Above High Water
Depth Below Low Water .............................. Average Rise ~ Tide ~ /
' . .............................. Yards to Be E~cavated .................. ~ ..............
Complete p~ot plan to be drawn on reverse side of tMs app~cation.
STATE OF NEW YORK)
)s. s.
COUNTY OF )
................................................................................ being duly sworn, deposes and says that he. is the a.pplicani for the above de-
scribed permit, and that all stalements contaiued her~in are true to the best of his knowledge and halter; that the
werk will be done in the manner set forth in the application and_ as approved by the Board of ~rustees of the To~rn
of Southold, and the applicant agrees to hold the Towa ~f Southold and said trustees harmless and free from any
and all damages and claims arising under or by virtue of said permit.
~z/ (applicant)
Sworn to before me this .............................. day of
Netary public .................................... county of