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HomeMy WebLinkAboutTR-358 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES PERMIT NO .... .~...~...~. ..... Pm'suant to the provisions of Chap ter 615 of the Laws of 1893 of the 'State of New ¥0rk; Chapter 404 of the Laws of 1952 of the State .o~ New York; the pro- visior~s of an ordinance entitled "South, old Town Ordinance Regu{,aiing,the,Placing of Ob~ruct~ons in and on T~0wn Waters and Public Lands, and tl~e Removal Of Sand,, Grave{ or,other Materials from Lands under ~own Wagers", ~and in accordance with t-he res0~l~utign ,of the Board ,of Trustees of the Town of S0ufl~Id adopted at,.a meet- lng of ~aid Board on ..... ,~a~.]g- .fi,..I9~ ..... and in.c0nsideration of the ~um of $. ~[J~,~.., t money of the United States, paid by ~ .~.~ ~ark,-Ihe said ,Yorl~ hereby auth. or~zed ...... -~,. ~ .~ ................... to The said .... .~.,..t~h~r'~ .l~.~'tl ......... as pm't .of the eonsiderati.on for tho issuance of this permit does hereby release the .said Board of Trustees and the Tewn of~ 8outh.old from an3, and ail d~maages claims for damages or suits that may arise ,or' occur directly or indirectly as a result of any operation earn'led on un- der anti pursuant to th~s permit, and will at his own expense, d0fend any and all suits which may be brought by third parties, as a result of any operation carried on pursuant to ~or in aeeordanee with the terms of this pein'nit, and assume full t~ability with respect thereto to the complete exelusion of said Bo~d of Trustees and the Town of Southold. THIS ~F3~I~IT is subject to the following terms and conditions: Tha~ 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 re- pass along that portion of the beach between Iow and high water mark. 3. That the work shall be subject ~o the supervision and approval of the said B0aXd Of Trustees or its agents. 4. That if future ~perations of the Town of Southold require the removal and/~r alteration in the location of the work herein authorized, or i~ in the opinion of ~he Board ef Trustees of the Town of South(fid, such work shall cause un- reasonable obstruction to free navigation, the said . will be required upon due notice from the said Board of T~rustees, ~o remove or alter the location of the work hereby authorized without expense to the ToWn of Southold, so as t~ render navigation reasonably free and unobstruct- ed. The authority conferred by this permit may be terminated bythe Board of Trustees for a failure on the part ofthe said ....... C*' R~ ~:t~n. comply with the terms and conditions herein imposed. In the ~vent ef such termination, this permit shall be deemed revoked five (5) days after the date when the Board of Trustees shall mail to the said C. ~ig..~.,~.~.~ ......... at'the address given in his applicc~ion, a certified copy of a resolution Of the Board of Trustees directing ~uch 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 sa.id Board of Trustees, the day and year above written., seal ....... ~~..(L STATE OF NEW' YORK ) SS: COUNTY OF SUFFOLK ON THIS .~st:~ day of ..~.~$t . 19~..., before me personally appeared Al. Yah ~. ~oldsm~.th, .Frank Dawson, Jo~ M~Nul~y, ~orge S~son an~ ~la~ ~11 pe~onally known to me, who, being by me duly sworn, severally said that they each ~esided in the TOWn of Southold, Coun~ of Suffolk, State of New York, and were m~ers of the Board of Trustees of said Town of Southold and constituted ~ ~jori~ of the same; thot they knew the corporate seal of said Town of Southold; that the seal affixed to the foregoing instrument was such corporate s~l; that it was so affixed fhereunto by order of ~he Board of Trustees of said Town of SOuthold and that each one signed his name thereto as a Trustee and by li~ order. · .......... Nota~ Public . · ~OTARY PUBLIC, State of Ne~ York ~o, 52-3233120 Suffolk Oou~tv / 30, FO~I NO, 1 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. i ~-~ ~ Examine~ ......... t9 ... Appli~tlon No v~ ..... ~- - ~ ..... t ....................... Permit No ~. ~..~ .... [ ~ [ · ~,~ ~ ............ Disapprdved a/c .. APPLICATION ,FOR PERMIT [ic~te. p~ks, etc.. ~d g]~]~g o[ this C. ~e ~'o~k co~ere~ b~ this &pp]~cmt]o~ m~ ~ot be commenced be~o~e t~e ~ss~&~ce o~ ~ permit. ~me o~ owner o~ gTg~ses ..... ~.t..~/.~...~ .............................................. ~tteet ACd~ess o{ ~tope~ ............ ~m~.. ]~ ...~ ...... ~.~.~C~ .... ~.... ~ .............. C~eek, B~y o~ ~bot ~o~ti~g ~toper~ ..... ~.~ .~g~.. ~C~..,. ~{~ ................... ~ermJt ~e~ueste~ ~o: ..... ~(~.. ~ .............................................................. si~, o~ ~:ogo~,~ Wo~: ~¢,~b... ~~ .wi~t~ .... ~.~ ...... ~,i~t~ ,bo~, ~i~ w~ter .............. Degth Be}ow ~ow W~er ................ A~er~ge ~Jse ]~ ~]de... ~ [ ..... ~tds to ~e ~c&~te~.. ~ ..... ]s ~b]s ~ot ~]~te ot ~s]~ess gse? ...... ~.~ ................ Ate& Zo~g .... ~~.~ ..... STATE OF NEW YORK ) ) S.S. C.~...~.'.~...~[..~... being duty sworn deposes and says that he is the applicant for the above de- scribed permit, and that all statements contained herein are rrne 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 Trnsrees of the Town of Sonthold. and the applicant agrees ro hold the Town of Southold and said trustees harmless and t~ree from any and all damages and claims arising under or by virtue of said permit. '~~ ................... No. 50 202 5250 ~Jified in ~'estches~er Counb~ TOVVN OF SOUTHOLD BOARD OF TOVVN TRUSTEES PERMIT NO...~[~. ......... 3 d~:ll~rA£n pod, es Pursuant to the provisions of Chap ter 615 of the Laws of 1893 of the S~ate of New York; Chapter ri0& of the Laws of 1952 of the State of New York; ~he pr~o~ visions of an .ordinance entitled "Sout.ho!d To~m Ordinance Regulating the Placing of Obstructions in .and on T,ovcn Waters and Public Lands, and the Removal of Sand, Gravel or other _~.~aterials from Lands under Town Waters", and in accordsz~ce with the resolution of the Board .of Trustees of the Town of Sou;thold adopted at a meet- mg of said Board on . .N~,-.]/.~, .i~.... ....... and in consideration of the sum .... Ia?m mo ey of the Umted States, by residing at . ~6~.(~.i~;~¢~ .~AW~.,~ ;~t~[~ ...... New YO~k, the said Booed of Trustees of the Town of Southold, Suffolk County, New York, hereby autl~orized .and permits said ...(~ i ~]~ .~,~.~; ...................... to The said .... .~.~...~.;~'.~...1~; .~. ~.~.~. -~. .......... as pa~ of me consideration Cot the issuance of this pe~it does hereby release the said Board o~ ~ustees ~d the ~own o2 S,outh.old from any and all d~mages claims ¢or d~ages ¢ suits may arise ,or occ~ directly or indirectly as a result of any op~afion ca~ie~ .on un- der and pursuit to this pemit, and will at his own expense, defend ~mny ~nd all suits which may be brought by third parties, as a ~esult of any op~ation ea~ied on pursuan~ to .or ~ accordance with the terns of ~is permit, and assume full liability with respect the~to to the complete exclusion of said Bo~d of TrusSes and the ~o~ of So~thold. TI~S PERMIT is subject to the following te~s and oondiiions~ 1. ~at there ~all be no unreasonable ~nie~erence with navigation as a result the ~ork herein authorized. 2. That there shall, be no interference with the right of the public to pass ~nd re- pass along that p~ion of Che beach between low and high wa~r m~k, 3. That the work shall be subjee~ to the supe~ision ~d approval of the said Board of T~mstees or i~ a~ents. 4. ~at ~ future operations of the Tow.n of ~outhold requ~e the removal ~d/.or ~ierafion in ~e location of the work herein author~ed, or ~, in the opinion of the Board of T~si~es of the Town of Southold, such work ~all ca~e reasonable .~bs~ctinn Io f~ee navigatio~ the said~,. ~ .~ ..... will be requital upon due notice from the said Bo~d of Trustees, Io remove or alter ~e location of the work hereby autho~ed wi[hour expense ~ the Town of.Southold, so as ~.o render navigation reasonably free and unobs~ucI- ed. The authority conferred by this permit may be terminated by the Beard of Trustees for a failure on the part of the said ........C.'~...~.~.~..~.~ .................................... 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 moil to the said. C* ~,Oh~l¢~ ~ .... at the address given in his applicc~ion, a certified copy of a resolution of the Board of Trustees directing such termination. IN WITNESS WHEREOF, the said Board of Trustees of ~ Town of Southold has caused its corporate seal to be hereunto affixed and these presents to be subscf~ed by o majority of the sa.id Board of Trustees, the day and year above written, seal (L. $.) ......... (L. S.) STATE OF NEW YORK SS: COUNTY OF SUFFOLK ~5~h ~ovember 66 ON THiS .............. ,.... day of ..................................................... ri9 ........ , before me i~ rsonat[y appeared A~'~ ~lty, ~e ~on and ~glas ~n, all 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 TrusSes of said Town of Soathold and constituted a majori~ of the same; that they knew the corporate sea~ of said Town of Southold; that the seal affixed to'the'foregoing instrument was such co,orate s~i; that it was so affixed thereunto by order Of the Board o~ Trustees of said To~ of Southold a nd that each one signed his name thereto as a Trustee and by llke order. .... ~ ~4~ ~ ~ ~ ~ Notary Public J ~OTARy PU~,A ' REGENT TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE $OUTHOLD, N.Y. · ~--- Examined .............................. ,~,// __ ~-- 19 ...... Application o.~ ApproveS ..... :~ ~.~../~-~-.....7..../. ~f~.~. ............... Permit INTo ..... .~. ~'.. -~. ' ' ' ' ' ' ' ' ' ' - .~1~. ' Disapprove0 a'c ...... ................. .... ...... ..... ..................... ~...~...~. chairman. Board of Trustees APPLICATION FOR PERMIT INSTRUCTIONS A. This lapplication ro be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup- licate. B. Plot iplan 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 part of this application. C. The ~vork covered by this application may not be commenced before the issuance of a permit. D. Upo~ approval of this application. Town Trustees will issue a permit ro applicant. Such permit shall be kept on the premises and available for inspection at ali times. E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HEREBY MADE ro the Board of Trustees of the Town of Southold, Suffolk County, New York, for the issuance of a permit pursuant to the laws, Ordinances and regulations governing constru6tion of: docks, piers, bulkheads, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees ro comply with ali applicable laws, ordinances, regulations arid 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 o~ owner of premises ......... .~..~.....~../..~..~...F~......~..C/..Yf~...~?. .......................................... STreet ~ddress of Property ........... l ~.O .... .~..~.~.--.~...f.4~.'.c~.....~..~ ........ .~..fl(..T~.. ?.~..~.~. .... .Af.~ .~.~ ............ Home address If Other Than Location ...7.~....~.t.~..~.~....~.~/.~. ~..;...)~.~...~.~.~.?.~..~..~...Q'.q .~.~.'.O.~¥. i...~.(~.q. Creek. Bay or Harbor Fronting Property ..... .~.~-..~....-.~?..~-....~..~...~..~.. ~...~)?..~.~ .~..~.&.e~,..~... ...................... Permit Requested To: ........ ~.q!.~...~..O.c.'.~.. ............................................................... Size of Proposed Work: Length .... .~.~/. ........ Width...'.~. ~ ........ IGeighth Above High Water..~/4~.~. ~..~.( ~ Depth Below Low Water ................ Average Rise In Tide....~.. ?.?'. .... Yards to Be Excavated .............. Width df Canal. Creek or Bay Fronting Property ...... .~.¢...~...~. ...... Depth at Low Tide ...~/.....~. ........... Is This For Private or Business Use? .. .p~?Y'~.77~. ................... Area Zoning .. ~J~C~.(.~..g~ ..... Complete plot plan to be drawn on reverse side of this application. STATE OF N~W YOP. K ) )s.s. COUNTY 017 ) ................................ being duly sworn deposes and says that he is the applicant for the above de- scribed permit, and that ali statements contained herein are true to the best o{ 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 Soutbold. and the applicant agrees to hold the Town of Southold and said trustees harmless and free from any and all damages and claims arising under or by virtue of said permit. (applicant) Sworn to before me this .............. day of .................. 19 ....... Notary ,public ...................... county of ...................