HomeMy WebLinkAboutTR-383 TOVVN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
Pursuant to the p~ovisions of Chapter 615 of the Laws of 1893 of the State
of New Y<>rk; Chapter 404 of the Laws of 1952 of the State of New York; the pro-
visions of an ordinance entitled "SouthoId Town Ordinance Regulating the Placing.
of Obstructions in and on T~own Waters and Publid Lands, and the l~em, o~rat of Sand,
Gravel or ,other 3/iaterials from Lands under Town Waters", .and in accordance with
121e resolution of the Board of Trastees of the Town of South, old .adopted at a meet-
ing of said Board on . ~I~ .~..[~.... ....... and in consideration of the snm
of $.]~1,~.~.1~. lawful money of the United States paid by
residing at . 1.5~.:?~..¢~ .'~,. ~t:~i~ ..... , New Y~mk, the sa~d
Boa, rd of Trustees Of the ~own of Southold, Suffolk County, knew York, hereby
au.*~orized and l~ermits said ...~'~ ~ ~-~ .~i~ ....................... to
The said ... J.~.*:. ~ .~tCf....~..~.r.~. ~.~.' ,a~. .......... as pa~t ,of the consideration
for the .issuance of this per, Tilt does hereby release the ,said Board of Trustees and
the Town of Southotd from any and all d~mages claims fcrr damages or suits that
may arise ,or occur directly or indirectly as a result of any operation carried on un-
der and pursuant to this permit, and wH! at his own expense, defend any and all
suits which may be brought by third parties, as a ,result of any operation cazTied
on pursuant to ,or in accordance with th e terms of this permit, and assume full
liability with respect thereto ~o the complete exctus~n of said Hoard of Trustees
and the Town of Southold.
THIS PERi~IIT is sub3ect to the following terms and conditions:
1. That there shall be no unreasonable interference with navigation as a result of
the work herein authorized.
2. That there shall be no interference with the right of the public ~o pass and re-
pass along that portion of the beach between low and high water mark.
3. That the work shall ~. subject, tO th e .supervision .and approval of the said
Board of Trustees or i~s agents.
4. That if future operations of the Tow,n of Southo!d require the removal and/o,r
alteration in the location of the work herein authorized, or if, in the opini,on
of the ~3oard of Trust//es of the Town of Southold, such work .sl~all cause un-
reasonable .obstruction ,to free navigation, the said~,. ~C~¢{ .~l;~r$ .....
will be required up°n 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 ~outhold, 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 an the pa~ of the said ...... .~..,~...~.~_a.~..~ .................................... 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 Boa~'~l of
Trustees shall mail to the said ......... ~ ,.~...t~....~.,:.~ ................................ at/;he
address given in his application, a certified copy of a resolutio~ of the Board of Trustees
directing such termination.
IN WITNESS WTHEREOF, the said ,Board of Trustees ef the Town of Southold has
caused its corporate soa, I to be hereunto affixed and these presents to be subscribed by
a majority of the s~id Board of Trustees, the day and year above written.
S3
(k S.)
-' . ........................................................ IL.
STATE OF NEW YOEK )
SS:
COUNTY OF SUFFOIZK )
I 15~ NoVember
ON TH S .............: ..... day of ...................................................... before ~me
personally appeared A[va/~ ]~. ~[~Sm£th~ ]P-
all per~nally known
to me, who, being by me duly sworn, severally said that they each resided in the Town
of Southold, County o~ .Suffolk, State of New York, and ~re members of the Board ~f
Trustees of said Town of Southold and constituted ~ majori~ of the same; that they
knew the corporate seal of said Town of Southold; that the se~l .affixed to the'foregoing
instrument was such co~orate 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,
J ~OTARy p0~L,~ - REGS~T
TOWN OF SOUTHOLD :
BOARD OF TOWN TRUST,EES
PERMIT NO .... .~. ...........
Pursuant to the provisions nf Chapter 615 of the Laws of ;1893 of the Skate
of New York; Cheiptor 404 of the Laws of 1952 of the State of New York; the pro~
vis~or~s of an .ordinance el&titled "South~old Town Ordinance l{egu~ing the Placing
of Obsti~act~ons in and on T~own Waters and Public Lands, and the R~moval of Sand,
Gravel or ,other Mate. rials from Lands under Town Waters"~ .and in accordance with
i_he resolution ,of the Board of Trustees of the Town of Soat~old adopted at a meet~
ing i on ....... ,~t~'..(~, .~19~ ..... and in
of ~ ' of the United States,
The said .... .~.,. ~] .~I~3~ ......... 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 arme ,or occur di~ectly or indirectly as a result of any operation carried on un-
der and pursuant 9o this permit, and will at his own expense, defend any and ali
suits which may be brought by thlrd 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 pleto exclusion of Said Board of Trustees
and the T~wn of Southold.
~S PERMIT is subject to the following terms and_ conditions:
1. That there shall be no unreasonable interference with navigation as a result nf
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 t~ 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/,~r
alteration in the l~ocation of the work herein authorized, or i~, 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 . ,~,. ~,i~ .]g~g~4a~..
will be required upo~ due notice from the said Board of Trustees, to remove
or alter the location .of the w, ork 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 .......... ~.*....~..~.~
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 sharll mail to the sa d t~. ~L~ ~ _ _,
add~ess 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
c majority of the said IBoard of Trustees, the day and, year above written.
seal ....... -. (L. $,)
.....
.....
.......
/ /
STATE OF NEW YORK
SS:
COUN~ OF SUFFOLK )
ON THIS ....... ~¢!.A ......day of ........ .A..~...9~..~.t'.. ............................. , 197..?...., before, me
personally appeared A~vah B~ ~i~, ~r~k ~, Jo~ ~
~Nu~ty, ~or~e S~n an~ ~ug~as ~~,
~I1 pe~nally known
to me, who, being ~ me duly sworn, severally said that they- e~ch. resided in the To~n
of Southold, Coun~ of Su{folk, State of New York, and weoe: me~e~ of the Board of
Trustees of said, Town of Southold and constituted o ~jori~ o¢ ~e same; that they
knew the co~orate seal o{ said Town of SoutHo[d; th~ ~he seal ~fixed to the foregoing
instrument was such corpora~ seal; that it was so affixed fhe[eunto by order of ~e
Board o¢ Trustees o¢ ~id Town of Southold and that each one signed, his name thereto as
a Trustee and by like order.
~ ~/ ¢ ¢¢ ~ Notary Public
NOTARY PUBLi6. ~te of New Yor~
~~~ .o. 52-3233120 Suffalk County
FOP,~ NO~ 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ..... ^ ........................ t9 ...... Application No ..................
Approved D . i i 7 ~( , Permit ~o.
................................. .................
DisapprOved a/c.../. ..... ~ .... g~..-~,~ ./~.~.~. ............. ......... ; .. .......................
APRLICATION FOR PERMIT
..... INSTRUCT S ....
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 which 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 tim'es.
E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit.
APPLICATION IS HEREBY 3IADE to the Board o£ Trustees of the Town of Southold, Suffolk County, New
York, for the issuance of a permir pursuant ro the laws. Ordinances and regulations governing construction of: docks,
piers, bulkheads, jettys and dredging in. under, and over the waters of Town of Southold. The applicant agrees
to comply with all applicable laws. ordinances, regulati.ons and conditions specified by said trustees, and to hold
the Town of Soulhold, and ali Town officials free from liability and damages of any kind.
Name of owner of pr_cruises ..... t~7.~...~.~?.~. ?/.~/.~..?....~.~.~..~?../'~..~. ..............................................
Street Address of Property ............ ~. ~....g~.~E .... '~ ~-' ~ ....................
Home address If Other Than Location .... ~0.. PYP?~.~.~.~...~,~.~.~.~X',.../.4~.T/.A.~f.~.'.~?.: ~. f¢:w.'~..~.',;~: ............
Creek, Bay or Plarbor Fronting Property ..... ?..~..~..~..'.~.~.-...~..~..&.~(C~. .... ?J~.~T{ .~¢f.~. ........................
Permit Requested To: ..... /~.~-~.~.. J?.~ ............................................................
Length .~[~-~'~: Width
Size of Proposed Work: ....... ~ ...... .~../ ...... Heighth Above High Water .... / .........
Depth Below Low Water .... '~. .......... Average Rise In Tide... ?.. ?~..~ ..... Yards to Be Excavated,...~...~. ~. .....
Width of'Canai, Creek or Bay Fronting Property...,..~..~9..( .......... Depth at Lo3v Tide ~..~. f..&~.:~'.~.-¢. ....
Is This i¢or Private or Business Use? ...... ~.~.~..~.; ............... Area Zoning .... .~..~./?.~-¢{.~..;.~%?~-~.. '
Complete plot plan to be drawn on reverse side of this application.
STATE OF NEW YORK )
)S.S.
couNTY )
~.,..~.l..w~.~..~.-.; .... 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 ro the best of his knowledge and belief; that the
work will be done in the manner set forth in 'the application a~d as approved by the Board of Trustees of the Town
o~ SouthoM- and the applicant agrees to hold the Town of Southold and smd trus~ee~ harmless a~d free from an7
and ail damages and claims arising under or by virtue of said permit.
Sworn to before me this .... .~.*...day o~~: ..... 1~....
No. 6C 202 5950
~alified in ~'estches~er CounM ,
FOl~I ~0. !
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
/
E×amincd ............................. tg ...... Application ~o..................
Approved ..... :.~/~".......~..../. f.~.~. ............... Permit No ...... ~. ~...~. .......... · .~='..
/?¢.;..F 15 Z
Disapproved
..................... ~.dC&....'~'.?..~. 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 ro 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 work covered by this application may nor be commenced before the issuance of a permit.
D. Upo~i 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 all times.
E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit.
APPLICATION IS HEREBY MADE to the Board of Trustees of the Tov~n of Southold, Suffolk County, New
York, for the issuance of a permit pursuant to the laws. Ordinances and regulations governing construction of: docks,
piers, btilkheads, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees
ro comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold
the !Town of Sou~hold, and ali Town officials free from liability and damages of any kind.
Name of owner of premises ......... .C.:~.....~..t.C-f.41~...~...' . .~..~/..r~...~:~. ..........................................
Street Address of Property ........... t'~.~ .... ~..~.~.~?....h~...C~.... ?..~ ....... .~.l.~.t?../?.~...6~. .... .~..~.5/! ............
Home address If Other Than Location ...?.~....~.~.~..~.~....~.~. J~. )/......~.~.~..~.~.~.~..~..~.~...Q.~..~.~..~?.. ~...~.iSf./..
Creek, Bay or Harbor Fronting Property ..... .i¢.~..~....~7...L~....~..~..~..~.. ~...AfJ?..~.?.~ .~fl.~..'.~. ......................
Permit Requested To: ........ /~.c.'~.~... ~..~.c..~. ................................................................
Size of Proposed Work: Length .... ~4~.~/ ......... Width.. ,~..~ ........ I-Ieighth Above High Water.,~./~?~..~.~.
Depth B~low Low Water ................ ~verage Rise In Tide....~.. ?..~. .... Yards to Be Excavated .............
Vgid~h of Canal. Creek or Bay Fronting Property ...... .9-~'¢...~..~. ...... Depth at Low Tide ...~.....~J~. ...........
Is ~his For Private or Business Use? .... ~I~.~.72~. ................... Area Zoning .. ~/~y~>~p].T'.(.~..g~ .....
Com~)lete plot pla~ to be drawn on reverse side of this application.
STATE OF NEVer YORK )
)S.S.
COUNTY OF )
................................ 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 ro the best of hfs 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
and all damages and claims arlsing under or by virtue of said permit.
(applicant)
Sworn to before me this .............. day of .................. 19 .......
Notary public ...................... county of ...................