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HomeMy WebLinkAboutSACCO, ALBERT AALBERT A. SACCO, ARCHITECT I~ I L L R O A D, S O U T H O L D, L. I., N E W Y O K K, 11971 765-2477 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 Reguiating the Placing of Obstructions in andonTownWatersand Public Lands, and the Removal of Sand, Gravel or other Materials from Lands under Town Waters", and in accord- ance with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting of said Board on . t~k~:~ l, 1.971 .... and in consid- eration of the sum of :$ ;Z8 ,. 2 -5. ·. , tawftfl money of the United States, paid by ~t~e=%' ~'~'~ ........ residing, at.. Cat~e~ .d~e~k~ · ~So~l~..-, New ~rk, the said B~d of Trustees 0f t}~e ToWn of SSuthold, Suffolk County,. New ;York, hereby authorized and permit~ said .... A].b~-g. A,..Sa~c,o ..... to on Jockey i~ aucordance wi~ the The said ... A.!.~r.t A,. ~ae~ ............ , 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 accordanee with the terms of this permit, and assume full liability with respect thereto to the complete exclusion of said Board of Trustees and the Town of Southold. 2. 3. 4. THIS PERMIT fs subject to the following terms and conditions: That there shall be no unreasonable interference with navigation as a result of the work herein authorized. 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. That the work shall be subject to the supervision alld approval of the said Board of Trustees or its agents. 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 reasonable obstruction to free navigation, the said .Albert ~,. ~,- 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 o failure on the part of the said ................. A].]~a~..A,...~t!iI~'~ .............................. to comply with the terms and conditions herein ~moosed. 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 ......... A1 .I~..~.~..~.;....~..a....c~t....o. .................................. at the address given in his appRcation, 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 Board of Trustees, the day and year above written. ~" . .. . (L. S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS ......5..t.h.. ........ day of ............. A.~.~.,~,~, ........................... , 19....7,..[., before me oersonally appeared Alvah ;B. eoZclsmith, Fran~ Da~n, Jo~ F. ~ul~y, ~rge S~son ~d ~uglas ~r~on, all pe~onally kn~n to me, who, being by me duly sworn, severally said that they each resided in the Town of SouthoJd, County of Suffolk, State of New York, and were members of the Board of Trustees of said Town of Southold and constituted a ma]ori~ of the same; that they knew the corporate seal of said Town of Southold; 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 SouthoJd and that each one s~gned his name thereto as a Trustee and by like order. Notary Public ~ FORM NO. 1 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE c SOUTHOLD, N.Y. · Application No Examined ............................... 19 .... Approved .'.~f7~/.../~...7,.~. ................ Permit No ............................. ..... i ........... chairman. Board of Trnstees APPLICATION FOR PERMIT INSTRUCTIONS A. This application to be completely filled in by typewrker or in ink and submitted to the Town Trus"rees in dup- licate. B. Plot plan showing location of Iot 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 apphcat~on. 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 ail times. E. Applicant shall notify the Board of Trustees upon completion of the work co~'red by permit. APPLIIDATION IS HEREBY MADE ro the Board of Trustees of the Town of Southold, Suffolk County, New York, fo[, the issuance of a permi, pursuan'r to the laws, OrdinanCes and regulations governing construction of: docks, piers, bulkheads, jettys and dredging in, under, and ore2 the waters of Town of Southold. The applicant agrees to comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold the Town o~ Southold, and all Town, officials free from liability and'damages of any kind. Name o~ Owner of Premises .~. ~., .~ ....... ~ ................. r~ ..... · ............................... Home Address If Other Than Location ........................ .~ ......................... ./ ................. · I S~ze of Proposed Work. Length . .,f..~.O. ........ YV~dth . .~.~. ...... Hmghth Above H~gh Water Depth Bklow Low Water... ........ Average Rise In Tide....~..: ....... Yards to Be Excavated ~. ,~.~..~..~ V;idth of Canal, Creek or Bay Fronting Property ~ .~.~. ........... Depth at Low Tide ......... Is This ~or Private or Business Use?..~..z~.~. ................ Area Zoning ......... Complete plot plan to be drawn on reverse side of this application. STATE OF NEW YORK ) . )s.s. COUNT,y,, OF~,.~.~.,(.~. _ ) 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~i~the Town of Southold, and the applicant agrees to hold the Town of Southold and slid trustees harmless ~fr~from any and alldamagesandclaimsarisingunderorbyvirtneo~said ~ (applicant~ Sworn to before me this.~~... ~.~ ..... d~of