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Home My WebLink AboutTR-605 TOWN OF SOUTH OLD BOARD OF TOWN TRUSTEES PERMIT NO. . . . . . 6.0,E . . . . . Pursuant to the provisions .of Chap ter 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 in and on Town Waters and Public Lands, and the Removal of Sand, Gravel or other ]materials from Lands under Town Waters", and hi accordance with the resolution of the Board -of Trustees of the Town of Southold adopted at a meet- ing of said Board on . . ...May. A, . .197.0 . . . . . . .. and in consideration of the sum of $.10...00. . ., lawful money of the United States, paid by . . . .ID;0.MQy. . . . . . . residing at . . .Gedci . .Arive. .WWee.t, . .,9Quithold. . . . . . . .. New York, the said Board of Trustees of the Town of .Southold, Suffolk County, New York, hereby authorized and permits said . .... . . . . . . . .Dia .Mcay. . . . . . . . . . . . . . . . . . . . . . . . . . to build a floating dock and ramp 12 'x 6 ' x 10' in West Lake, off Cedar Drive in front of his own property, all in accordance with the application submitted. The said . . . . . . . . . Rya. 4pY.... . . . . . . . . . . . . . .. 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 un- der 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 exclusion 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 re- pass 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 un- reasonable obstruction to free navigation, the said . . . Dia Moy 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 .....A&A.Apy.............................................................. 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 Rio..._ ............... y.................................................... at the address 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 a majority of the said Board of Trustees, the day and ear above written. seal ...1Z.�. :v:litl -r 'I... (L. S.) 1.... - � (L. S.) ........................................................ L. S.) {f ................ (L. S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS .....8.th........ day of ...............JUM............................ 19....7.0, before me personally appeared Alvah B. Goldsmith, Frank Dawson, George Simpson, John F. McNulty and Douglas Robertson, all .personally 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 and constituted a majority of the same; that they knew the corporate seal of said Town of Southold; that the seal affixed to the 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 a Trustee and by like order. Filed: Notary Public NOTARY PUBLIC, state of NewYore; No. 52.3233120 Suffolk Count Toren Expires March 30, 1q r FORM X0. 1 TOWN OF SOUTHOLD YJ BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE. SOUTHOLD, N. Y. nmf Examined . . . . . .. . . . . . . . . . . .. .. . . . . . . .. . . . 19 Application No. .6 . . . .. .. . Approved . .. . . .. .. .. . .. . . . .. Permit No. . .. . . .. . . .. . . . . .. . . .. . . .. .. . Disapproveda/c . .. . . . . .. . . . . . .. .... . . .. . . .... . . .. .. . ... . . . . . . . .. . . . . . . . . .. . . . . .. . . . .. . 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 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 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 Town of Southold, Suffolk County, New York, for the issuance of a permit pursuant to 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, regulations and 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 of Owner of Premises . . . . . .. . .. .. .. .. .. .. .. . . . . .. .. . . .... . . .. . .. . .. . . .. .. .... . . . . Street Address of Property . .CEDAR. DRIV.E.WEST.s. .SDUTHOLD#,, NEW. YORK .11971 ... .. .. . ... .. . .. . . . . . . . . . . . Home Address If Other Than Location .37 MOTT STREETS NEW. YORK . .NEW. . .. .. .. .. .. .. . . . . .I. . . . . . .. . ... . . ... . . .. . . . . . . Creek, Bay or Harbor Fronting Property . .nST,.LA.KE. . . . .. . . . . .. . . . . . . .. . . .. .. . . .... .. .. ......... ... . . . .. . . . . . . Permits Requested To: . .. .BUILD .FLQAT1NG. .D0CK.AND.RAMF . . . ...... .. .. .. .. .... .. .. ... .....I. .. .. . ... . . . . . Size of Proposed Work: Length Width Heighth Above High Water . . .lit... . . . . . . Depth below Low Water . . . .. . .... .. . . . Average Rise In Tide AWI. . .. . ... . . Yards to Be Excavated ... . ... . . .. . . .. Width of Canal, Creek or Bay Fronting Property . . . .. ... . . .. . . . . .. . . . .... .. Depth, at Low Tide .. . . . . . . Is This For Private or Business Use? .. EttVAtV. . . . . . ... .. . . . ... . . . . . .... . Area Zoning . ... ..RES*.. .. . . . . .. . Complete plot plan to be drawn on reverse side of this application. STA -OF NEW YORK )S.S. , 'COUNTY OF SUFFOLIC .) Charlelp.M... Ippgf. .. ..I.. . being duly sworn deposes and says that he- is the -applicant for the above described 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 f 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 arising under or by virtue of said permit. . . . . .. .. ... .. .. . . ..... . .. ... .. (applican Sworn to before me thj . .. .N 23a...- �7d of . . . .. .. . . ..April . . . . . . 197R .. . !Notary public . . . .. .(-e%7. . / ... . . .. . .. . . .. . . .. .. . . . . . County of .Suffolk.. . . . . . . . . CORNELIA C. KEOGH NOTARY PUBLIC, State of New Yorli No. 52-2093890 Qualified in Suffolk County, Term FXgires Uprqh R0_ 19, �� c� _ `�'�\� ,_ _ _ - .� _ _ - � f �: _ � _� � ;- l 1 � . ��,� � __- _ _ __ . . ``�ti� '��-JG� � - . p ' �-�� '. ��