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Home My WebLink AboutCiupryk, Mary & Petrauskas, Mary H. ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.nort hfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Betty, On Friday, August 6, 2004 I spoke to Ms. Ciupryk, who told me that the trailer was sold to David Verity. This permit should be cancelled. Joycc ]~LIZ~ET~I A. NEVILLE TOWN CLERK REGISTt~R OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1600 southoldtown.northfork.net OFFICE OF TItE TOWN CLERK TOWN OF SOUTHOLD May 17, 2004 Trailer Permit No. 107 Mary Ciupryk Post Office Box 530 Mattituck, New York 11952 Dear Ms. Ciupryk: On January 23, 2003 I sent you a letter advising you of your overdue renewal fee on your trailer permit application renewal no. 107. To date, I have never received a response from you. At this point you are four renewals behind. You owe for December 12, 2002, June 12, 2003, December t2, 2003, and now for June 12, 2004. A total amount of $400.00 is due at this time. Please contact this office to make arrangements for the payment of these overdue fees. The Code Committee of the Town Board is in the process of reviewing trailer permit applications. Enclosed is a revised application form. Please note the additional information required and fill it out accordingly. If you have any questions, please call my office at 765-1800. Thank you. Very truly yours, Elizabeth A. Neville Southold Town Clerk Enclosure 473889 SOUTHOLD 114.-7-10.4 2200 WESTPHALIA RD = OWNER & MAILING INFO ===I=MISC CIUPRYK3LNDBEW J & IRS-SS PETRAUSKA~MARY H I 1 2200 WESTPH3~LIA RD I BANK CODE 41101 41854 NYSRPS ASSESSMENT INQUIRY DATE : 05/17/2004 SCHOOL MATTITUCK SCHOOL-- ROLL SEC TAXABLE 210 I FAMILY RESg TOTAL RES SITE TOTAL COM SITE ACCT NO I .............. ASSESSMENT DATA ..... I **CURRENT** RES PERCENT ILAND 1,800 **TAXABLE** ITOTAL 5,900 COUNTY 14 900 PO BOX 530 0180600 **PRIOR** TOWN 900 MATTITUCK NY 11952 t tLAND 1,800 SCHOOL 5,900 I ITOTAL 5,900 ==DIMENSIONS ===1 ....... SALES INFORMATION .................................. ACRES 1.20 IBOOK 11154 SALE DATE 09/19/90 SALE PRICE 145,000 IPAGE 271 PR OWNER S~R~ RAYMORD F & TOTAL EXEMPTIONS 2 I== TOTAL SPECIAL DISTRICTS 4 AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE 5,000 91 ]FD030 920 99 lPK071 IWW020 I SW011 Fi=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC 75.10- 03-050 F6=GO TO INVENTORY F9=GO TO XREF F10=GO TO MENU EDWARD FORRESTER DIRECTOR OF CODE ENFORCEMENT Town Hall, 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1939 Facsimile (631) 765-1823 e-maih ed.forrester @town.southold.ny.us MEMORANDUM TOWN OF SOUTHOLD REC~.iVED TO: FROM: DATE: RE: Elizabeth Neville, Town Clerk Ed Forrester, Director of Code Enforcement March 25, 2004 Trailer Permit 107, Mary Ciupryk Please be advised that the applicant is seeking to renew an existing permit for a trailer used as a private dwelling. ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net Permit No. 51 - Ange &Barbara Bourisquot, Pvt Rd. off Main Rd., Mattituck Permit No. 10,~- Mary Ciupryk, 390 Hill St., Mattituck Permit No. 111 - Eugene & Alphenic Martin, w/s Tuthill Rd., Cutchogue Permit No. 129 - Bruce M. Vitale, 7280 Sound Ave., Mattituck Permit No. 12~ - Joseph Petrauskas, 490 Hill St., Mattituck Permit No. 149 - Vicent Rossi & Christine Larsen, 1275 Cedar Beach Rd., Southold Permit No. 138 Donald & Jeanne Grim, 11910 Oregon Rd., Cutchogue Permit No. 164- Donald Grim, Cox La., & CR 48, Cutchogue Permit No. 167 Timothy & Margaret Hollowell, 1280 Smith Dr., Southold Permit No. 159 - Laurel Links Country Club, 6400 Main Rd., Laurel Permit No. 166 - Efeyenia Matsis, 435 Inlet Dr., Mattituck Permit No. 78 - Gian Mangieri, Pvt. Rd. off Main Rd., Laurel Permit No. 168 Walter Teresko, 1285 New Suffolk Rd., Cutchogue Permit No. 148 Roy & Joanne Schelin, 8475 Cox La., Cutchogue Permit No. 165 - Juan Secaida, 630 Wiggins St., Greenport ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net To: Ed Forrester, Code Enforcement From: Elizabeth A. Neville, Town Clerk Date: March 2, 2004 Re: Trailer Permit Renewals The To~vn Board would like all trailer pemfits to be inspected before they are renewed. Please include the name of the owner and the present occupant. Permit No. 157 Corazzini Asphalt, Inc., 6245 Cox La., Cchogue Permit No. 112 - Flora Nurseries, 6900 Wickham Ave., Mattituck Permit No. 95 - Martin Sidor, Oregon Rd., Mattituck Permit No. 107 - Jacqueline Moeller, C.R. 48, Southold Permit No. 115 - Northeast Nurseries, C.R. 48, Cutchogue Permit No. 97 - Frank McBride, Oregon Rd., Cutchogue Permit No. 64 - Zdzislaw Mikolajczyk, John's Rd. off Main Rd., Mattituck Permit No. 41 - John C. Tuthill, Elijah's La., Mattituck Permit No. 133 - Thomas Wowak, Main Rd., Laurel Permit No. 156 - Fine Care Landscaping, 280 Bridge La., Cutchogue ELIZABETH A. NEVILLE TOWN CLERK REGISTB. AR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Mike Verity, Building Department From: Betty Neville Date: April 25, 2003 Re: Trailer Permit Renewals No. 125 (Mary Ciupryk) and Permit No. 127 ( Joseph Petrauskas ) Enclosed is a copy of my e-mail to you dated January 31, 2003. I have never received a written answer from you. As per the Town Board, All trailers are to be inspected before their renewal. Also, I suggest that on the form you will be making up that you include the owner's name and the name of the occupant of the trailer. Page l of 1 Neville, Elizabeth From: Neville, Elizabeth Sent: Friday, January 31, 2003 1:38 PM To: Verity, Mike Subject: Trailer Permit for 390 Hill St., Mike: This trailer was recently sold by Mary Ciupryk to David & Barbara Verity. They didn't check with the Town to my knowledge. Mr. Ciupryk showed them his permit and the Venty's purchased it on that basis without knowing that the permit becomes void when a change in ownership occurs. This trailer has been rented out for the past 10 years, the Ciupryk's did not live in it themselves. The Venty's also plan to rent it out. I am afraid they are going to have a problem gettin9 a trailer permit for it. They want me to bring it before the Town Board this Tuesday, Feb. 4th. They say it is on a foundation and has a basement and all. Perhaps it doesn't even need the trailer permit. Co,~ld.you please do an inspection to determine the status of it before Tuesday so the Town Board has some information to go with on it? There is also another trailer permit at 490 Hill Street, Mattituck owned by Joseph Petrauskas. The above Ciupryk was at one time owned by Joseph and Mary Petrauskas who is now Mary Ciupryk. Joe and Mary divorced and she married Andrew Ciupryk. So, there are really two situations to remedy. Joe Petrauskas's permit for 490 Hill Street, Mattituck will expire on March 13, 2003 at which time it will also become an issue. As you know, the Town Board has been reviewing trailer permits as they come for renewal. So, some of these problem ones are going to be surfacing on a monthly basis from now on. I will send down all the documentation on this together with a copy of this e-mail. Thank you, Betty Neville 1/31/2003 ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, Ne~ York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 28, 2003 Mary Ciupryk P.O. Box 530 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 107 Dear Ms. Ciupryk: This is to advise you that your trailer permit expired on December 12, 2002, If your application and $100.00 fee are not received on or before February 5, 2003,, your special permit will be revoked and your trailer will have to be removed from the premises. Very truly yours, Southold Town Clerk ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Mary Ciupryk P.O. Box 530 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on December 12, 2002. Enclosed is a partially completed application renewal form. Please complete the form, have your signature notarized and return it to this office together with the required $100.00 renewal fee as soon as possible. Please make your check or money order payable to "Southold Town Clerk." If your application and fee are not received on or before December 12, 2002, your Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, Elizabeth A. Neville Southold Town Clerk Enclosure ELIZABETH A. NEVILLE TOWN CLERK REGISTI~M~ OF VITAL STATISTICS ,MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hail, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date May 30, 2002 Issued to Mary Ciupryk Address P'.O. box 530 Mattituck, NY 19152 A renewal permit is hereby issued for the location of a single trailer/t~J~e~J[~ at 390 Hill Street, Mattituck, NY pursuant to application dated June 12, 2002 This~ renewal permit is granted for a six (6) month period. Expiration date December 12, 2002 Elizabeth A. Neville Southold Town Clerk TOWN OF $OUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 RECEIVED PERMIT NO. 125 EXPIRATION DATE: June 12, 2002 Southold Town Clerk RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. a. Please review this renewal application. If there have been no changes to the premises, trailer, ownership of the premises, or ownership of the trailer, please sign at the bottom of the reverse side of this application, have your signature notarized, and return to the Southold Town Clerk's Office with your $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether applicant is owner, lessee oragent ......................................................................................... owner Name of Owner of premises ............. .M....a..r.y....H.: .C...u.~,ry...k. ............... If applicant is corporate, signature of duly authorized officer .......................................... corporate o~'i'~) .......................... 1. Location of land on which proposed trailer will be located Mattituck, New York Street and number 390 Hill Street 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy livinq a.tLa, rters b. Intended use and occupancy same c. Period of time trailer is to be located on premises 6 months 3. Fee .......... ~..1..0..0.:..0.~). .................... (To be paid on filing application) 4. Dimensions of trailer, length 55' · 10' 10' ............................ w~dth height Registration Number 118371 Serial Number PP8107 c Size of lot: Front 295'81~ Rear 91'78~ 1~,0.75 '~' Depth 6. Date of purchase or lease of land December 10, 1969 7. Zone or use district in which premises are situated Ag. riculture 8. Does proposed use violate any zoning law, ordinance or regulation? ......... ~.o. ..................................... 9. a. Method of Sewerage disposal ......... .3....c.~S.P...o.~!..~..a..n..k...s .................................................... b. Source of Water Supply water well c. Source of Electricity ....................... .k.j,I..c..o. ......................................................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen- sions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem- ises, showing distances from al! buildings and property lines. ON FILE IN TOWN CLERK'S OFFICE. If any chanties have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEW YORK } COUNTY OF SUFFOLKjss' ................ ..M..a..r.~'....H........C.]..u.p..r..u...k. ...................................................... being duly sworn, deposes and says that he is the applicant named above. He is the ........... owner (owner or lessee or agent) of said owner or owners, and is duly authorized to make and file this application; and that oil statements contained in this application are true to the best of his knowledge and belief; and that the trailer will be located in the manner set forth in the application filed herewith. Sworn to before me this .............. I .................. day of ..... ............ .. ...... ............. - (Nota~ Public) M~ V. ~0~ N~~Y~ ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Ms)' 23, 2002 Mary Ciupryk P.O. Box 530 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on June 12, 2002. Enclosed is a partially completed application renewal form. Please complete the form, have your signature notarized and return it to this office together with the required $100.00 renewal fee as soon as possible. Please make your check or money order payable to "Southold Town Clerk." If your application and fee are not received on or before June 12, 2002, your Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, Elizabeth A. Neville Southold Town Clerk Enclosure ELIZABETH A, NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date December 3, 2001 Issued to Mary Ciupryk Address P.O. Box 530 Mattituck, NY 11952 A renewal permit is hereby issued for the location trailer~- at 390 Hill Street, Mattituck, NY pursuant to application dated December 12, 2001 This renewal permit is granted for a six (6) month period. Expiration date June 12, 2002 of a single ~izabeth A. Neville Southold Town Clerk PERMIT NO. 125 EXPIRATION DATE: TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 $outhold, New York 11971 (516) 765-1801 December 12, 2001 qI;CE~VED 3 u 2( 01 ~,~no~ ~ow~ Clerk RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE OUTSIDE OF TOURIST CAMP. CAR, a. Please review this renewal application. If there have been no changes to the premises, trailer, ownership of the premises, or ownership of the trailer, please sign at the bottom of the reverse side of this application, have your signature notarized, and return to the Southold Town Clerk's Office with your $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether applicant is owner, lessee or agent ~ .o...w. ner Name of Owner of premises .... Mary. H. CiuLq. ry.k If applicant is corporate, signature of duly authorized officer (Name and title of corporaYe ~fi~) ........... 1. Location of land on which proposed trailer will be located Mattituck, New York Street and number 390 Hill Street 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy living .q.u..a. rters b. Intended use and occupancy same c. Period of time trailer is to be located on premises .... 6 months Fee .......... ~;..1.0.0.:..0..0 ..................... (To be paid on filing application) Dimensions of trailer, length .......... .5.~.'. ............. width 10' height 10' Registration Number .......... !.!.~..3..7.! .................... Serial Number PP8107 ~,.c Size of lot: Front ................... 295r81' '~t~ear 91.78' Depth 140.75 6. Date of purchase or lease of land ............... ..D..e..c..e..,m..b..e...r...!.0..:...!..9.6...9 ...................................................... 7. Zone or use district in which premises are situated ......... .A.g.r.[.c.g.l.~.u...r..e. ......................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ......... .n..o. ..................................... 9. a. Method of Sewerage disposal ......... ~...c..e..s..s..p..o.q!...t..a..n..k...s .................................................................. b. Source of Water Supply water well c. Source of Electricity ....................... .L.j,l.c..o. ......................................................................................... PLOT DIAGRAM Locate dearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen- sions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem- ises, showing distances from al! buildings and property Fines. ON FILE IN TOWN CLERK'S OFFICE. If any changes have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEW YORK '1 COUNTY OF SUFFOLKjss' ~.a..r.~ H. Ciu~.ruk .......................................................... being duly sworn, deposes and says that he is the applicant named above. He is the ............... owner (owner or lessee or agent) of said owner or owners, and is duly authorized to make and file this application; and that all statements contained in this application are true to the best of his knowledge and belief; and that the trailer will be located in the manner set forth in the application filed herewith. Sworn to before me this ~ ~ day of "/'X ........ ; ....... ........ .......... ...... ........... ~'~, // ~ ' ~ -- I~ ~ (Sig~ture) ~ ~ ............................... ............. ~ .............. ~}llE ~. (Nota~ Public) N~P~ ~y~ ' ~ ~. ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 Mary Ciupryk P.O. Box 530 Mattituck, NY OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 19, 11952 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on December 12, 2001. Enclosed is a partially completed application renewal form. Please complete the form, have your signature notarized and return it to this office together with the required $100.00 renewal fee as soon as possible. Please make your check or money order payable to "Southold Town Clerk." If your application and fee are not received on or before December 12, 2001, your Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, Elizabeth A. Neville Southold Town Clerk Enclosure ELIZABETH A. NEVILLE TOWN CLERK REGIST[~X.R OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631/ 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date June 4, 2001 Issued to Mary Ciupryk Address _~, P.O. Box 530 Mattituck, NY 11952 A renewal permit is hereby issued for the location trailer/k~ ,at 390 Hill Street, Mattituck, NY pursuant to .application dated June 12, 2001 This renewal permit is granted for a six (6) month period. Expirat, ion date December 12, 2001 . of a single Elizabeth A. Neville Southold TOwn Clerk PERMIT NO. 125 EXPIRATION DATE: TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 June 12, 2001 RECEIVED RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. a. Please review this renewal application. If there have been no changes to the premises, trailer, ownership of the premises, or ownership of the trailer, please sign at the bottom of the reverse side of this application, have your signature notarized, and return to the Southold Town Clerk's Office with your $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether applicant is owner, lessee or oqent ~ owner Nome of Owner of premises Mary. H C uprvk If apphcant is corporate, signature of duly authorized officer ' (Name and title of corpor~'~e ~fic~) ...... ]. Location of land on which proposed trailer will be located Mattituck, New York Street and number 390 Hill Street 2, State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy ... living q.H,a, rters b. Intended use and occupancy same , c. Period of time trailer is to be located on premises 6 months Fee ..........$_1..0..0....0..0 ..................... (To be paid on filing application) Dimensions of trailer, length .......... .5..5.'. ............. width 10' height 10' Registration Number 118371 .Serial Number PR8107 ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION O-FFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date June 4, 2001 Issued to Mary Ciupryk Address P;O. Box 530 Mattituck, NY 11952 A renewal permit is hereby issued for the location trailer/ka~maca~ ,at 390 Hill Street, Mattituck, NY pursuant to .application dated June 12, 2001 This renewal permit is granted for a six (6) month period. Expiration date December 12, 2001 . of a single Elizabeth A. Neville Southold Town Clerk DEC O? 1[1 9 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined .................................... , 19 ........ Approved ............... /-~./~.~'~...., 19~.f. Permit No ................. Disapproved a/c ............................................................................ Application No..../...~r..-~'.. ................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,, OUTSIDE OF TOURIST CAMP. Date ................. , .......... , 19 .... Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property and proposed location of trailer must be drawn on the diagram which is part of this application. c. Upon approval of this application, the Town Board will issue a trailer permit to the applicant. Such permit shall be kept on the premises available for inspection. d. No trailer shall be occupied or used in whole or in port for any purpose whatever other than specified in permit. Application is hereby made to the Town Board for the issuance of a Trailer Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. Nome of Owner of premises ..~...q:~..~.......,t....~....F~....~..../....,.~l..,i..~....~'h.o..~~ If appl'can, 's corporate, signature of ~uly autho~d ~fi~ ' ' ~ ~ (Nome and title of corporate officer) on which proposed trailer will be located ~.~.~.....~..~,~.~.~ I. L~atlon land Street and number ........ ~...~.~......~....~' .................................................... .............. 2. Stat~ existing use and occupancy of premises and intended use and ~cupancy of proposed trailer: ~. fixi~tin~ use ond occuponcy ....................................................................... b. Intended use ond occuponcy ........................................................................................................... c. Period of time trailer is ,o be located on premises ...[.~..2.~: ......... ;; ........................................ Fee .........................................(To be p~id on filino opplicotion) Dimensions of trailer, length ..... .~..~ .............. width .... ~.~ ......................height .~..g. ..................... /2 gistration Number ......................................... Serial Number ............................................................ 5. Size of lot: Front ..,~.~..~..~..~..! ...................... Rear ......~.1.~.?..~. ............. Depth ...~..~:.~...~.. ........... 6. Date of purchase or lease of land .... ~ ( .0. t l' ~ IJ 7. Zone or use district in which premises are situated t~,~t~ ~if/ ~,q 8. Does proposed use violate any zoning law, ordinance or regulation? ......................... ~ ........ .- ............... 9. a. Me~hod of Sewerage disposal .... ,,~......~J~......'~¢~ .................................................... ~ b. Source of Water Supply (O~ ~.~... c. Source of Electricity ........ ~..L...L-....~...¢?. ............................................................................................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen- sions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK '1 COUNTY OF SUFFOLKjss' ......... '-~'~'~'~"~'"'""~'~'i"~.~0-.~.~i;.~-.~Z~.;~-.~.~/~~L_~ _'bei~duly sworn, deposes and says thor he is th~,plicant~_ named above. He is the .~~,.~_~,~ ' ~~ '""~'~ '~'~~ ~ towner or lessee or agent) ....................... Of said Owner or owneFs, and is duly authorized to make and file thi~ ~P~iication; and that all statements contained in this application are true to the best of his knowledge and belief; and that the trailer will be located in the manner set forth in the application filed herewith. Sworn i_.o,~ore me this .......... .~ ............. day of ~Z~. _/~c,o_. ~ ~ .z~ ....... ..... : .: . New Yodr. 5ta~'e F_~luca' aw. set.;1 ~al~ not be co, -.-',ed to rrif,c2t.,ont' irc~,c~ed hereon sha~l run only lo the . /' ~. "~ ~ " · !~ .,-.~ '. m mm;m .~ j'0' m m m ~ ' 0m ' , , m · ~ ~ ~ ~, ~ ...... ~' ~-~ C ~ ~ I~ ---:-:- .._-_- ....... ~ ' ~ ~ ~-- ~ t~Y ...... i i--~--'~ -' - ~,~ ~~~'~." - - ~--"- iA. 'Lu.~u' ~ ,~,~ .~ t _ .SURVEY FOR JOSEPH W. ~ MARY H. PETRAUSKA$ AT MATTtTUCK TOWN OF $OUTHOLD SUFFOLK COUN? Y, N.Y. 3CALE : I" = 40' NOV. 2,6~ 1969. dUNE 28, 19 74 JUNE 7'; 19 7'3 JUI. Y ~ , 197'3 dUNE 26, t974 R'E VERENCE: gUARANTEED TO*. THE TITLE GUARANTEE COMPANY' jOSEPH. W. 8~ MARY H. PETRAU..RKAS. LA19D IURVEYOR 19. Y, S. LIC,. NO, £g Rl YERHEAD ,_19. ¥. · ,- _ ..... .,