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HomeMy WebLinkAboutDamien, George D. TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Name (}.e Olt.~[ ~... ])..... ])Jll~::l. el~, ...................................................................................................... Street ..92,1t'.....~[e s.t..~ ..~e ................................................................................................... Tow n .. ~...ZO~ ~...~, Z ,---..~O~ ~ ......................................................................................... Your application for a (single trailer) ~ permit was reviewed by the Town Board on .................................. ~ ....... ~ ................. , 19.~.., and~ (was not) approved. de~ed A ~e~ff ~s ~e~ebF ~ fo ~oco~e ~ (s~9~e f~o~e~) ~), ~cemse m~mbe~ ......... ~[~e .......... co~ff~o~s: .~r~lt..d~e~.....f~.-~h~k...~.,.O~..r~d-.~i.tB ................ mOWN BOARO, TOWN Or SOUTHOLO TOWN OF SOUTHOLD TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined ........ .H..a..y....2..b. ................ , 19 ..66 Approved .................................... , 19 ........ Permit No ................. Disapproved a/c ..ApplJ.~;aJ;J.~n..d~rl.L~d .................................... Supervisor APPLICATION FOR LOCATION O.F SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST GAMP. Date ....]~...7...~ ...................... , 19..~.. Instruction, 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 part 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 ba.ws, Ordinances or Regulations. The applicant agrees to/~.omply with all applicable laws, ordinances and regulations. (,.~e(¢ ~ ......................................... .... ?. ........ (Address) State whether applicant is owner, lessee or agent ................ ...O~....e..z: ................................................................... Name of Owner of premises ....................... .g.?..°.r..~.?....D.P..D...e~..~.e..~. ....................................................................... If applicant is corporate, signature of duly a,uthorized officer ..,.,..., ........... ,, .+,,+,+ ............ ..., .... ..,,,.... ....... ..,.,, ............... (Name and title of corporate officer) . On my lot in New Suffolk betwreen 1. Location of land on which proposed tra.iier will be located .................................................................... ~in, Fi .f* th , a nd Jackson Streets Street and number ................................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............... .g.o...~.e. ...................................................................................... b. intended use and occupancy ~.~.`~.°~.~5t~..e..~.°.~?.~..e~..m~.~..~...e~.e:~.~:.°..=..~~.°.~.~..°..~.~~.~E~P~e~ c. Period of time trailer is to be located on premises ?our month,~ - June~J~].y,A~gust,~n~ 3. Fee ......... .~.5..:.0..0.. ........................ (To be paid on filing application) 4. Dimensions of trailer, length ...:~.~.~ ......................width ....8..] ............................. height ....?..'....8..~..~, ........... Registration Number ..w.~?:..1.....k~...97.(..~...:l:~.e.~ ....... Serial Number ....Z.~.e..~. ................................................. I shall give you the registration and serial numbem of the mobile home if you autorize me to install it on my land. Once I h~ve y~ur permit I shall rent the mobile home and the Company will tell me the registration and serial numbers, 5. Size of lot: Front ..... .3..0..0..; ................................. Rear ....... .3..0..0..; ..................... Depth .l..5..0.~,,,~...l..0..0.!....&...150X90 6. Date of purchase ~c~ J.~.n..~.a.~'.y....1..8.~.],.~.~ ............................................................................. 7. Zone o~ use district in which premises ore situated.....N..e.,w....8..u..f..~.P..l..k....-.....n..o....z.o...n.e. ....................................... 8. Does proposed use violate any zoning law, ordinance or regulation? N..o....t..o....t..h..e...,b.~.s...t....o..f....m..y...kno?ledge 0. a. Method of Sewerage d sposa .c..e..s..s~..o..o..l...w~.'..1..l..b.,e..b..u..i..]...t...a...cc.,o..r..d..i...z~g....r..e.g,u..1,a..t..i.9..n~.' ........ well will be digged and bui~ according regulations b. Source of Water Supply ..................................................................................................................... c. Source of Electricity .......... .~..o..~.~...I..s..[.,~..~.~...O..o,.m.~..~..~.~. ........................................................................ 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 l COUNTY OF SUFFOLK~ss' George D.Damien ........................................................................................................ being duly sworn, deposes and says that he is the applicant named above. He is the ............. ..o~,,.~..e..r. .............................................................................. (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 20th , . ................./ ~ .................................. '-'-~i , ~ ........................ i~-''~ ............. ~ ..................................................... (Signature) -'""/ .Z-.-~ ............. (Not~rU~'pdl~ii~') ....................... t TOWN TOWN SOUTHOLD, N. Y. I~y 21~ 19 66 Examined .................................... , ........ Approved .................................... , 19 ........ Permit No ................. Disapproved a/c .Ai~l.l.f~.tii.~..~.i.~ .................................... OF SOUTHOLD CLERK'S OFFICE Application No ..................................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOEILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. zz Date .................................... ,. 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 part 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/~pty with all appIjcable laws, ordinances and regulations.~'z-/d ~:J-~ <C, eox'ge DeDe. m:t.e'n) .......................................... .... ........ (Address) State whether app{icant is owner, lessee or agent ................ ~-z3..e..r. ................................................................... Name of Owner of premises ....................... ..C'.e...°..z'.~..e....I)..'..~..?:.-,i.?.~'. ....................................................................... if applicant is corporate, signature of duly authorized officer (Name and title of corporate officer) Ozz rny 21o~ iz~ lqew Su££o3.k be~vee~ 1. Location of land on which proposed trailer will be located .................................................................... Street and number ................................................................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ............................................................................................................. b. Intended use and occupancy ..Z....qp....i.~.,e..~.~...?...~.p..e.~.0...~.....~..~%~p.~..~.4...?....q.o.~..e~.~..E~ke~ c. Period of time trailer is to be located on premises Four zno~he .- ,)'u~esJu'13%A~us%,e~d 8ep~eml~ 3. Fee ..........~3.5......O..0. ........................ (To be paid on filing application) ' ' . ................................... height .......................... 4. Dimensions of trailer, length ...Sfi ....................... w~dth 8' ?' 8" Registration Number ~r3.3.3, k~ow 5.~ i~er Serial Number Tcle~ T sh~13, gl~e you The reg:l.$~r~iozz ~d seri~ ztu~bez~ o£ %he mobile ho~e :L£ ~'ou ~u~oori,.e ]ne %o 5.r~3.3. ~.~ o~ m3r 3.~z~d. Oz~¢e 22 here 3r~r perzni~ T ~h~3.3. re~ The mob~.:le ho]ne ~z~cl ~;he (3Om~l~Z'-y w'3.3.3. ~e3.]. ]ne t3he re§i~%r&~io~ ~z~d ser~&], nu~nberee 5. Size of lot: 6. Dote of purchase ~ jh,~.~.a.[:y...~,~.~.~ ............................................................................. 7. Zone or use district in which premises ore situated....~?£..~.~.t~£~.l.~...-....~.9...~.9.~.~ ....................................... 8. Does proposed use violate any zoning law, ordinance or regulation.; ..N..o...?..o...?...h.e...?..e.?...~....o..~.....m~......k~..?..~.lecl.§e 9. a. Method of Sewerage disposal ........ ~..e.~.~p..o.p..1. b. Source of Water Supply ........... ..w..e..~..~...~.~..~.?.e....d..i.~.~.e...d..?:.n..d.....~..u..i..~....e~...?..~..~..d..i...~.....~..e.~.~... c. Source of Electricity .......... .L..°..n.~...I.~..1.~.n..d....C.?..m.~.n. 7 ......................................................................... Front ..... ~gg.! ................................. Rear ....... ~.! ..................... Depth ~..,~..[~!..~.%50~90 C PLOT DIAGRAM Locate clearly andr distinctly all buildings, whether existing or proposed, and indicate al/ 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 teoiler on prem- ises, showing distances from alt buildings and property lines. · STATE OF NEW YORK COUNTY OF SUFFOLK ss. George D.Damien .............................................................................. 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. GEORGE [3. DAMI£N May 20,1966 Mr Howard Terry Building Inspector Town o£ Southold Southold,N.Y Dear Mr Terrys Please find enclosed the application in duplicate for temporary locatien of a mobile home on'my lot in New Suffolk. As requested,I am also sending you a check for $5.00 in payment of the legal feee I look forward to hearing from you very soon. George DeDamien