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HomeMy WebLinkAboutEgan, Susan POA Smith, JosephTOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 PERMIT NO. 155 EXPIRATION DATE: 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 ar, e,~t Owner Name of Owner of prem ses ....J..o..seph Smith If applicant s corporate, signature of .................................................. (Name and title of corporate officer) ........ 1. Location of land on which proposed trailer will be located 1285 Smith Road Street and number . Peconic, NY 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy Primary..,Residence b. Intended use end occupancy Temporary Residence while rebu dng c. Period of time trailer is to be located on premises 6 months 3. Fee $100.00 ............................................ (To be paid on filing application) 4. Dimensions of trailer, length ..... .4..4.~ .................. width 24' 12' UL1504760A ................................ height ............................ Registration Number UL1504761A ......................................... Serial Number 62100 67 0 MBAB 6. 7. 8. b. Lot 13.-.35 Size of lot: Front ....L..oJ:...1.g.,.z.,.3§. Rear ................ Depth ................................ Date of purchase or lease of land ......... !..9.9.9. ........................................................................................ Zone or use district in which premises are situated Residential Does proposed use violate any zoning law, ordinance or regulation? ....1'.1..o. .......................................... Method of Sewerage disposal Cesspool Source of Water Supply ................. ..W..e.!! ....................................................................... Loca Ut ty Carr er Source of Electricity ......................................................................................................................... PLOT DIAGRAM Locate clearly and distinctly ail buildings, whet'her 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 changes have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEW YORK } COUNTY OF SUFFOLKjss' Susan Egan POA for Joseph Smith ........................................................................................................ 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 mQke 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 '. ........................................................... , 19 ................................. (Signature) (Notary Public) 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 March 14, 2002 Susan Egan POA Joseph Smith 1525 W. Creek Ave. Cutchogue, NY 11935 Re: Trailer Permit Renewal No. 155 Dear Ms. Egan: This is to advise you that your Trailer Permit will expire on April 23, 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 April 23, 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 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 738 OF 2001 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 23, 2001: RESOLVED that the application_of Joseph Smith to locate a temporary house traile, while constructing new home for permanent residence at 1285 Smith Road, Peconic, New York of Town Board of the Town of Southold be and hereby is l~ranted~ for a six (6) month period_ Elizabeth A. Neville Southold Town Clerk RESOLUTION OCTOBER 23, 2001 V 738 RESOLVED that the application of Joseph Smith to locate a temporary house trailer while constructing new home for permanent residence at 1285 Smith Road, Peconic, New York of Town Board of the Town of Southold be and hereby is granted~ for a six (6) month period. TOWN CLERK'S OFFICE SOUTHOLD, N. Y, Approved ...................................., f9 ........P'ermit NO ................. APPLICATION FOR LocATIoN OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date tO[!l q Instructions o. This application must be completely filled in by typewriter or in ink and subrnit one copy the Town Clerk. to b. Plot plan showing location of lot and of buildings on premises, relationship to ad oining premises or public streets or areas, and giving a detailed descript on of layout of ~ro er n ' of trailer must be drawn on the diagram which is part Of this oppli~:at[c~n~ d proposed locat,on c. Upon approval of this application, the Town Board Will issue o trailer permit ia 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 whate~er other than specified in permit. Application is hereby mode 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, ondlother applicable Rows, Ordinances or Regulations. The applicant agrees to comply with oil applicable !laws, ordinarz,.~c~e~s~:~ regulations. (Address) ............... '*[ ..................... State whether applicant is owner, lessee or g ............................. a ent <O ~O~/~ ' Name of Owner of premises if applicant is corporate, signature of duly authorized officer .......................................... 1. Location of land on which proposed trailer will be located ../..~....~...~......~...~.../...~......~..o...~...~?. ................... Street and number ~.~T~kJ~ .C..~ jkj'~.. .................................... ~ ............ ~ .............. 2. State existing use and occupancy of premises and intended use and occupanc ~. Existing use and occupancy ..... ~ ...... .~....~.../../~......~....V.....~.....~-~.../....~....~...C..~ .... b. Intended use and occupancy ................. ...~....~.~....~...~...~.y....~....~.../.~..A~....C~.....?. c. Period of time trailer is to be located on premises ........... ..~...../~...~.'..k9'.....~....~.. Fee ...?.!..~..D.:..~...O. ......................... (To be paid on filing application) Dimensions of trailer, length .......... ~....~.~...width ................................ heilht ......... ~ .............. Registration Number ~J~_t ~{3Z~qbOA .Serial Number ...~....'~... !....~...~..-1..~ CD I~I~A,~:~ of proposed trailer: Size of lot: Fro~t ~...~..~....M-TT....'....~....(~.. ......... Rear ................................ Depth ................................ Date of purchase or lease of land ................ ~-.~-..t ................................................................................ Zone or use distr ct in which premises are situated Does proposed use violate any zoning law, ordinance or regulation? ........ ~ .................................... 9. a. Method of S~werage disposal ....... ~...~....~.~...~- ........................................... .................................... / b. Source of Vvlater Supply ............. ..l~...~'...t../..: ................................. i ..................................................... ........................... c. Source of El tricity ............................................................................... PLOT DIAGRAM Locate clear y and dis}inct y a buildings whether existing or proposed, ~nd indicate all set-back dimen- s ohs from property i~es. Give street and block numbers or description according to deed, and show street names and indicate wlhether interior or corner lot. Indicate clearly location of proposed trailer on prem- ises, showing distances from all buildings and property lines. / 6. 7. 8. STATE OF NEW YOt~K '~ COUNTY OF/~ SUFFOLK,. . /')__Ils' I'-_l.,J'Fr' -- ,-. ~ ~.-~ .~. (-~-~.~.,...r~..,~:' ..~.../.~'....~/~.. '~):g.,C,x',(,b.Z~'.~...:. being duly sworn, deposes and says that he is the applicant n, -ned above: He is the ................................ ~.~.. --/~.-.~...~/.-.-' .................................... (owner or lessee or agent) of said owner or owne 's, and is duly authorized to make and file this application; and that all statements contained in this appl cation are true to the best of his knowledge and belief; and that the trailer will be located in the mar her set fo~h in the application filed herewith. 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. Issued to 155 Susan E§an POA Joseph Smith Date October 23, 2001 Address 1525 W. Creek Ave. Cutcho~ue, NY 11935 A renewal permit is hereby issued for the location of a trailer/l~a~ at 1285 Smith Rd., Peconic, NY pursuant to application dated 10/19/01 This renewal permit is granted for a six (6) month period. Expiration date April 23, 2002 single Southold Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y, Approved .................................... , 19 ........ Permit No...~...~..... APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. =te .......... ,..o..!.!..q. ................ , \ Instructions a. This application must be completely filled in by typewriter or in ink and submit one copy 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 ~ 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 SouthoJd, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with oil applicable laws, ordinances and regulations. ......, ~~i..~..../,.....~......~.. ...................... ......... ............. (Address) ' State whether applicant is owner, lessee or agent ........ O,...~.../fl..~:..~... ................................................................. Name of Owner of premises .......... .~..~.~...~...~..~-...,~...~I....I.,.T~... .......................................................................... If applicant is corporate, signature of duly authorized officer (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located ../.~...~...~......~...~..[...r~......~.....~...,~.. ................... Street and number ............... ~..~..!..C..~.....~...~. ..................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .... ~ ...... .~....~..,/..~....~...~...~.....~.....~.../.~.~...C...~ ....................................... b. Intended use and occupancy ................................~. ............. ./.~..~....C~......~I~..~../..~..~......~..E...~....O.f..~...L~..AJ(~ c. Period of time trailer is to be located on premises ........... ..~...../~...~.../g.....?~-....S.. ................................... 3. Fee .. ?.. !..~..D. ... .O...~. ......................... (To be paid on filing application) 4. Dimensions of trailer, length .......... ~....~...~....width ............ ..~...L~.~. ............ height ....... .k~.~. ............ Registration Number ......................................... Serial Number..~....~....!....~...~.-!....~.......l~.....~....~..J~. ........ 5. Size of lot: Front ..L~-.'~...L.'~.......--TT...'..~.'.~..: ......... Rear ................................ Depth ................................ ~ CC_C. 6. Date of purchase or lease of land ................ ~..~...t ................................................................................ 7. Zone or use district in which premises are situated .... .~..~.S.../...~..~'.~/.~ ..................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ........ ~.~. .................................... 9. a. Method of Sewerage disposal ..... .~..~_~....S.~...~, ............................................................................. b. Source of Water Supply ............. /~/..~...-t~z... ....................................................................................... c. Source of Electricity .................. ...L~...~...~...Lr....~...'/'~..,.~./....~.......-~'.-.-/~-...-/~..(~-..-~. ........................................... 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 Qr 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 } COUNTY OF SUFFOLKjss' ................ ................... being du y sworn, deposes and says that he is the applicant named above. He is the ...............................~.~.~.'..~....~./2 ...... · .................................... (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.