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Home My WebLink AboutHollowell, Timothy & Margaret 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 RECEIVED SEP 2 8 2004 September 9, 2004 Southold Town Clerk Margaret Hollowell 1280 Smith Dr. South. Southold, NY 11971 Re: Trailer Permit #167 Dear Mrs. Hollowell: This is to confirm our telephone conversation on August 23, 2004, in which you stated that the trailer has been removed from your property and that you have moved back into your home. Please sign the bottom of this letter confirming this and return it in the enclosed self-addressed envelope. Your trailer permit will then be cancelled. Thank you. Very truly yours, jov~ce M. ~ins/~/j~L' Enclosures ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hail, 53095 Main Road P.O. Box 1179 Southotd, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Betty, On Monday, 8/23/04 1 called and spoke to Mrs. Hollowell, who informed me that their trailer has been removed and they are now back in their home. This permit should be cancelled. Joyce TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (S16) 76S-1801 PERMIT NO. 167 EXPIRATION DATE: 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 $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. Owner State whether applicant is owner, lessee or agent ......................................................................................... Name of Owner of premises Timothy P. Hollowell If applicant is corporate, signature of duly authorized officer (Name and title of corporate officer) i. Location of land on which proposed trailer will be located ........... .1..2..8..0....S...m.!.t..h...D.r..:....S..°..' .............. Street and number Southold, NY 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .......... .H..~..u...s.`e.~.~b.?.!~..d..e..m...~.!!.s..h.~e..d...?.~..r..e...b..u.!!~t. .................................. b. Intended use and occupancy ................'1'.eJ[~.P~.~..Y...Q..c.c...a.3.J.g.P.a.]....u..s..e. .......................................... c. Period of time trailer is to be located on premises ...................................................................... Fee ............. .$.!..0..0.:..0.?. ................. (To be paid on filing application) ............................ width 8' 9' Dimensions of trailer, length 23' ................................ height ............................ ......................................... ~er a Number ........................................................... Registration Number AH47940 ~ i I IEDIS23.24F5322035 107 107 226 5. Size of lot: Front ............................................ Rear .................. Depth ................................ 6. Date of purchase or lease of land .................. Mar~cb..Z0.0.].....; ............................................................ 7. Zone or use district in which premises are situated 8. Does proposed use violate any zoning law, ordinance or regulation;) no 9. a. Method of Sewerage disposal Use ex st ng cesspoo b. Source of Water Supply ........................~J.5.tJ~g ..qJ.t~/. water c. Source of Electricity ........................... exi~tincj electric PLOT DIAGRAJ~ 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. 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 SUFFOLK ss. ......................................................................... being duly Sworn, deposes and says that he is the applicant named above. He is the .................................. (owner or lessee or agent) of said owner or owners, and is duly authorized'to make and file this application; and that oll 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 (Signature) (Notary Public) 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-mail: ed.forrester@town.southold.ny.us TOWN OF SOUTHOLD MEMORANDUM TO: FROM: DATE: RE: Elizabeth Neville, Town Clerk Ed Forrester, Director of Code Enforcement March 26, 2004 Trailer Permit 167, Hollowell Please be advised the trailer on this property is used as dwelling while house is being rebuilt under valid Building Permit. EDWARD FOP. RESTER 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-mail: ed.forrester@town.southold.ny.us TOWN OFSOUTHOLD MEMORANDUM TO: FROM: DATE: RE: Elizabeth Neville, Town Clerk Ed Forrester, Director of Code Enforcement March 26, 2004 Trailer Permit 167, Hollowell Please be advised the trailer on this property is used as dwelling while house is being rebuilt under valid Building Permit. EI~IZABETH A. NEVILI.~. 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 Town Board would like all trailer permits 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., Mattimck Permit No. 133 - Thomas Wowak, Main Rd., Laurel Permit No. 156 - Fine Care Landscaping, 280 Bridge La., Cutchogue ELIZABETH A. NEV~I,I,E TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLI~,RK 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. $1 - Angc &Barbara Bourisquot, Pvt Rd. off Main Rd., Mattituck Permit No. 107 - 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. 125 - 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, 455 Inlet Dr., Mattituck Permit No. 78 - Gian Mangieri, Pvt. Rd. offMain 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 HEGISTHAR 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 SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 167 Date August 4, i2003 Issued to Address Timothy & Margaret Hollowell 1280 Smith Dr. S. Southold, NY 11971 of a single A renewal permit is hereby issued for the location tra. iler/l~x~l~ at 1280 Smith Dr. S., Southold, .NY pursuant to application dated June 5, 2003 This renewal permit is granted for a six (6) month period. Expiration date January 29, 2006 Elizabeth A. Neville Southold Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ...................................., t9 ........Permit No ................. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. .......... 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 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 v~ill 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 comply with all applicable laws, ordinances and regulations. ~~ ................ (Signature of~ applicant) ~ (Address) ~Oc)~c-b, AJ ~""/i~'f'~ ............ State whether applicant is owner~t ......................................................................................... Name of Owner of premises ..... / ........... ..~/.~/. ........................................ 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 /~L'~C~ ~'~ /77-/-~_ ~'~ ~-7~' Street and number ~-~ ~)~z~)L-b, ~ C,/ II ~' '7/ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a Ex st ng use and occupancy .~.0...~..5...~.....~..~./..~...~....?....~..Df.~.~./..~.~...,,~t-~.~......~...~...~...~.~..~ ......... b. Intended use and occupancy .'~..M..~.~.~..~T...~......~...~f./..~...~._~.../Z......~...~....~.~. ................................ ........... c. Period of time trailer is to be located on premises ....................... ~. .................... 3. Fee ............................................ (To be paid on filing application) 4. Dimensions of trailer, length ...~..~.....~.~.: ......... width .~....~..~..'.. ' height ~/GT'' Registration Number ../~....~.....~....'7...~....~'.~ ....... Serial Numbii' iii-~ ~.i i ..~..°~ ~i~''~'~'~'~)5~''..,.. ..................... 6. Dote of purchase ~',~s~'of Iond ~. ~,--~--/'?i ~--D ~) I 7. Zone or use district in which premises are situated ........................................................................ Does proposed use violate any zoning law, ordinance or regulation~ ../~....~... ............... 8,1 . ...... o. Method of Sewerage disposal ........................... l .......................... ~. ................................................... b. Source of Water Supply ..~-Z..~?...~.(.~..~.......~...!Z~.....?..-...~....~...~.. ....................................................... c. Source of Electricity ..~-:...~1,~..~.[~...~......~..,.~...~.~..~....~...-?. .................................................................... PLOT DIAGRA~ Locate clearly and distinctly all buildings, wheCher existing or proposed, and indicote 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 ), COUNTY OF SUFFOLK,f ss. ,.TJ...l~li~.~...~.,...~...O.!~-- -- - ................ being duly sworn, deposes ond says that he is the applicant named obove. He is the ...... ~...~....~.~..~. ......................................................................... (owner ~) of said owner or owners, and is duly authorized to moke ond 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 ~/~~............. ..... .~...u,.~ ...................................... , ~5 .i, . /~~'""~'~~i .............................. (Signature) Ru~sell R. Krafl~ Notary Public, Ek ~ e~ b~ew York No. O1 KR bd 13315 Q,~,~!ifi~l ~ Sufibi~ Ccun~y Sy~tsm ~ to b~]u~f~ed let driveway. '~09 APPEOVAL ( ,5'INGLF-. ~At~.~LY EE$[DENCE ONLY THREE YE^R~ APPROVAL t SEPTIC SYST£Jd CROSS SECTION LOT: 4] ,~ 4~ HAt=' OF: ~O05E :';EC~-- / FILEP: ~'40~/Ei'dBE~. 22, Iq4~ NO 166~ CO. ~FFOL( B~jA~D: ~OUTHOLP, TO~N ~UT~OL~ SCALE: ~" = 40'-0" $1T~ PLAN 0F THF ' HOLLOP4ELL RESI[::)ENC, E ~A'1~: AF~ 20, '02 ~.SV NOV. ~0, '02 ~,.EV, N~,'. 2B,, '02 c~V JAN 2~,. 'OD 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 $OUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fox (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 452 OF 2003 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JULY 29, 2003: RESOLVED that the Town Board of the Town of Southold hereby ~rants oermission to Timothy P. & Margaret A. Hollowell to locate a temporary single family house trailer on their property located at 1280 Smith Drive, Southold, New York to be used for the purpose of living quarters only during the demolition and reconstruction of their dwelling, for a period not to exceed six (6)months. Elizabeth A. Neville Southold Town Clerk RECEIVED July 17, 2003 Ms. Elizabeth A. Neville Town Clerk P.O. Box 1179 Southold, NY 11971 Southold Town Clerk Dear Ms. Neville: Enclosed please find our check and Trailer Permit application which is being re- submitted for approval on the next agenda. On June 5"~ we also made an inquiry with the Building Department regarding an on- site Storage Container for our possessions; but, we later decided not use one. Due to a misunderstanding dudng a conversation with Mr. Verity, he assumed we no longer wished the Trailer Permit for living. When I spoke with Mr. Verity today regarding this situation, he advised that I re- submit all information to your office. He was also aware that Mr. Ed Forrester had seen the trailer dudng an on-site visit two weeks ago to approve the Hay Bale Line. Thank you for your assistance in this matter, and should you need to contact us, our numbers are: 631-924-4195 - (business) 631-765-3037 - (home) 516-848-9675 - (cell) Ti~ret A. Hollowell 1280 Smith Drive Southold, NY 11971 Encs. copy Town Clerk Office Letter July 14/03 odginal Trailer Permit application payment ck #4767 RESOLUTION JULY 29, 2003 V - 452 RESOLVED that the Town Board of the Town of Southold hereby rants ermission to Timothy P. & Margaret A. ltolloweil to locate a temporary single family hous~ trailer on their property located at 1280 Smith Drive, Southold, New York to be used for the purpose of living quarters only during the demolition and reconstruction of their dwelling, for a period not to exceed six (6) months. RECEIVED July 17, 2003 Ms. Elizabeth A. Neville Town Clerk P.O. Box 1179 Southold, NY 11971 Southold Town Clerk Dear Ms. Neville: Enclosed please find our check and Trailer Permit application which is being re- submitted for approval on the next agenda. On June 5th we also made an inquiry with the Building Department regarding an on- site Storage Container for our possessions; but, we later decided not use one. Due to a misunderstanding during a conversation with Mr. Verity, he assumed we no longer wished the Trailer Permit for living. When I spoke with Mr. Vedty today regarding this situation, he advised that I re- submit all information to your office. He was also aware that Mr. Ed Forrester had seen the trailer dudng an on-site visit two weeks ago to approve the Hay Bale Line. Thank you for your assistance in this matter, and should you need to contact us, our numbers are: 631-924-4195 - (business) 631-765-3037 - (home) 516-848-9675 - (cell) Sincer..~ely,~~ . .~ Ti~aret A. Hollowell 1280 Smith Drive Southold, NY 11971 Encs. copy Town Clerk Office Letter July 14/03 odginal Trailer Permit application payment ck ¢4767 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 July 14, 2003 Timothy P. Hollowell 1280 Smith Dr. S. Southold, NY 11971 Re: Trailer Permit Application Dear Mr. Hollowell: We have received a memorandum from Principal Building h~spector, Michael Verity that you no longer wish to obtain a trailer pemfit. Enclosed is your check No. 4767 in the amount of $ 100.00 and your application. Very truly yours, c ilkins Deputy 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. .......... ...... Instructions a. This application must be completely filled in by t~pewriter 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 (3 detailed description of layout of properb/ 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 E~oard wiJJ 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 inpart for any purpose whotever other thon specified in permit. Application is hereby made to the Town Board for the issuance of o Trailer Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Count-/, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and regulations. ~~ ................ (Signature o~ applicant) ~ ) ............ State whether applicant is owner, !'-s..~ur'utd~nt....?.....u..~.......,.~.,.C.'T, .............................................................. Name of Owner of premises ...../. ........... ~.~......: ........................................................................................ If applicant is corporate, signature of duly authorized officer (Name and title of corporate officer) Location of land on which proposed trailer will be located /~L.~f~ State existing use and ~cupancy of premises and intended use and ~cupancy of pr~os~ trailer; c. Peri~ of Hme trailer is to be located on premises ....~.... 3. Fee ............................................ ~o be paid on filing a~licati~) 6. Dote of purchase g~kl~il;t's~of land ..J~.~:~/~ ~-D ~) I 7. Zone or use district in which premises are situated ....... ~). ..................................... 8. Does proposed use violate any zoning law, ordinance oi'~i~ii~i ................................................. a. ~ethod of Sewerage d,~po,a' .~....~.(~.~.~.~.fC..C<!~..~.~.C~ ............................................... b. Source ......................... ~,,.....f ............................................................................. c. Source of Electricity .~=.~l,~J.~..~.~.~'~.~.~ ................................................................... PLOT DIAGRA,M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate o1[ 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 NEVv' YORK couN~ or so~O,K ......... ~.e~.~.Z...~.l~ ............................................. ~in~ d~,y ~wo,n, d~pos~, a,d ~a~, fhot he is the applicant named above. He is the ......~...~...J~-..~. ......................................................................... of said owner or owners, and is duly authorized to make and file this opplicatlon; 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 ....'~'J~, ................ day of ..... ~-~ ~, ...................................... , ~.ZaO.~ ...... . ~""'~"~i .............................. ~q~im~ ~eptembar ~9 0'~ , System not to b~ iu~ed er driveway. APPROVAL OF CONSTRUCTION ~INGLEFA~LY RESIDENCE ONLY FOR ~;~iXL~D~ O~ S THREE YEARS FROM APPROVAL SEPTIC SYSTEM CROSS SECTION LOT: 4'7 FILl=g: NOX/EI'dBE ~. ~f~ZA~, ~OdTHOL~. TO~N O ~UTHObP ~T. iOOO ~O. ~ DLK.D LOT I1.1 SCALE: ~" = 40'-0" ~ITF PLAN 0F "-HE HOLLOINELL RESIE:)ENCE C, horles o r c h I .~'.~,,~ t. ' POBOX ~"T'f JANE~OFb~1', NY' IIq4-/ ELIZABETH A~ NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Ma~n 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 July 14, 2003 Timothy P. Hollowell 1280 Smith Dr. S. Southold, NY 11971 Re: Trailer Permit Application Dear Mr. Hollowell: We have received a memorandum £rom Principal Building Inspector, Michael Verity that you no longer wish to obtain a trailer pemfit. Enclosed is your check No. 4767 in the amount of $100.00 and your application. Very truly yours, ilkins Deputy Town Clerk , E~'/.'~-~' -:, ~ <'~,?~4 gtc~,- L Jet driveway. SEPTIC SYSTEM CROSS SECTION . , ,' FILEP: NOVEHBEE 22, 1q48 NO. 1665 GO. "--~/~ ~OL~ SITE PLAN 0= ~HE ' Ohorles MZ:Thomos. _ . HOLLO~ELL RESIDENCE o PO~X ¢~ ¢~¢, ~ IIq4'~ ~A~: A~ 20. '02 r.~ :2 ,_~ ~V ~ lO, '02 ~ ~:- TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTflOLD, N. Y, Approved .................................... , 19 ........ Permit No ................. APPLICATION FOR LO~ATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Rte ..(. .......... ...... 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 r~djoinlng 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 Southoid, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations. The appiioant agrees to comply with all applicable lows, ordinances and regulations. ~~ ................ (Signature of applicant) ................... Name of Owner of premises .....~/~...~...0..-~.~.~...../~. /L~, z~/-~..,.~.. ~.../~,..~. [f applicant is corporate, signature of duly authorized officer (Name and title of corporate officer} ~>t)~ ~ ...~....~-.. ...~... 1. Location of land on which proposed trailer will be located ../..~.. ................... ~. ...... !...~.-~-~-.. Street and number c)~..~, ~ ~ I] 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. ~x~st~ng use o.d occupancy ~O.~.~..~2~r..~..JZ~4~z4~f~C~..~t~).~....6~.2Le..f... ......... b. Intended use and occupancy .......................... F' ............................................................................ ~. P.~o~ of .~ ~. ~ ~o ~. ~o~,.d o. pre~,~.....~....C~...~..~.~ ........................ 3. Fee ............................................ (To be paid on filing application) · : 4. Dimensions of trailer, length ...A~...~ .......... width ~ F~ . height Registration Number .~..~...~..~..Z~--" -- ~''~ ....... Serial""--""" "['~"~"']"~ ~'~'~Z~"~"~'Numb~r"J..~'~."["~..~'~.~'~ 6. Date of purchase (~&J~of land ..~J~.~'~ ~L'D ~ I 7. Zone ar use district in which premises are situated ........................................................................ 8. Doe5 proposed use violate any zoning Iow~ ordinance ar regulation? .................................................. 9. o. Method of Sewerage disposal .~.~....~.(~.~.[.t~.~...[~?.~.!..~.l~.~' ............................................... b. Source of Water Supply ~[~(~ c. Source of Electricity .~.~D~l.d~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, end indicate oil 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 pram ises, showing distances from all buildings and property lines. STATE OF NEW YORK ~ COUNTY OF SUFFOLK )ss. ......... ..~.J..l~.~l~l..'f,...J~.l~?¢~ ............................................. being duly sworn, deposes and soys that he is the applicant named above. He is the ......~.J~ ......................................................................... 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. ~" '""~ "(~i .............................. ,Signature) ELIZABETH A. NEVTT,T,P, TOWN CLERK REGISTHAR 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.nor thfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Michael Verity, Building Department Head From: Elizabeth A. Neville, Southold Town Clerk Re: Request for Trailer Permit Date: June 5, 2003 Please advise, in writing, whether or not you have issued a demolition permit and building permit for this subject property.. Thank you. Enclosure (trailer permit application & site plan) cc: Town Board