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HomeMy WebLinkAboutKoop, Gertrude TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...................................., 19 ........ Approved ...................................., 19 ........ Permit No ................. Disapproved a/c .......................................................................... Application No ................. fJ.~ ................ Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date October Z8 19.....6..7 Instmctlons 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 ag~with all applicable laws, ordinances and regulations. ;T .............................................. ....!.Ae...0... ,... (Address) State whether applicant is owner, lessee lessee or agent ............................................................................................. Name of Owner of premises ....... ~e...~..'~...~.?..~.e.....~..*....~P.,d-...g..e...~..~...~..t]~.e....,~..'....~..°..9.~ ......................................... 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 ....]=.2.~..0...B...~.~z....A.~..e..-..,....M.~.~..~..u..q.k..~..N.~.¥. Street and number ........ .]:..2...6..0.....B..~..~...~.~...e.: ............................................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..... ~.~.~..$.~f~D,.c;.f~ .................................................................................. b. Intended use and occupancy ..... ~..e.m.P~.~.~-~....~X.g.u...~.~..z1g....u.~..~...~..e.~..J`~.~1.c.e....$~...[D~.$~ed from damage caused by fire, c. Period of time trailer is to be Ioco,ted on premises ................................... ..S..i..x.....[~).....m..o...n..t..h...s. ..... 3. Fee .......... .~..5..,...,0.? ...................... (To be paid on filing application) 8' 4. Dimensions of trailer, length ............. .3...6..'. .......... width ..........1.0..'. .................... height .......................... Registration Number ............................................ Serial Number ......... .6...6..-...5..0..3..7. .................................. 5. Size of lot: Front .............. 3,.~%0.! ....................... Rear ........75! ...................... Depth ........ 5.00.". ........... 6. Date of purchase or lease of land ............ 1.~J4.0. ..................................................................................... 7. Zone or use district in which premises are situated ............ .".A~~. .................................................................. 8. Does proposed use violate any zoning Iow, ordinance or regulation? ..... ~ .......................................... 9. a. Method of Sewerage disposal ............ ¢ZeSll.~I30~ .............................................................................. b. Source of Water Supply .................... JJi,~aJ3 ....................................................................................... c. Source of Electricity ........................ .~,~.0, ...................................................... 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 traile~' on prem- ises, showing distances from all buildings and property lines. 8BS OR1'GZNAL APPL~CATZO~ · :,.,.i ............. ; ............ .' .................................................................... 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 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. ' //~5'~rn to before me this day of ........................................................ , ]9 ............ ............. ................................ (Notah/Public) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...................................., 19 ........ Approved ...................................., 19 ........ Permit No ................. Disapproved a/c .......................................................................... Application No ................. 8.~. ............... Supervisor APPLIGATION FOR LOGATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST GAMP. October 18 67 Date .................................... , ]9 ........ 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 agree~ith all applicable laws, ordinances and regulations. r .............................................. (Address) State whether applicant is owner, lessee or agent .................... ~..~...~..~..?.? ........................................................... Name of Owner of premises ~tZ~dc~ ~' and ~'trudo E. KoOp 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 .... ..~.~.0...~..~'....~..~.?.:.!.......~....t,:.t.:l:t.~....~...!..~.:Yo Street and number ......... ~.~6..~...B..~..~....A.~?..'. ........................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...... ..~..~..~..~...~..I).C..~.. ................................................................................ tem.~..rar~, housing, until residence is repaired b. Intended use and occupancy ....... fj~'"~'~"'~'~'Ji:J"B~J"~':J~: ...................................... c. Period of time trailer is to be Ioca,ted on premises S~X (6) monthl 3. Fee $5.00 (To be paid on filing application) 4. Dimensions of trailer, length ............... ~ ~J ~ ......... width ........... ~.0..'. .................. height ........ ..~..~. ............. 66-5037 Registration Number ............................................ Serial Number ............................................................ 5. Size of lot: Front .............. ~..~.Q.'. ....................... Rear 75 ' Depth 500' 6. Date of purchase or lease of I(~nd 1940 7. Zone or use district in which premises are s tuated .~.. ........................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ..... ~.o. .......................................... 9. o. Method of Sewerage disposal ............ .c..e..~.~QD.]. .............................................................................. b. Source of Water Supply ................... _p..~..m~. ........................................................................................ c. Source of Electricity LTI330 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 a~d indicate whether interior or corner lot. Indicate cteer~y Iocatio~ of proposed trailer on prem- ises, showing distances from all buildings and property lines. SEE ORIGINAL APPLICATION STATE OF NEW YORK i TY OF SUFFOLK )sss. being duly sworn, deposes and soys 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 all statements contained in this application ore 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. /~worn to before me this .................................... day of ........................................................ ' ................ J ............................ ................................ (Notary Public) October 30, 1967 Gertrude I. Koop Gertrude E. Koop 1260 Bay Avenue Mattituck, New York 11952 Re~ Trailer permit Dear Mrs. Koop~ This is to advise you that your trailer permit expired on October 18, 1967. Enclosed you will find partially completed application forsulffor renewing same. Please complete these forms and return to this office with the required $5.00 fee if you wish to renew yourpermit. Very sincereJ~y, Howard Terry Building Inspector HW/bd enc: TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No ......~.6 ........ Date .. ApZ~L1.. ~.0,...~,.(~6.7 .......................... N a m e ........... .C~..~. ~.~ ~.~...~ ,....1~:~R .......................................................................................... Street ............. ~.~...~..~¥~.~ ............................................................................................. Town ............ ~i~.~.~i...~...,... ~1...'~'~. ................................................................................... Your application for a (single trailer) (l'~i~') permit was reviewed by the Town Board on ................................ tk~.~,...'ll~. .................. , 19~...., and (was) (,*~1~il) approved. A permit is hereby issued to locate a (single trailer) (1~11~, license number ............................ or serial number......~.~..-..-.~.l~l.?. ................... ot ........ ~,~..~...B.~..~.f~l~.~lO.,...~.~ ...... pursuant to application dated ............./~P.~...~....!~? ...........................and the following conditions: ......... I1.~1~¥~e.¢~.. ~...1~.. ~t~r'~l.. ~1 y.. ~'~1~.. l~.l~Z ~1,,~.. ~.~,...~.~ ~. ........ TOWN BOARD, TOWN OF SOUTHOLD Towfl Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved .................................... , 19 ........ Permit No ................. Applicafion No .......Z~ ...................... ~m~Approved for six months only APPLIGATION FOR LOCATION OF SINGLE AUTOMOBILE TIL~ILER OR HOUSE GAIt, OUTSIDE OF TOURIST GAMP. Date ......... ~,D.~...t...Z.......], ~.~..b., iV.~.?... 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 o Trailer Permit pursuant to the Building Zone Ordinance of the Town of Southold Suffolk C.~gunty, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to corn~ with all applicable Ions, ordinances and regulations. v . (S!gnature'-'' '---- --of ql~olicant) ~ -~ . , .~) y (Address) State whether applicant is owner, lessee or agent ........... .1..e...~..~.~..e. .................................................................... Name of Owner of premises ............. ..O..e.~.~?..~?..d..e.....Z.....~...t!~...-G...e..~..t..~.~..~..e...-~..~...~.O.p.p. .................................... 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 ~,.~.~.Q..~J~.,~.~.e..~~...~...~..~.~.~...~..o,,.~.x...~.. Street and number ....... .1...2..6...0...~.....~..~..e. ............................................................................... ii.....]o ..... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..~'.9.~.g].q~g.~ ..................................................................................... temporary housi~ until residence is rep, aired b. Intended use and occupancy ........... '~"~l"'~'~'~'6'"'~a~'~'~'"~'j,':'"~:l'~ ................................ c. Period of time trailer is to be Iocoted. on premises .~.[;~..(.~..~..X~g~,~.~l ....................................... 3. Fee ...~,.5..e..0..0.. ............................. (To be paid on filing application) ~6' -- lO' 4. Dimensions of trailer, length .............................. width .................................... height 8' Registration Number ............... ' ............................. Serial Number ....... .G. 9..-..5...0.~?. ..................................... 5. Size of lot: Front ....... .]-...~..0. Lt. .............................. Rear ?§ ' Depth §00 ~ 6. Date of purchase or lease of and lg4,0 7. Zone or use district in which premises are s tuated ~.~.~ ~.q~.~.~ ................................................. 8. Does proposed use violate any zoning taw, ordinance or regulation? .................................................... 9. a. Method of Sewerage disposal eesgpool b. Source of Water Supply ............... ~ ............................................................................................ c. Source of Electricity ................... .~..~.~.e.~.~..[?-.~.~...~.q.~. ........................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate arll set-back dimen- sions from property lines. Give street and block numbers or description according to deed, and show street names and indicete whether interior or corner I~'. Indicate dearly IocgtJen of propoeed trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK l COUNTY OF SUFFOLK~ss' Ger~'ru~ e I.. &--Gertrude E. Koo ..... ~ ......................... .................................................. iq ..................... being duly sworn, deposes and s~ that t~ are ~ the a~licant named ~ove.~is ~e ........ Q~ ........... ~ . (owner or lessee or agent) of ~id 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 h~ knewle~e a~ ~lief; ~d t~t t~ trailer will be I~ed in the manner set fo~h Jn the application fil~ herewith. Sworn to before m~ this .. ......... ~.~.~..~...-' day of A~I , ~ ~ (~oto~ Public) O TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...Apac~L[[& ..............., i 9 ...~Z Application No....~.~.. ........................ Approved .................................... , 19 ........ Permit No ................. ......... ,f. mom...Gl~ve...cLot: e. .......................................... - ' ~ .......... i~/~J"~ ~'~ ., .......... ....... APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER' OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Insfruction~ 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 L~ws, Ordinances or Regulations. The applicant agrees to comp.~ with all applicable ~es, ordincmces and regulations. ~ ~..~...~..! (Signature/~f applicant)._ .................................................. '7- State whether applicant is owner, lessee or agent ........... ~kOIJ.O~J ................................................................... Name of Owner of premises .............. {j~...I..~q~J...i~lJl~.~...J~..~lil~ .................................... 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 ~Jm.~J~..~ll'JIIil...~..~..~...J..t'..J..~lL....~.... Street and number ....... ,I~O...~I~L.,JTJ .............................................................................................. 2. State existing use and occuponcy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..~ .................................................................................... ..... b. Intended use and occupancy c. Period of time trailer is to be located on premises ................................. 3. Fee ...;J~O- ............................ (To be paid on filing application) ~ . 4. Dimensions of trailer, length ...... ~ ................... w~dth ...:J~?. .......................... height ....~..e. ................... Registration Number ............................................ Serial Number ....... ,..~..~ .................................... §. Size of lot: Front ....... ;.Z..1...O.~ ............................. Rear ...... .~.,~.: ..................... Depth .,...c~.t. .............. 6. Dote of purchase or lease of It~t~d ............... ],~,0 ................. : ................................ 7. Zone or use district in which premises are situated ..........~.e~d~3Jr, j,~l. ................................................ 8. Does proposed use violate any zoning law, ordinance or regulation? .................................................... 9. a. Method of Sewerage disposal ...... ..~J~..~.lJ~ll~l, .................................................................................. b. Source of Water Supply ............... ~ ............................................................................................ c. Source of Electricity ................... ,T,<,~:~T~:I,~.~:[Zl~...U.~, ................................................................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oll 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 comer lot. Indicate clearly lec~tio~ of propoeed trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK ) COUNTY OF SUFFOLK~ ss. '....;;.;..G~,-.~;~.-.].~.;.llk.J~ll3~. ~I,~..:~;N~I ......................being duly Sworn, deposes and ~ys that ~th~ ~Pbllcant named ab0ve*~-~ 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 applicat.i~n are .t~r~ to the best of his knowledge and belief; ee~d that the tYailer will be Iocote~l in the manner set f~,d'h in the application filed herewith. Sworn t~before me this ............/..~.....~. :. ........... day of~? ,~ x ,,/ ~- ...................... ................... ..... ......... ................... ,// (N~tary b 'c) MARY £. BURNS NO. 52-0508500 Notary Public in the State of New York Residiqg in Suffolk Couflty f~ommission Expires ~arch 30, 1~