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HomeMy WebLinkAboutPetrauskas, Joseph & MaryMay 19, 2004 Trailer Permit No.'s- 125 & 127 Michael Verity Chief Building Inspector Town Hall 53095 Main Road Southold, New York 11971 Dear Mr. Verity: In accordance with our conversation this morning with Barbara Verity, owner of a one (1) family residence/trailer/modular home? Located at 390 Hill Street, Mattituck, New York, I am sending you all the previous history of applications and trailer permits. I am also sending the information for the property next door at 490 Hill Street currently owned by Joseph Petrauskas as their histories are joined. Originally both of these properties were owned by Joseph and Mary Petrauskas, In 1969 they made applications for trailer permits and were denied by the Building Inspector Howard Terry. Apparently they lived in the trailers using one as their residence and renting the other one without building permits or trailer permits until it was discovered in 1989 after a court case that there were no permits. They state that in 1989 they were told by the current Supervisor to apply for trailer permits and that the town would take care of obtaining the necessary certificates of occupancy. In 1991 they were divorced, each party retained one property with one trailer located on it. In 1991 -1992 Mary married Andrew Ciupryk and was here after known as Mary Ciupryk. Shortly after their marriage the Ciupryks improved their trailer with a permanent foundation with full cellar, roofing, siding, deck, etc. Mr. Petrauskas saw how nice it looked and shortly thereafter he made the same improvements to his property next door. A permit was applied for in 1973 and a variance obtained from the Zoning Board of Appeals. However, the building permit expired and was never followed through on or renewed, nor was a certificate of occupancy ever applied for or issued. Both of these structures are permanent structures that should have building permits and certificates of occupancy, not temporary six month renewable trailer permits as has been the case for over 12 years. The owners of both properties should be contacted by the building department and the necessary steps taken to assure that permits are filed in a timely manner. If they do not follow through with the permit process, violations should be issued by the building department or code enforcement which ever department is determined to be the one responsible for remedying these violations. I have the original files in my office. If you need further information, I will gladly assist you with it. Very truly yours, Elizabeth A. Neville Southold Town Clerk cc: Southold Town Board Town Attorney Code Enforcement TOWN OWNER FORMER OWNER LAND SEAS. IMP. OF SOUTHOLD PROPERTY RECORD CARD ,." N S TOTAL FARM COMJ~. CB. MICS. Mkt. DATE TYPE OF BUILDING tolue REMARKS LOT Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD DEPTH BULKHEAD Meadowla~d House Plot Total COLOR Extension I Extension Extension Foundation Bath Dinette Porch Basement Floors K. Porch Interior Finish LR. Breezeway Garage Patio Total Ext. Walls Fire Place Type Roof Recreation Room Dormer Heat Rooms 1st Floor Rooms 2nd Floor DR. iBR. FIN. B Driveway RECEIVED Southold Town Clnrk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved .................................... , J~-~.~.....Permit No ................. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .~.0.~J.~..m....~...f........~-......., 1~..~....~..~ 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 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 comply with all applicable laws, ordinances and ¥~na~'ure of applicant) (] 7~,~,~.q OJ .............. : .............. ,. ........... ...... (Address) State whether ~plicant is owner, lessee or agent ........ g.~.O&..~ .............................................................. 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..~...~..~..i.~..L:k..~..~..,t...~....e:...~.......0.?. ........ Street and number ..~..~...~.. ........ ...... ..~..~:f..C..c.~. .................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy .................. .~.....~_. ............................................................ b. Intended use and occupancy ........ ,.~.~Jk%~ .................................................................................... c. Period of time trailer is to be located on premises ..... ..~.....~0..~..~...~.5 ....................................... 3. Fee ...~.....~..0...Q.:..?.O. .................... (To be paid on filing application) 4. Dimensions of trailer, length ..... ~..~...I ............. .................. height ....]..~...~ ............... Registration Number ..... !.)..~..~)..r]../ ................... Serial Number .i.~...?.....(59..~..0...~. .................................... .~. Size of lot: Front ..... !. ....................... Rear ...............................Depth ............................... 6. Date of purchase or lease of land 7. Zone or use district in which premises are situated ..~[..~..~'.ii~..~..I.'..~....C...~.. 8. Does proposed use violate any zoning law, ordinance or regulation? .~...0. ................... 9. a. Method of Sewerage disposal ...... ,~......~,.~.~q~P.~)L....~...Ot~.~...~. I, b. Source of Water Supp y ..~....~.~g~.?. tad c. Source of Electricity ~. [ ~....~/. ................................................................... 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. h~dicate clearly location of proposed trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK J c,off/.T ! SUFFOLK ss. ..]~.¢~y..~/,,~/.~....~..~/...~...~.,~..~..,~,, ~L~ __ ........................ being duly sworn, deposes and says that he is the applic'dnt named above. He is the .... .O.'..Lf~....~..~...~.. ............................... (owner or les~;'~'~"~'~ri ....................... 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 ....C~....~....~.. .............. day of "] .......... ...... , ~ ~ ~ .......... ,..-.-.~.~-~T-.~S.%~o,,r~..~.?~.~~ ...... z.....~~~~ ~ Qualified In Suffolk County 9 9 ~' Commission Expires May 2., 2 ~ 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, 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 2002, Enclosure TOWN OF $OUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 PERMIT NO. 125 EXPIRATION DATE: December 12, 2002 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOEILE 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 $100.00 fee for a six ($} 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 aaent . owner Name of Owner of premises .. Mary. H. Ciu~.r,y.k If applicant is corporate, signature of duly authorized officer "' (Name and title of carpal;Ye ~fi'~;;;) .... ], 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. ExisHng use and occupancy .... living ¢t.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 55' . 10' 10' ............................ w~dth ................................ height ............................ Registration Number 118371 .Serial Number PP8107 295.81' 91.78~ 140.75 5. Size of lot: Front ............................................ Rear ................................. Depth ................................ 6. Date of purchase or lease of land December 10, 1969 ' 7. Zone or use district in which premises are situated ......... .A.g,.r.j.c..u..I.t..u...r..e. ......................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ......... .n..o. ..................................... 9. a. Method of Sewerage disposal ......... .3....c..e..s..s.p..o.9!...t.a.n..k...s .................................................................. b. Source of Water Supply water well c. Source of Electricity ....................... .L.j.I..c..o. ......................................................................................... PLOT DIAGRAM Locate clearly and distinctly all 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 Jot. 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 SUFFOLK)~ss' Ya'~' H C'up-uk ................................................................... being duly sworn, deposes ond soys thor he is the opplicant named obove. 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 (Signature) 3qo ~ II 5~-r~-4 SURVEY FOR JOSEPH W 8 MARY H PETRAUSKAS AT MATTITUCK TOWN OF SOUTI'fOLD SUFFOLK COUNTY, SCALE: I"' 40' \ R~V~R£#CE THE TI?LE GUARANTEE COI~PANY JOSEP~ W ~MARYH. PETRAUSKA3' COLOR TRIM Extension Extension Extension Porch Porch LR. Breezeway Fire Pla~ Heat DR. Garage Type Roof Rooms ]st Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B Total Foundation Both Dinette Basement Floors J K. Ext Walls !nterior Finish ~ ~,, Dormer Driveway TOWN OF SOUTHOLD PROPERTY..I~CORD CARD OWNER FORMER OWNF~ t ~ Z%' /1 // 1/ SEAS.IMP. VL~oTAL VILLAGE COMM. CB. DATE DIST. SUB. ACR.~ TYPE OF BUILDING LOT MICS. Mkt Value REMARKS Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot I BULKHEAD Total October 1~*~ 1969 01sen Realty Inc Main Road Mattituck~ ~4.Y. Attn: James Olsen Dear Enclosed please fil~ $ 10.OO cash fee bet:~ returned upon denial of trailer anolications for Chas. Wahler and ~oseph Petrauskas to have been located-on S/S }tiil St~ Fmttituck~ N.Y.. These aoolications having been denied by the Town Board at t?,.elr Oct 7th meeting~ ~ am returning the fee to you as agent for the above named a~pltcants, Yours truly Building Inspector TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exomlned .................................... , 19 ........ Application No ..................................... Approved .................................... , 19 ........ Permit No ................. Disapproved a/c .......................................................................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE GAR, OUTSIDE OF TOURIST CAMP. 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 comply with all applicable laws, ordinances and c,~ignaturc~ of applicant) (Address) State whether applicant is owner, lessee or agent ....... q.~...n..e..T. .......................................................................... Name of Owner of premises ..... .J..9. fl~.e.p..h....~.'.....&....~.a..~.-Y....H..,....P...e.~..a..~.%-k,a.-~ ................................................. 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 ...... H..~,,1,.,1,...~..~.?.~.¢.,...?.L~..~.t~,.~CU~;~. .......... Street and number .....B...e..~.w.~.e..n....~..~..q.k...h..~..m.....A.v..~....&.....H.~.~`.~.~.~....~.~.~ ................................................ State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .~..~.~i~.ct.~...L,~cl .................................................................................. b. Intended use and occupancy One Family Resident c. Period of time trailer is to be located on premises .......................................................................... 3. Fee ..... .F.~.v...e.....D..°.rlr.~a...~..s. ........... (To be paid on filing application) ~r~[~~: 4. Dimensions of trailer, length ....... ~g...~.e...e..¢. ....... width ..... J...q..?..e..e...~....:. ......... height ...... .1...q....t'..e..e...¢.... Registration Number ............................................ Serial Number ......... .0. .1. . .6. . .6. ~. ....................................... 5. Size of lot: Front ...t.Q0...f.~.e.~ ......................... Rear ..B.~.,..-(.~....f,~..e...~. .......... Depth 1..4. ..0. .,.7..5.. . .&. . ..!. .8. ~.. 8 8 F t. 6. Date of purchase or lease of land In con~;rac'c 7. Zone or use district in which premises are s tuated . .A.. ~.D.d...J~ .................................................. 8. Does proposed use violate any zoning law, ordinance or regulation? ...... ..N.g ......................................... 9. a. Method of Sewerage disposal ......... ;~...~,~ ................................... b. Source of Water Supply .......... O.W..q...~..~.,1,,l, ........................................................................................ C. Source of Electricity .............. !~.~:~.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 comer 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]'ss' ""'7" ................ '"~'~ ........................ ?..,....-,..,.....:,..~5: ..................... being duly sworn, deposes and says that he is the applicant named above. He is the .......... (i'..~:J::..~?.!!.~;77 ...................................................................... (owner 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 ~efore me this .................. day of ...... ...... ........................... ( _ zl / /, :-:-,1 ~ (Signature) .... ........ ' ............. ....... ...... TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................................... , 19 ........ Approved .................................... , 19 ........ Permit No ................. Disapproved a/c .......................................................................... Application No ..................................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ........... ..~i;.~.~:~' .~.....(. ?...., 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 part for any purpose whatever other than specified Jn 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 Soathold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all aJ~p i~able ~laws, ordinances and regulations. (Signatc/re of applicant) (Address) State whether applicant is owner, lessee or agent ........ g..w.p...e..~. ......................................................................... Name of Owner of premises ......... d.g.~.~.gh.....~.,...~,....brJ~.:c~'...H.,....P.J~.-~'.~.~l~.~ ............................................. 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 ...H..~.-1,.]-....5...C.~.e...e.~.,...!v.l.~.C.¢..~..u..c..k. .............. Street and number ................................................. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....... .V..a.c...a..n.~....L...a.p..d.. ........................................................................... b. Intended use and occupancy ....... D.n~...~.m±.l.~/...~.~£~L~D.t, ........................................................ c. Period of time trailer is to be Iocoted on premises .......................................................................... 3. Fee ...... ~..~,.V.~...~J.~,I,~,fl;C$. ......... (To be paid on filing application) 4. Dimensions of trailer, length ...... .~..g....f'...e..e..~. ....... width ......... .1...O....t'...e..e...~. .......... height ....1...q....f'.~.e..'c. ...... Registration Number ............................................ Serial Number ..........q.1...6..6.,g. ........................................ 5. Size of lot: Front ....... .1..0.~...~.~.~ .................... Rear ..,9.~..,.-(..8.....e..e..e..~ .......... Depth ..]..4..0......7...5....&.....1..~.6. 6. Date of purchase or lease of land ..... i[.D...~g..n.~x.~g..'c; ............................................................................ 7. Zone or use district in which premises are situated ......... .A.....a..n...d....R. ............................................................ 8. Does proposed use violate any zoning law, ordinance or regulation.;> ......... .N..9. ...................................... 9. a. Method of Sewerage disposal ...... ..2.....C.?. ............................................................................................. b. Source of Water Supply .......... ~gXI....~.~J,.~, ........................................................................................ c. Source of Electricity ...... .I,j,,l...c.~ ....................................................................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate a. II 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. Joseph W. ~ & Mary H. Pe~rauskas g'FEr ;ZFR r°glt-.i.I p> STATE OF NEW YORK COUNTY OF SUFFOLK ~ss' F/- , ,- · b - ,. ..~ ..... '7 ............................................ : ........ }' .............................. Detng ou~y sworn, oeposes and s~ys that he is the =pplic~nt n~med ~bove. He is the ...... (.~i~?.~.:~(~. ............................. (owner or~~ of said owner or owners, and is duly authorized to make and file this application; and that ~11 stotements contained in this opplication are true to the best of his knowledge and ~lief; end that the trailer will be I~at~ in the manner set fo~h in the application flied herewith. Sworn~to belair, me this ..................///...'.~' ......... day of (Notaw Publi~~ 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 11, 2000 Issued to Address Mary Ciupryk P.O. Box 530 Mattituck, NY 11952 of a single A renewal permit is hereby issued for the location trailer/kraft, car at 390 Hill Street, Mattituck, NY pursuant to application dated December 12, 2000 This renewal permit is granted for a six (6) month period. Expiration date June 12, 2001 ~A'.~-~Neville Southold Town Cler'k PERMIT NO. 125 EXPIRATION DATE: TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. I~ox 1179 Southold, New York 11971 (516) 765-1801 December 12~ 2000 RE Ell/F.D RENEWAL A~PLIC, ATION FOR LOC;ATION 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 {Il) 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..n..e.r Name of Owner of prem ses Mary. H Ciu~[y.k If applicant is corporate, sig~;~',',;;' ;'~"~;i~/";~;;iz;d"~¥;ci;Zr ................................................................. (Name and title of corporate officer) 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: o. Existing use and occupancy v ncl a.tLa, r~ers 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 181 10' ................................ height ............................ Registration Number 118371 .Serial Number PP8107 ~ Size of lot: Front ............. .~. .9..5. :. .8. .1.~. .................. Rear 91.78' 140.75 ,~ ................................. Depth ................................ 6. Date of purchase or lease of land Dece,m. ber l0t 1969 7. Zone or use district in which premises are situated ........ ..A.g.r.j.c..u..J.t..u..r..e. ......................... Does proposed use violate any zoning Iow, ordinance or regulation? ......... .n..o. ..................................... a. Method of Sewerage disposal ......... .3....c..e..s..s..p.9.9,!..~t..~..q.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, 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 c!early 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 SUFFOLKjss' . Mary H. Ciup. ruk ......................................................................................... being duly swurn, 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 th s ~ i.. .......... NO. 47~I~ 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 December 5, 2000 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, 2000. 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, 2000 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 JUDITH T. TERRY 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 (516) 765-1823 Telephone (51~;) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date June 1, 2000 Issued to Mary Ciupryk Address P.O. Box,530 Mattituck, NY 11952 A renewal permit is hereby issued for the location trailer/Etolj~x~R at 390 Hill Street, Mattituck, NY pursuant to application dated June 12, 2000 This renewal permit is granted for a six (6) month period. Expiration date December 12, 200Q of a single Elizabeth A. Neville Southold Town Clerk PERMIT NO. 125 EXPIRATION DATE: TOWN OF $OUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 June 12, 2000 HAY 2 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 agent , . .o...w..n..e..r ................................................ Nome of Owner of prem ses Mary. H. Ciu~ry.k f applicant is corporate, ~i~;;iz;d"~'ifi~['; .................................................................. (Nome and title of corpo~¥e ~i'~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 living q.H.a.r~ers 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 55' 10' 10' ............................ width ................................ height ............................ Registration Number 118371 ~;~ '~ Number PP8107 5. Size of lot: Front 295.81' R.~r 91.78' 140.75 ............................................... ~ ................................ Depth ................................ 6. Dote of purchose or lease of Iond December 10. 1969 7. Zone or use district in which premises ore situoted ......... .A.g..r.!.c.g.lt..u..r..e. ......................................... Does proposed use violate any zoning law, ordinance or regulation? ......... n.o. ..................................... o. Method of Sewerage disposal ......... 3....c..e..s..s..P..°..°,!...t..a..n..k.s. ................................................................. b. Source of Water Supply ............... w..a..t.e...r....w...e.l,! .............................................................................. c, Source of Electricity ....................... .k.j.l.c..o. ........................................................................................ PLOT DIAGRA.~ Locate clearly and distinctly all 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 SUFFOLK,~ ss. ................ ~'a"r'~"'"H'-='-"C'!:'~'P"r"u'..k- .......................... being duly sworn, deposes and says that ~he is the applicant named oboveC~He is the ............... owner (owner or lessee or agent) of said owner or owners and is duly authorized'to mol~.e,..and file this application; and that oil statements ,contained in this application are true to the best of~n~s'~k'nowledge and belief; and that the trailer will oe located in the manner set forth in the application filed herewith. Swain/iAi.. ~t° before me this ............ ..c~..~... ........... day of, .................. .............. ............... (Notary Public) MELNJlE V. ~ Nal~ I~lr,, ~MM d N~ YQ~ Qud in 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 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 Mary Ciupryk P.O. Box 530 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 17, 2000 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on June 12, 2000. 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, 2000, 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 (516) 765-6145 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date December 7, 1999 Issued to Address Mary Ciupryk P.O. Box 530 Mattituck, NY 11952 of a single A renewal permit is hereby issued for the location trailer/boos~ at 390 Hill Street, Mattituck, NY pursuant to application dated December 12, 1999 This renewal permit is granted for a six (6) month period. Expiration date June 12, 2000 zabeth A. Neville Southold Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road PoO. Box 1179 Southold, New York 11971 (516) 765-1801 PERMIT NO. 125 EXPIRATION DATE: December 12, 1999 0EC 7 l uwn L;lerK 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 agent ............... ,o.,,w.n..e..r. ............................................................... Name of Owner of premises ............. .M...a..r.Y...H.r....C..[.u.~EY...k. .......................................................................... 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 ......... .M..a..t.~.!.t..u..c..k..:....N..e...w.....Y.,o.,r.k. ............. Street and number ............. .3..9..0.....H.j].l...,S.,t?'.e..e..t ........................................................................................ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .............. ,v....n.g...q.u,.a...r.l;.e..r..s. ............................................................... b. Intended use and occupancy same c. Period of time trailer is to be located on premises ........... .6....m..9..n..t..h,s. .......................................... 3. Fee .......... ~. .1. .0. .0. . . .0. 0. .................... (To be paid on filing application) 4. Dimensions of trailer, length ............................ 55' width ................................ 10' height ............................ 10' Registration Number .......... !.!.8...3..7.! .................... Serial Number .......... .P..P..8..1..0..7. ...................................... 5. Size of lot: Front ............. .2:?..5.:..8,].~. .................. Rear ...... .9. ]. K.7. .8. ~. ............... Depth ....1.~.0. r7.~ ................. 6. Date of purchase or lease of land ............... ..D..e..c..e..,m.,b,.e...r...!,.0.:...!..9.6..? ...................................................... 7. Zone or use district in which premises are situated ......... .A,g..r.!,c,.u,.I.~.u...r.~ ...... ; .................................. 8. Does proposed use violate any zoning law, ordinance or regulation? ......... .n..o. ..................................... 9. a. Method of Sewerage disposal ......... ,3....c..e..s..s.p..o..o.!...t..a..n..k...s. ................................................................. b. Source of Water Supply ............... .w...a..t.e...r....w...e.!! .............................................................................. c. Source of Electricity ....................... .L.i.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 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' ~ Mar~' H C upruk ............................ . ..... being duly sworn, deposes and says that he is the applicant named above, lle 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 th s /=~ ..~..~ Hnv ~f /g ~ / ........... ............................................ ' )~, ~ / , ,i / ....................................... ~;ture'""~"~~'c'~Z''''''''': ............ "/ ~' (Notary Public) . ' ......... / JOYCE M. WILKINS I~o. ~-ut~zz o, ~uff~County Term Expires Jun, ,, ~ c c / ELIZA]~ETH A. NEVILLE TO'WN CLERK REGISTI~AR OF VITAL STATISTICS ~RL~GE OFFICER RECORDS ¥~ENAGEMENT OFFICER FREEDOM OF INFOIC~V~ATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-6145 Telephone (516) 765-1800 OFFICE OF THE TOW~q CLERK TOVv-N OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date June 8, 1999 Issued to Mary J. Ciupryk Address P.O. Box 530 Mattituck, NY 11952 A renewal permit is hereby issued for the trailer/bDt~e~lg at 390 Hill Street, Mattituck, pursuant to application dated June 12, 1999 This renewal permit is granted for a six (6) month period. Expiration date December 12, 1999 location of a single NY Elizabeth A. Neville Southold Town Clerk PERMIT NO. 125 EXPIRATION DATE: TOWN OF $OUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 June 12, 1999 JUN ? 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 aaent ~ owner Name of Owner of Dram ses Mary. H C upryk If applicant ~s corporate, signature of duly authorized officer (Name and title of carpal;re ~fff;~;;) ...................... 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.q,a, rl;ers b. Intended use and occupancy same c. Period of time trailer is to be located on premises 6 months Fee ..........~.I..0..0.:..0..0. .................... (To be paid on filing application) Dimensions of trailer, length .......... .5..5.'. ............. width 10' 10' ................................ height ............................ Registration Number 118371 .Serial Number PP8107 .,.~Size of lot: Front ............. .2. ?. .~. : . .8. .1. '. .................. Rear 91.78' Depth 140.75 6. Date of purchase or lease of land December 10, 1969 7. Zone or use district in which premises are situated Agriculture 8. Does proposed use violate any zoning law, ordinance or regulation? ......... .n..o. ..................................... 9. a. Method of Sewerage disposal ......... .3....c..e..s..s.P..°.9,L.t..a..n..k...s .................................................................. b. Source of Water Supply water well c. Source of Electricity ....................... L. jJ..c.9. ........................................................................................ PLOT DIAGRAM Locate clearly and distinctly ail buildings, whe['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 end 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 ~1 COUNTY OF SUFFOLK,~ ss. ~ Mary H. Ciup. ruk being .................................................................................................... duly sworn, deposes and says that ~he is the applicant named above.~qHe is the ...... owner (owner or lessee or agent) of said owner or owners, and is duly authorized to mal~e and file this application; and that all statements contained in this application are true to the best of hj~'knowledge and belief; and that the trailer will be located in the manner set forth in the application filed herewith. Swrn · ....~...~.....~.o to before me this ............ .Zi ................ 19...~.....~day of, (~ota~ Public) ~~d~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 (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 17, 1999 Mary J. 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, 1999. 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, 1999, 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. NEVILI,E 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 (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF ,qOUTHOI.D SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date December 9, 1998 Issued to Mary J. Ciupryk Address P.O. Box 530 Mattituck, NY 11952 A renewal permit is hereby issued for the location of a single trailer/l~a~g' at 390 Hill Street, Mattituck, NY pursuant to application dated December 12, 1998 This renewal permit is granted for a six (6) month period. Expiration date June 12, 1999 Southold Town Clerk ;:;:; ,;...... TOWN OF SOUTHOLD 330 TOWN CLERK'S OFFICE Town Hall, 53095 Main Road 0:!~.1~0~] P.O. 13ox 1179 Southold, New York 11971 PERMIT NO. 125 EXPIRATION DATE: (516) 765-1801 December 12, 1998 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAiLEk 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 agent ~ .o...w..n..e..r Name of Owner of premises Mary. H. C u~ryk If applicant is corporate, signa~'~'~"'~"~iul~, authorize~d"officer ................................... (Name and ht e of corporate officer) l. Location of land on which proposed trailer will be located Mattituck, New Yor.k. 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 occuponcy living ,q.tt.~.r~ers 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) I~imensions of trailer, length .......... .5..5.'. ............. width 10' 10' ................................ height ............................ Registration Number 118371 e ..... :! t-~. ~"mD' PP8107 .~.~ Size of lot: Front ............................................ 295.81' Rea-, ................................ 91.78' Depth ................................ 140.75 6. Date of purchase or lease of land Dece.m. ber 10~ 1969 7. Zone or use district in which premises are situated Agriculture Does proposed use violate any zoning law, ordinance or regulation.:) ......... .n..o. ..................................... a. Method of Sewerage disposal ......... .3....c..e..s..s..~..°..°,!...t..a..n.k.s. ................................................................. b. Source of Water Supply water well c. Source of Electricity ....................... .L...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' . Mary H C upruk .................................................................... 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 '~ day of .......................... , ........ ......................... '... (Notory Public) ELEXIS $. ROMER J~ot~fy Public. State of New No. 01 R05067543 Qualified in Suffolk County ,I?,ABETH A. NEVH TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SO! ~'I'! [OLD Town Hall, 53095 Main Road P.O. Box,l179 Sa u thold, ,New.~york 11971 Fax (516~ 765-1823 Telephone (516) 765-1800 SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. Issued to Address 125 Mary J. Ciupryk P.O. Box 530 Mattituck, NY 11952 Date June 2, 1998 A renewal permit is hereby issued for the location trailer/b~3ue~cat~t at 390 Hill Street, Mattituck, NY pursuant to application dated June 12, 1998 This renewal permit is granted for a six (6) month period. Expiration date December 12, 1998 of a single 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 (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Mary J. Ciupryk P.O. Box 530 Mattituck, NY 11952 November 10, 1998 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on December 12, 1998. 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, 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 1998, 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. 1998 RENEWAL APPLICATION FOR LOC;ATION OF SINGLE AUTOMOBILE TRAILER OR OUTSIDE OF TOURIST CAMP. HOUSE 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 aaent . owner Name of Owner of premises .. Mary. H. Ciu~.ry.k 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 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 I vina a.tLa, r.~ers b. Intended use and occupancy same . c. Period of time trailer is to be located on premises 6 months Fee .......... $..1..0..8.....0..0. .................... (To be paid on filing application) Dimensions of trailer, length 55' 10f 10' ............................ width ................................ height ............................ Registration Number 118371 ~ '' PP8107 ......................................... ~er~al Number ............................................................ = Size of lot: Front 295.81' o 91.78' 140.75 .............................................. ear Depth 6, Dote of purchase or lease of land December 10. 1969 7, Zone or use district in which premises ore situated Aclricu ture 8. ,~b~s proposed use violate any zoning Iow, ordinance or regulation? ......... .n..o. ..................................... <2~;~. a.,~;~A, etb~c~-,S,ewerage disposal ......... .3....c..e,.s..s, .p..o..o,!...t..a..n.,k...s ................ b. Source of Water Supply ' water w.e.l,I c. Source of Electricity ...................... L....c.9. ........................................................................................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, end indicate ell 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 oH 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' . . . Mary H. C upruk ................................... · ........ being duly sworn, deposes end says thet he is the opplicant nemed above. He is the .................. owner (owner or essee 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 ~-"~ .~ (Notary Publ c) ~ MARIE CONWAY · NOTARY PUBLIC, ,~aate of New York No. 01 C05025458 Q~ified in Suff0~k County Commi~on Expires Mara~ 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 (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Mary J. Ciupryk P.O. Box 530 Mattituck, NY 11952 May 6, 1998 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on June 12, 1998. ' 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, 1998. 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 JUDITH T. TERRY OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 TELEPHONE (516) 765-1801 SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date December 8~ 1997 Issued to Mary J. Ciupryk Address P.O. Box 530 Mattituck, NY 11952 of a single A renewal permit is hereby issued for the location trailer/JoeM~et' at 390 Hill Street, Mattituck, NY pursuant to application dated December 12, 1997 This renewal permit is granted for a six (6) month period. Expiration date June 12, 1998 Judith T. Terry 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 December' 12, 1997 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OUTSIDE OF TOURIST CAMP. OR HOUSE 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 appJicant is owner, lessee or oclent . owner Name of Owner of premises .. Mary. H. Ciu~..ry.k If applicant is corporate, signature of duly authorized officer (Nome and title of corporate officer) 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 55' 10' 10' ............................ width ................................ height ............................ Registration Number .......... !.1.8...3.?J .................... Serio Number ......... ..P..P..8_I..0..7. ...................................... c Size of lot: Front ............. .2.?..5.:..8.].~. .................. Rear 91.78' 1~0.75 ~. Depth 6. Dote of purchase or lease of land December 10, 1969 7. Zone or use district in which premises are situated Aqriculture Does proposed use violate any zoning Iow, ordinance or regulation? ......... .n.o. ..................................... a. Method of Sewerage disposal ......... .3....c..e..s..s.P..9.°,!...t..a..r)~.s. ................................................................. b. Source of Water Supply water well c. Source of Electricity ....................... .k.j.I..c.9. ........................................................................................ 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 chan~jes have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEW' YORK ) COUNTY Of SUFFOLKj ss. ....... Mar~ H. Ciup. 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. S)~oFn to before me th s ......... L..FT. day of ';t~ .................................. ~,.~/]' ~-~ '~'~-'~ .................................. :.X~~f.~..x..~(Signature) ~ ................ .................................... ......... ...................... (Nota~ Public) ~mk~-, -~. 19, 19JJ YODITH T. TERRY TOWN CLERK REGISTRAR OF VITgL STATISTICS Mary J. Ciupryk P.O. Box 530 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 6, 1997 Town Hall, 53095 Main Road P.O. Box 1179 $outhold, New York 11971 TELEPHONE ($16) 765-1801 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on December 12, 1997. 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, 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, Judith T. Terry Southold Town Clerk 1997, Enclosure JUDITH T. TERRY 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 (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date June 11, 1997 Issued to Address Mary J. Ciupryk P.O. Box 530 Mattituck, NY 11952 the location of a single NY A renewal permit is hereby issued for trailer/bemma¢~ at 390 Hill Street, Mattituck, pursuant to application dated June 12, 1997 This renewal permit is granted for a six (6) month period. Expiration date December 12, 1997 . 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, 1997 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 or agent .............. .o...w..n.e.,r. ............................................................... Nome of Owner of premises ............. .M.~.a.r.Y.....H.:.....C.!.u.~.rY...k. .......................................................................... 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 Mattituck, New York Street and number ............. .3..9..0....,H.j!.l....S..t..r..e..e..t. ...................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy ............ [[.v..i..n.g...gt.u.a..r..t..e..r..s. .................................................................... b. Intended use and occupancy same c. Period of time trailer is to be located on premises ...6...m...o..n..t..h..s. ........................... 3. Fee ..........~..1..0..0.....0..0. .................... (To be paid on filing application) 4. Dimensions of trailer, length ............................ 55' width ................................ 10~ height ............................ 10~ Registration Number 118371 .Serial Number PP8107 5. Size of lot: Front 295.81' Rear 91.78' Depth 140.75 6. Date of purchase or lease of land December 10, 1969 7. Zone or use district in which premises are situated Aqricu ture 8. Does proposed use violate any zoning law, ordinance or regulation? ......... n.o. ..................................... 9. a. M~;~hod of Sewerage disposal 3 cesspool tanks b. Source of Water Supply water well c. $o~rce of Electricity Li co . . ................. 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 changes have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEV~ YORK } COUNTY OF SUFFOLK)~ss' ....... ..M. ar~ H. Ciup. 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~ -~J'"'~-t° before me this ................................ day of ................ ....... ............... , .... ...... . JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS Mary J. Ciupryk P.O. Box 530 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 1, 1997 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 TELEPHONE (516) 765-1801 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on June 12, 1997. 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 5100.00 renewal fee as soon as possible. Please make your check or money order payable to "Southoid Town Clerk". If your application and fee are not received on or before June 12, 1997, 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, Southold Town Clerk Enclosure (1) JUDITH T. TERRY 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 (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. Issued to 125 Mary J. Ciupryk Date December 3, 1996 Address P.O. Box 530 Mattituck, NY 11952 A renewal permit is hereby issued for the location trailer~rx at 390 Hill Street, Mattituck, NY pursuant to application dated December 12, 1996 This renewal permit is granted for a six (6) month period. Expiration date June 12, 1997 of a single Judith T. Terry, $outhold 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 R C IVE0 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR OUTSIDE OF TOURIST CAMP. HOUSE 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..n..e...r ............................................................... Name of Owner of premises ............. .M...a..r.Y.....H.r.....C.!.u.~.rY...k. .......................................................................... tf applicant is corporate, signature of duly authorized officer (Nome and title of corporate officer) 1. Location of land on which proposed trailer will be located Mat. t.[.t,,u.c.,k.......N..e...w....Y...o..r..k. ............. Street and number ............. 3..9_0.....H.!.l.l....S..t..r..e..e..t. ...................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy af proposed trailer: a. Existing use and occupancy ............ I.i.y.j..n.g...qAa..r..t..e..r..s. .................................................................... b. Intended use and occupancy same c. Period of time troller is to be located on premises ........... ~...~..9.q~,.h,s, .......................................... 3. Fee .......... ~. .1. .0. .0. : . .0. 9. .................... (To be paid on filing application) 4. Dimensions of trailer, length .......... .5..5.'. ............. width 10~ height 10' Registration Number .......... !.!.8...3.7..! .................... Serial Number .......... .P. .P. .8. .1. .0. 7. ...................................... 5. Size of lot: Front ............. ,2. ,9, .5, :. .8, !.~. .................. Rear ...... .9..~.;.Z,8.~. ............... Depth ....1.~,0..:7,.5. ................. 6. Dote of purchase or lease of land ............... ..D..e_c..e.~.b..e...r...!..0.;...!.?..6..9. ..................................................... 7. Zone or use district in which premises are sii'uoted ........ ..A.g.r. Lc..u..I.t..u...r..e. ......................................... 8. Does p~l'pos~se violate any zoning law, ordinance or regulation? no 9. a. Method of Sewerage disposal ......... .3....c..e..s..s..p..o.o~!...t..a..n..k...s. ................................................................. b. Source of Water Supply ............... .w...a..t.e...r....w...e/! .............................................................................. c. Source of Electricity ....................... .L.j.I..c.9. ........................................................................................ PLOT DIAGRA,V~ Locate clearly and distinctly oil 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 changes have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE Of NEW' YORK }ss COUNTY OF SUFFOLK j ' .. Mar~% H. C upruk ............ 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 applicat on are true to the best o~f-~,~is knowledge and belief; and that the trailer will be located in the manner set forth in the applicafi~'~' filed herewith. Sworn to before,me this ....... l...~. ................ day of ( otary Public) ' ' .......... No, 4908712 mie~°n F~ Oct' 19' 19"-'~ / JUDITH T. TERRY 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 (516) 765-1823 Telephone (516) 765-1800 Mary J. Ciupryk P.O. Box 530 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 1, 1996 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on December 12, 1996. 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. P~ease make your check or money order payable to "Southold Town Clerk". If your application and fee are not received on or before December 12, 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, Judith T. Terry Southold Town Clerk 1996, Enclosure (1) JUDITH T. TERRY 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 (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date May 9, 1996 Issued to Address Mary J. Ciupryk P.O. Box 530 Mattituck, NY 11952 of a single A renewal permit is hereby issued for the location trailer/h~x~;e~a~ at 390 Hill Street, Mattituck, NY pursuant to application dated June 12, 1996 This renewal permit is granted for a six (6) month period. Expiration date December 12, 1996 . Judith T. Terry Southold Town Clerk PERMIT NO. 125 EXPIRATION DATE: TOWN TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OF SOUTHOLD June 12, 1996 (516) 765-1801 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..n..e..r. ................................... Name of Owner of premises ............. .M...a..r.y...H.: .C..j.u.~.ry...k. . If applicant is corporate, signature of duly authorized office'r ....................................................... I. 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 ¢l.qL~.rters b. Intended use and occupancy same c. Period of time trailer is to be located on premises 6 months Fee .......... ~..~.,0..0...~).0. .................... (To be paid on filing application) Dimensions of trailer, length .......... .5..5.~. ............. width 10~ height 10~ Registrati~Y~' Number .......... 1..!.8..3...7.? .................... Serial Number ......... ,P.P..8..1..o.z ...................................... 5. Size of lot: Front ............. .2. .9. .5. :. .8. .1.~. .................. Rear 91.78' Depth 140.75 6. Date of purchase or lease of land December 10, 1969 7. Zone or use district in which premises are situated ......... .A.g..r.i.c..u..It..u..r..e. .......................... 8. Does proposed use violate any zoning Iow, ordinance or regulation? ......... 0.9. ..................................... 9. o. Metho~l]~m~disposol 3 cess.ppol tanks b. Source¥o~ W~e~.:§upply water well c. Source of Electricity ...................... .~.i.l..c,9. ....................................................................................... PLOT DIAGRA.~ Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimed- 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 NEV~ YORK } COUNTY OF SUFFOLK ss. ......... Mar~( H. Ciupruk .......................... ---. ..... being duly sworn, deposes and soys 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 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. to me ................................ day of · ..................................... ........ .......... (Notary Pub(It) ..... t.~,',;~ CONWAY · NC~'.A~V PUBLIC. Slate of New Y~ ~ C~,~iilied ~n Sulfoll~ County .ornmiss, o~! E ×pires March 28, 19 JUDITH T. TEH.RY TOWN CLERK REGISTRAR OF %rITAL STATISTICS MARRIAGE OFFICER RECORDS 1V,~NAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Mary J. Ciupryk P.O. Box 530 Mattituck, NY 11952 OFFICE OF THE TOWN C[,i~,RK TOWN OF SOUTHOLD May 1, 1996 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on June 12, 1996. 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, 1996, ~/our Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, Judith T. TeYry $outhold Town Clerk Enclosure (1) JUDITH T. TERRY TOWN CLERK IS i'RAR UF VITAL STATISTICS MARRIAGE OFFICER MANAGEMENT OFFICEI~ Town II[all, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765~1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date December 7, 1995 Issued to Mary J. !Ciupryk Address P.O. Box 530 Mattitucl<, NY 11952 of a single A renewal permit is hereby issued for the location trailer/l~ at 390 Hill Street, Mattituck, NY pursuant to application dated December 12, ~995 This renewal permit is granted tor a six (6) month period. Expiration date June 12, 1996 Judith T. Terry $outhold Town Clerk PERMIT NO. 73 EXPIRATION DATE: TOWN OF $OUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 $outhold, New York 11'971 (516) 765-1801 December 22~ 1995 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 agent .......... .o..w...n..e..r. ................................................................... Nome of Owner of premises ................. .M..a..,d..d.L.e..,,M.!!e..s. ............................................................................... 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 ...... M..a..t..t.J..t.u...c..k.z.....N.~...¥.o..r..k. ............... Street and number Private Road off Main Road 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....... .o...n.,e...?~!.!y..~d..w...e.!!!.n..~ ............................ i ................................... same b. Intended use and occupancy ................................................................................ c. Period of time trailer is to be located an premises 6 months 3. Fee ...... ......................... (To be paid on filing application) 4. Dimensions of trailer, length .......... .5..0.'. ............. width 10' 11' ................................ height ............................ Registration Number ......................................... Serial Number ............................................................ .,.~ Size of lot: Front ............................................ 120' Rear 130' 80' ................................ Depth ................................ 6. Date of purchase or lease of land Deceml~F. 1, 19.~7 7. Zone or use district in which premises are situated .. Agr cu ture 8. Does proposed use violate any zoning Iow, ordinance or regulation:~ no . 9. o. Method of Sewerage disposal cesspool b. Source of Water Supply electric ~.um~ c. Source 0f. Electricity ........................... I.[IC~ ..................................................................................... PLOT DIAGI~AM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen- sions from property lines. (~ive street (=nd 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 chan.cjes have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEW' YORK ~ COUNTY OF SUFFOLK jss' Maddie Miles ................................................................................................... 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 maJ~ and file this application; and that ell statements contained in this application are true to the best of hq'knowledge and belief; and that the trailer will be located in the manner set forth in the application filed herewith. Sworn to before me th s ~) © ' ' ................................... (l'~otory Public) N~aq, ~ S~e ~ ~ y~ ~. 4~12 , ~ln~ ~ J-u'DrrH T. T~RRY 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 (516) 765.1823 Telephone (516) 765-1800 Mary J. Ciupryk P.O. Box 530 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 2, 1995 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on December 12, 1995. Enclosed is a partially completed application renewal form. Please complete the form, have your signature notarized ahd 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, 1995, 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, Judith T. Terry Southold Town Clerk Enclosure (1) JUDITH T. TERRY TOWN CLERK REGISTt~AR OF VITAL STATISTICS MARRiAGE OFFICER RECORDS MANAGEMENT OFFICER t"REEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date June 9f 1995 Issued to Mary J. Ciupryk Address P.O. Box 530 Mattituck~ New York 11952 A renewal permit is hereby issued for the location tra~ler/housecar at 390 Hill Street, Mattituck, New York pursuant to application dated June 12, 1995 This renewal permit is granted for a six (6) month p~riod. Expiration date December 12, 1995. of a single Judith T. Terry 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~ 1995 Soured TOwn C/erk 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. o n owner State whether applicant is owner, lessee or ge t ........................................................................................ Name of Owner of premises ............ .M...a..r.y......H..:...C.!.u.~ry...k. ...................................................................... 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 ......... .M..a..t.~t. Ltu..c..k./.....N..e...w....Y...°..r.k. ............. Street and number 390 Hill Street . State existing use and occupancy of premises and intended use ond occupancy of proposed trailer: a. Existing use and occupancy ........... J. iY..i..n.g....q~a...r.t;.e..r.,s. .................................................................... b. Intended use and occupancy same c. Period of time trailer is to be Iocated on premises . .6....m...o..n..t..h..s. ............................. 3. Fee .......... ~. .1. .0..0. :. .0. .0. .................... (To be paid on filing application) 4. Dimensions of trailer, length .. ..........5..5.'. ............. width 10' height 10' Registration Number 118371 .Serial Number PP8107 5. Size of lot: Front ............. .2.9.5.:..8..]-'. .................. Rear ...... ?..1.:..7..8.'. ............... Depth 140.75 6. Date of purchase or lease of land ............... ..D.e..c..e.~.b..e...r...].?/....!.g..§.? ...................................................... 7. Zone or use district in which premises are situated ......... .A. clr. j.c..u..I.t..u...r..e. ......................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ......... .h.p. ..................................... 9. a. Method of Sewerage disposal ......... ~...c..e..s.s..P.9.o.!..~.n..n..k...s. ................................................................. b. Source of Water Supply water well c. Source of Electricity ....................... .L.j.I..c..o. ........................................................................................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing ar proposed, and indicate all set-back dimen- sions from property lines. Give street and block numbers or description according to deed, and shaw 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 NEV~ YORK '1 COUNTY OF SUFFOLK/ss' , Mar~. H. Ciup. ruk ................................................................................................... being duly sworn, deposes and says that he is the appl[Cont homed obove. He is the ............ owner (owner or lessee or agent) of said owner or owners, and is duly authorized'to moke and file this opplication; and thor all statements contoined in this appiicotion are true to the best of his knowledge and belief; and thor the troller will be Iocoted in the manner set forth in the application filed herewith. Sworn to before me this ................................ day of .......... ................... (N~I~~ YIIJONICA F Cl (Signature~X ~ ..... ............................. : ................................. · OON~ No. 52. 4661406 ~e~l~llf~l In Suffolk County JUDITH T. TERRY 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 (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 1, 1995 Mary J. 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, 1995. 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, 1995, 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, Judith T. Terry Southold Town Clerk Enclosure {1) JUDITH T. TERRY 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 (516) 765-1823 Telephone (516) 765- 1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date December 8, 1994 Issued to Address Mary J. Ciupryk P.O. Box 530 Mattituck, NY 11952 of a single A renewal permit is hereby issued for the location trailer/kma~ec~x at 390 Hill Street, Mattituck, NY pursuant to application dated December 12, 1994 This renewal permit is granted for a six (6) month period. Expiration date June 12, 1994 Judith T. Terry Southold Town Clerk or soum o DEC TOWN CLERK'S OFFICE ~0Wll Cl~flCSOl~,hnld P.O. Box 1179 Southold, New York 11971 (516) 765-1801 PERMIT NO. 125 EXPIRATION DATE: December 12, 1994 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TR~&ILER 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...n..e..r. ............................................................... Name of Owner of premises Mary. H. Ciu~ry.k 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 MattJtuck, 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.~.a. 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. .................... (To be paid on filing application) 4. Dimensions of trailer, length 55' 10' 10' ............................ width ................................ height ............................ Registration Number 118371 .Serial Number PP8107 5. Size of lot: Front ............. .2. .9. .5. :. .8. ~1. '. .................. Rear 91.78' Depth 140.~5 6. Date of purchase or lease of land December 10, 1969 7. Zone or use district in which premises are situated A~riculture Does proposed use violate any zoning Iow, ordinance or regulation.> ......... .q.o. .......... i .................... ~: .... o. Method of Sewerage disposal ......... .3....c..e..s..s.p..o..o,!...t..a..n..k...s. ................................................................. b. Source of Water Supply ............... .w...a..t.e...r....w...e.!! .............................................................................. c. Source of Electricity ....................... .L.j.I..c.9 ......................................................................................... 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 chan~es have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEW YORK ~ COUNTY OF SUFFOLK jss' ................ ..M. fl.r.~/....H..:...~.l..u.p..u...k. ......... being duly sworn, deposes and says that ,C. 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 makp^~a~nd fi e th s application; and that oil statements contained in this application are true to the best of Fr~r~owledge and belief; and that the trailer will be located in the manner set forth in the application filed herewith. Sworn to before me this '-1 day of ...... ..... "%" ' noture, ............................ (~ota~ Public) · ~ P~ ~ olN~ Y~ ~in ~ ~ ~m~ ~ ~. 19, ~9~ ~ JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OffICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765 1801 Mary H. Ciupryk P.O. Box 530 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 10, 1994 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on December 12, 1994. 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, 1994, 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, Judith T. Terry Southold Town Clerk Enclosure (1) JUDITH T. TERRY 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 (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date June 10, 1994 Issued to Address Mary H. Ciupryk P.O. Box 530 Mattituck, NY 11952 location of a single NY A renewal permit is hereby issued for the trailer/~K at 390 Hill Street, Mattituck, pursuant to application dated June 12, 1994 This renewal permit is granted for a six (6) month period. Expiration date December 12, 1994 PERMIT NO. 125 EXPIRATION DATE: TOWN OF $OUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 June 12, 1994 RECEIVED Sou t~'rod~'n 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 or aaent . owner Name of Owner of Premises Mary, H. C upryk If appl cant s corporate, s~gnature of du y author zed off cer ...............................(Name and title of corpora'~;"~f~i'~;;)' ' ................... ' ' '" " i. Location of land on which proposed trailer will be located Mattituck, New Yor.k. Street and number 390 Hill Street 2. State existing use and occupancy of premises and intended use end occupancy of proposed trailer: e. 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 55' 10' 10' ............................ width ................................ height ............................ Registration Number .......... 1..!..8.,3.7..! .................... Serial Number ......... ..P..P..8.,1..0.,7. ...................................... ,~.cSize of lot: Front ............. .~. .9. .5. :. .8. !. '. .................. Rear . .................... 91.78' ........... Depth ................................ 140.75 6. Date of purchase or lease of land December 10, lg60 7. 7one or use district in which premises are situated .... ^g. rJculture 8. Does proposed use violate any zoning Iow, ordinance ar regulation? ......... .n..o. ..................................... 9. a. Method of Sewerage disposal 3 cesspool tanks b. Source of Water Supply water well c. Source of Electricity L co ,. ... PLOT DIAGRAM Locate clearly and distinctly oil 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 'j COUNTY OF SUFFOLKjss' ...... ~.~ fl.r.~,..H.. ..C. upr,~k .......................................................... being duly sworn, deposes and says that he is the applicant named above. He is the ................. owner (owner or lessee or age~') ....................... 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 ....... J...~.. ................... day of . ~ S,' oture) ....... '" .......... ..% ....... [.~.....,] .~ .~....v..~......~:~..... . MELAN.E V. §flOWN (Notary Public) NOII~y ~ Stale al New Yo~k No. 4g08712 Commlm~n ~ 0~. 19,19~LD · JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York Il971 ..,. Fax (516) 765-1823 Telephone (516) 765 - 1801 Mary H. Ciupryk P.O. Box 530 Mattituck, NY 11952 May 6, 1994 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on June 12, 1994. 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, 1994, 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, Judith T. Terry Southold Town Clerk Enclosure (1) JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date November 23, 1993 Issued to Mary H. Ciupryk Address P.O. Box 530 Mattituck~ NY 11952 A renewal permit is hereby issued for the location trailer/l~t~x at 390 Hill Street~ Mattituck pursuant to application dated December 12, 1993 This renewal permit is granted for a six (6) month period. Expiration date June 12, 199q of a single Judith T~ T&frf - 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 December 12, 1993 · REC~ Sot~no ~/r r'~'n Cl~rb RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR OUT$1D£ OF TOURIST CAMP. HOUSE 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 I;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 anent owner Name of Owner of premises Mary.. H C u~.ryk If applicant is corporate, signature of duly authorized officer 'fi ig .......................... 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 3. Fee .......... ~.l.g.0.:.g..0. .................... (To be paid on filing application) ~4. Dimensions of trailer, length .......... .5..5.'. ............. width 10' 10' ................................ height ............................ Registration Number 118371 .Serial Number PP8107 5. Size of lot: Front ............. .2..9..5.:..8.]1.'. .................. Rear 91.78' Depth 140.75 6. Dote of purchase or lease of land December 10, 1969 7. Zone or use district in which premises ore situated ......... .A.g..r.i.c.g.l.t..u..r..e. ...................................... 8. Does proposed use violate any zoning Iow, ordinance or regulation? ......... .n..o. ..................................... 9. a. MethOd of Sewerage disposal ......... 3....c..e,.s..s.E.°.9,!...t..a..n..k,~. ................................................................. b. Source of Water Supply water well c. Source of Electricity ....................... ,L.i,l.c..o. ......................................................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings: whe;'her 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 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 'j. COUNTY OF SUFFOLK Ess' .... MarH H. Cupruk . ................................................................................... oe~ng duly sworn, deposes and soys 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 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. Swo~ to before me thisQ~../ ......................... day of . c .... / ~ .... 2 ........... ~;, -"~ .............................. m ....... ~.....~.~.....~.~.~.~ ............ ....... ......... .......... ................................. (Nota~ Public) . VERONICA F. CIDO~ JUDITH T. TERI~Y TOWN CLERK REGISTRAR OF VITAL STATIS'fICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Mary H. Ciupryk P.O. Box 530 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 1, 1993 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on December 12, 1993. 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 "Southoid Town Clerk". If your application and fee are not received on or before December 12, 1993, 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, Southold Town Clerk Enclosure (1) JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-~823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 125 Date June 8, 1993 Issued to Address Mary H. Ciupryk P.O. Box 530 Mattituck, NY 11952 of a single A renewal permit is hereby issued for the location trailer/lan~aK at 390 Hill Street, Mattituck, NY pursuant to application dated June 12, 1993 This renewal permit is granted for a six (6) month period. Expiration date December 12, 1993 - - Judith T. Terr~ - Southold Town Clerk RECEIVED JUN S~lho~w~ Cl~r~ TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 PERMIT NO. 125 EXPIRATION DATE: June 12, 1993 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR OUTSIDE OF TOURIST CAMP. HOUSE 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..n. er Name of Owner of prem ses .... Mary. H. Ciu~o..r,y.k If applicant is corporate, signa~;6';;'";'f"~;i~";;~;;;iz;;d"~'f~i;-:,'; .................................................................. (Name and title of corporate officer) l. 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 v ne ~[.u,a. rters b. Intended use and occupancy same c. Period of time tr~iler 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~ 10' ................................ height ............................ Registration Number .......... !.!..8..3..7.! .................. ,.Serial Number ......... ..P..P.,8..1..O.,7. ...................................... c Size of lot: Front 295'81~ 91.78~ lq0.75 ............................................ Rear Depth 6. Dote of purchase or lease of lend December 10, 1969 7. Zone or use district in which premises are situated ......... .A.g..r.j.c..u..It..u...r..e. ..................................... 8. Does proposed use violate any zoning law, ordinance or regulation? ......... .n..o. ..................................... 9. a. Method of Sewerage disposal ......... .3....c..e..s..s..p..o..o,!...t. anks ................................................... b. Source of Water Supply ............... .w...a..t.e...r....w...e.!! .............................................................................. c. Source of Electricity ................. .L..,..c.9. ........................................................................................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whet'her existing ar 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 Iocotion of proposed trailer on prem- ises, showing distances from el! 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' . . Mar~ H. Cu ruk ............................. P' ............................................................. 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 oll 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. Sworn to before me this ................................ day of ,X ............................... , ................. ;.:.. .... .... ¥~ ................ I~,A'T~INE A O'BRIE~ · No. 49~ CofilmJssJorl ExjJJ~ J/lily 14, JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Mary H. Ciupryk P.O. Box 530 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 3, 1993 Town Hall, 53095Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on June 12, 1993. 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, 1993, 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, Southold Town Clerk Enclosure (1) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N.Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Date December 8, 1992 Name Mary H. Ciupryk Street P.O. Box 530 Town Mattituck, NY 11952 Your application for o (single trailer) (h~.~e~kpermit was reviewed by the Town Board on December 8, .................................................................... , 19...9..2..., and (was) A permit is hereby issued to locate a (single trailer) (Ix~x~e~a~d~c license number ........................ or serial number at 390 Hill Street Matt tuck~ ~.y. pursuant to application dated , December 12, 1992 and : .......................................................................... the following conditions: PERMIT RENEWED FOR SIX (6) MONTH PER OD ' EXPIRATION DATE JUNE 12, 1993 TOWN BOARD, TOWN OF SOUTHOLD .......................... ........... ' TOWN CLERK · o~ oP so~o~o 4 5118 Suffolk County, New York Phone 516-765-1801 ~ Southold, New York 11971 ~) ~,~ ~, / ~ ~ "ECE~DOF ~/~~ ~5~ ~ RECEIVED 13 C I 1992 Southold Town Cler~ TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ....P...e..c..e..m...IRe. r....1..2. ........ , 19.~.2.... Instructions a. This application must be completely filled in by typewriter or in ink and submit one copy to the Town Clerk. b. PEat plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and g'iving ~ 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 o 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) ...P..~..O. Box ..5..30., Ma..t..t.i..tu.c..k.,.. New.. York 11.9..5.2 (Address) State whether applicant is owner, lessee or agent ................... O.w~e.~'. .......................................................... Name of Owner of premises ................ M~,r.~....H.,...Ci.~p?..y..k. ....................................................................... 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 ......... ~.9.0....H..i.!J....S..t.r..e..e..t., ........................ Street and number ..... Mat. tJ.tL~c[~...l~ew....Y.~r.k ................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...... IJ.v. Jl~.g..q.u. ar. Le.~.s ......................................................................... b. Intended use and occupancy ...$~,,z~.e. .............................................................................................. c. Period of time trailer is to be located on premises ...6..man-th.s, ................................................. 3. Fee ....$.?.5..0.0. ............................ (To be paid on filing application) 4. Dimensions of trailer, length ............................ width ................................ height ............................ Registration Number ......................................... Serial Number ............................................................ 5. Size of lot: Front ........... 295..8] ...................... Rear ..... 9.1...7.8 .................. Depth ......~..q..0..:.7..5. ............... 6. Date of purchase or lease of land ......... D...e..c..e..m...b...e..r..J.0.,....'l.9.§.~' ........................................................... 7. Zone or use district in which premises ore situated ..... ~.'.~'.'. ............................................................ 8. Does proposed use violate any zoning Iow, ordinance or regulation? .................................................. 9. a. Method of Sewerage disposal ......... .3....c..e..~.~t~.o..o,!...t..a..n...k..s. ................................................................. b. Source of Water Supply ............... ..w..a..t..e..r:....w..e.,l! .............................................................................. c. Source of Electricity ........................ [.JJ.c~ ................................................................................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, end 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 with Original Application STATE OF NEW YORK } COUNTY OF SUFFOLK ss. ............................ · ......... being duly sworn, deposes and says that ~'~ fs t~'e app![cant named above. ' ' is t'~e .......................................... (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 .......... of ...... ............................................ ....... ~ ~ / . x .~. [~;~;;~"'"~ ............... ~esiding in Suffolk Co~ JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Mary H. Ciupryk P.O. Box 530 Mattituck, NY 11952 November 2, 1992 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on December 12, 1992. 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 $75.00 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, 1992, 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, Judith T. Terry Southold Town Clerk Enclosure (1) No~ 125 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT P.O. Box 530 Street .............................................................................................................................................. Mattituck, NY 11952 Town ............................................................................................................................................... Your application for a (single trailer) (h~a~[ permit was reviewed by the Town Board June 2 ]g.....9..2., and (wes) (~x~c~) approved. A permit is hereby issued to locate o (single trailer) (housecor), license number ........................ or serial number at 390 Hill Street Mattituck, NY pursuant to application dated ...... ;'. ............... .J..u...n..e....1..2.1....1..9..9..2. .......................... and the following conditions: PERMIT RENEWED FOR SiX (6) MONTH PERIOD EXP RAT ON DATE DECEMBER 12, 1992 TOWN BOARD, TOWN OF SOUTHOLD Town Clerk TOWN CLERK · ow,~ o~ ~o~.o~ 4 3 6 3 5 Suffolk County, New York Phone 516-765-1801 Southold, New York 11971'Date J~ith T. Terry, Town Clerk. Cash[] Check ~0~ ~ By TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. RECEIVED JUN 199Z Southold Town Clerk RENEWAL 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 g'iving ~ 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 trnil~r_ permit to. the ~.p..,~,,.~.,, I: .... ~,-,..c"-b 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 ~f a~p'r~,) "~ ~ ...e.., .0.. :.....B..o..x....5_3 0. ,. _Ha. .t..t.i..t.U..c..k. ~,...N e..w.....y..q .r..k..-..J_! .! ..9.5. (Address) State whether applicant is owner, lessee or o ant Name of Owner of premises ................ M~r.~...IJ.,...Ci.~p.r.y..k. ....................................................................... If applicant is corporate, signature of duty authorized officer (Name and title of corporate officer) h Location of land on which proposed trailer will be located :~9.0. Hi ...S..t.r.e..e..t, Street and number ..... Mat. tZt~ck,..Ne~...~.ar.k ................ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...... IJ.v. Jr~.g..q.u.i~r.;tex'.s. ......................................................................... b. Intended use and occupancy ....sa~e_ ..................... c. Period of time trailer is to be located on premises .-.6..mor~.l~h.s. ................................................. 3. Fee ...$.75..0.0 ............................. (To be paid on filing application) 4. Dimensions of trailer, length ............................ width ................................ height ............................ Registration Number ......................................... Serial Number ............................................................ ,,. Size of lot: Front ........... 295..81 ..................... Rear ..... 9.].,7.8 ................. Depth ...... ~.0..~]~ ............... 6. Date of purchase or lease of land ~ecemb~.r Jg, 1~(~} 7. Zone or use district in which premises are situated ",~" 8. Does proposed use violate any zoning Jaw, ordinance or regulation? .................................................. 9. a, Method of Sewerage disposal 3 cessp, oo tanks b. Source of Water Supply water we c. Source of Electricity ........................ I,,iJ~p ......................................................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whet'her existing or proposed, cnd 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! baildings and property lines. On File with Original Application STATE OF NEW YORK ~ COUNTY OF SUFFOLK]ss' ...................................... ~ ................ : ....... ~ ......... ~ ...... .~ ..................... bein~ duly sworn, deposes ~nd says that (o~er or lessee or ag&~t) ~ ........... of said owner or owners, and is duly authorized to make and file this application; and that ell 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 ............................... ......... ..... JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765 1823 Telephone (516) 765-1801 Mary H. Ciupryk P.O. Box 530 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 1, 1992 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your Trailer Permit will expire on June 12, 1992. 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 $75.00 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, 1992, 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, Judith T. Terry Southold Town Clerk Enclosure (1) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Dote December 12, 1991 Name Mary H. Ciupryk Street P.O. Box 530 Town Mattituck, NY 11952 Your application for a (single trailer) (h~.~) permit was reviewed by the Town Board on December 10 .................................................................... , 19..~.!..., and (was) (~/'~') approved. A permit is hereby issued to locate a (single trailer) (housecar), license number ........................ or serial number at 390 Hill Street Mattituck~ NY pursuant to applicotion dated December 12, 1991 ..................................................................... and the following conditions: PERMIT RENEWED FOR SlX (6) MONTH PER OD EXPIRATION DATE: JUNE 12, 1992 TOWN BOARD, TOWN OF SOUTHOLD .............................. .... JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765 1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON DECEMBER 10, 1991: RESOLVED that the application of Mary H. Cuipryk (formerly Mary H. Petrauskas) for renewal of her single family house trailer permit, for trailer located at 390 Hill Street, Mattituck, which permit expires on December 12, 1991, be and hereby is granted for a six (6) month period. Judith T. Terry Southold Town Clerk December 11, 1991 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date December 12 19....9..1.. 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 g'iving 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 comply with all applicable laws, ordinances and ..................... (Signature ~ applicant) ~' ~ ...P..,..O.,.....B..o..x....S..3..0. ....M. Lu...c..k. ,.....N..e...w....y..q r..k...., j j .?.s. 2 (Address) State whether applicant is owner, lessee or agent .................. O.w~r. .......................................................... 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 iou~¢ted ......... ~.~.g...Jj.[J]....S..t.i.-.~.e..t.,. ....................... Street and number ..... MatztJ.tL~ck,..New....Y. ar.k ................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...... IJ.v. Jl~.g..q.u. flr. iLe.~.s. ......................................................................... b. Intended use and occupancy ...~am~ ................................................................. i ............................ c. Period of time trailer is to be located on premises .-.G..mon-tl~s, ................................................. 3. Fee ... $.75,.0.0. ............................ (To be paid on filing application) 4. Dimensions of trailer, length ............................ width ................................ height ............................ Registration Number ......................................... Serial Number ............................................................ 5. Size of lot: Front ........... 295,.8! .................. Rear ..... 9.]...7.8. ................. Depth .....J.~.0....~.5. ............... 6. Date of purchase or lease of land P..ecemb~.r 10, 7. Zone or use district in which premises are situated ",~" 8. Does proposed use violate any zoning Iow, ordinance or ragu orion? .................................................. 9. a. Method of Sewerage disposal 3 cess.qoo tanks b. Source of Water Supply ..w. ater we c. Source of Electricity ........................ LJI.g.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 with Original Application STATE OF NEW YORK t ~ ~j/ COUNTY OF SUFFOLK .jss,. (~. lUO~LJ~. , ................. "'~" '~'""'~'~~k~"'"~' be ng duly sworn, deputes ar~O ~u¥> ~hot ~ the applicant named above.~is the ....... ; ....... ~~ ........ ~ er or lesse~'or"~'~) ..... ....................... 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 , ..... .......................... , ....... /J~.4 ~ ~ ~ - '"~ ..... ~'~'~n~;~~~ ................ .... ~~ ..~I~L~ ~'~ ~ ..... ~ ..... , ~ JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 1, 1991 Mary H. Petrauskas Ciupryk P.O. Box 530 Mattituck, NY 11952 Town Hall, 53095Main Road P.O. Box 1179 Southo!d, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Re: Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your trailer permit will expire on December 12, 1991. Enclosed you will find a partially completed application form for renewing same. Please complete this form, have your signature notarized, and return it to this office together with the required $75.00 renewal fee as soon as possible. Please make check or money order payable to "Southold Town Clerk." The fee for a trailer permit application or renewal was raised to $75.00 by resolution of the Southold Town Board on October 10, 1990 to be effective January I, 1991. If application and fee are not received on or before December 12, 1991, your special permit will be revoked and your trailer will have to be removed from the premises. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure (1) No ...... .1..2..5. ......... TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Date June 19, 1991 Street P.O. Box 530 Town .......................... M..~.'~.tj t..u..c...k.:....N...Y..... J J .~..5..2. ........................................................................... Your application for a (single trailer) (~x~ permit was reviewed by the Town Board June 18, on .................................................................... , 19..9..1...., and (was) (~l~) approved. A permit is hereby issued to locate a (single trailer) (t~l~o-), license number ........................ or serial number ................................................ at ................ .3..9..0..,..H.]!.I....S,]L.~.t .......................... Mattituck, N.Y pursuant to application dated June 12, 1991 and the following conditions: ................. .P..E..RMLT...R.EhtE~EJ) F...O.I~..$.IX..LI~ MO. NYH ,R.E~JO.I~ EXPIRATION DATE: DECEMBER 12, 1991 TOWN BOARD, TOWN OF SOUTHOLD Town Clerk ~" ................ JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON JUNE 18, 1991: RESOLVED that the application of Mary H. Petrauskas for renewal of her single family house trailer permit, for trailer located at 360 Hill Street, Mattituck, which permit expired on June 12, 1991, be and hereby is granted for a six (6) month period. Judith T. Terry(/' Southold Town Clerk June 19, 1991 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No ......... ~I.ZS. ...................... Approved .................... ..~../.../.~..., 19.?.,z(..Permit No ................. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date June 12 91 Instructions o. This application must be completely filled in by typewriter or in ink and submitted in dup!icate 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 shail 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 RegubtJons. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant) P,O. Box 530~ Matttuck~ New York 11952 (Address) State whether applicant is owner, lessee or agent .................. O.wla~r. .......................................................... Name of Owner of premises ................ i~i~r.y....H.,....P.e.t;£.~.~l~.ff.a..~ ...................................... 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 3')0 jjil....S..t.r..e..e..t., .............. Street and number ..... Mat. tJ.tt~ck...l~.ew....Y.c~r.k ...................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...... IJ.v. Jr~.g..q~fir. t,e.~.s. ......................................................................... b. Intended use and occupancy ....sam~ ...................... . ................ c. Period of time trailer is to be located on premises -.-6..mon.th-s. ................................................. 3. Fee ....$.'/.5,.0.0. ............................ (To be paid on filing application) 4. Dimensions of trailer, length ............................ width ................................ height ............................ Registration Number ......................................... Serial Number ............................................................ -,. Size of lot: Front ........... 295..8~. ..................... Rear ..... 9.1...Z~l ................. Depth .....J.~.:.7..5. ............... 6. Date of purchase or lease of land ~.ecemb.e,r 10, l~fi~ 7. Zone or use district in which premises ore situated ",~" 8. Does proposed use violate any zoning law, ordinance or regulation? .................................................. 9. a. Method of Sewerage disposal ......... .3....c..e..s..s.p..o..o,!...t..a..n..~.s. ........................................... b. Source of Water Supply ............... water well c. Source of Electricity ........................ LJLc.O ......................................................................................... PLOT DIAGRAM Locate clearly and distinctly oil 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 corner lot. Indicate clearly location of proposed trailer on prem- ises, showing distances from al! buildings and property lines. On File with Original Application STATE OF NEW YORK } COUNTY OF SUFFOLKjss' .... ~.~.~.~.....~.:....~r~K(~ ................................................ being du!y sworn, deposes end says that ~he is the applicant named above.~J-le is the ....~...V~...I~,~ (owner or I essee or agent) of said owner or owners, arid is duly authorized to make and file this application; and that ell statements contained in this application are true to the best of hl~. 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 ~'~ ........ ............... , ...................... , ............. //~-/"~ .. I ~ ¢ ~Signature) ..... . · ............... o~. ;:'z' :7, -,, ~4 ~ JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OFSOUTHOLD May 2, 1991 Mary H. Petrauskas Ciupryk P.O. Box 530 Mattituck, NY 11952 Trailer Permit Renewal No. 125 Dear Ms. Ciupryk: This is to advise you that your trailer permit will expire on June 12, 1991. Enclosed you will find a partially completed application form for renewing same. Please colnplete this form, have your signature notarized, and return it to this office together with the required $75.00 renewal fee as soon as possible. Please make check or money order payable to "Southold Town Clerk." The fee for a trailer permit application or renewal was raised to $75.00 by resolution of the Southold Town Board on October 10, 1990 to be effective January 1, 1991. If application and fee are not received on or before June 12, 1991, your special permit will be revoked and your trailer will have to be removed from the premises. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure (1) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Date December 13, 1990 Name Mar~, H. Petrauskas .~ ~,~.r.~(~ Street P.O. Box 530 · Town Mattituck~ NY 11952 Your application for a (single trailer) (J~ar~.~ permit was reviewed by the Town Board on December 11 ..................................................................... 19..9..0...., and (was) ~1~ approved. A permit is hereby issued to locate a (single trailer) ~i~L~4~), license number ........................ or serial number at 3~)Q H Sl~reet Mattituck, N.Y. pursuant to application da.ted ............... .D..e.~e.~.b..e..r....1..2.,....1..9..9..0. ......................... and the following conditions: PERMIT RENEWED FOR S X (6) MONTH PER OD EXPIRATION DATE: JUNE 12, 1990 TOWN I~OARD, TOWN OF SOUTHOLD JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765 1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON DECEMBER 11. 1990: RESOLVED that the application of Mary H. Petrauskas Ciupryk for renewal of her single family house trailer permit which expires on December 12, 1990, for trailer located at 390 Hill Street, Mattituck, be and here is granted for a six (6) month period. Judith T. Terry c~ Southold Town Clerk December 12. 1990 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE souTHOLD, N. Y. 19.. ..r?Perm t No ................. Approved ............................... , Application No .........~J.~- ~- ...................... APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ..... Dece.n].k).~.J'. ]Z ...... , 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 shah be kept on '>he pTemises 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) P~O. Box 530~ Matttuck, New York 11952 (Address) State whether applicant is owner, lessee or agent ....... .O.wl:~e.~'. .......................................................... M~r.y I;I, P~.t,.r.~.u~.k.~.~ .................................................................. 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 ......... ~.9.0..JJ.i.jL..s..t.r..e..e..t.'. ....................... Street and number ..... Mat. ti.tu.ck,...l~ew....Y.~r.k ................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...... Jj.v. Jl~.g..q.g.~r.t,~.t'.~- ......................................................................... b. Intended use and occupancy ...sam~ .............................................................................................. c. Period of time trailer is to be located on premises -.6..mon.~.h.s, ................................................. 3. Fee ....$.~l.~.,.0.g. ............................ (To be paid on filing application) 4. Dimensions of trailer, length ............................ width ................................ height ........................... Registration Number ......................................... Serial Number ................... : ...................................... 5. Size of lot: Front ........... 295~8~. ..................... Rear ..... ~.l...ZS. ................. Depth ......~.~.0..:.7..~ ............... 6. Date of purchase or lease of land ......... D..e..c..e..m...b...~.r...J.0.,...].~).(i.~). ........................................................... 7. Zone or use district in which premises are situated ..... ~.~! ............................................................. 8. Does proposed use violate any zoning law, ordinance or regulation? .................................................. 9. a. Method of Sewerage disposal ......... .3....c..e..s..s.p..o..q!...t.~.O..k..s. ................................................................. b. Source of Water Supply ............... ..w. fl.t..e..r.....w..e..I.I .............................................................................. c. Source of Electricity ........................ I~H.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 with Original Application STATE OF NEW YORK '1 ! ' COUNTY OF SUFFOLKjss' he is the applicant named above. He is the ............... ~......:~?¢-'/~ .......................................................... .............. (owner or lessee or agent) of sa'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 his knowledge and belief; end that the trailer will be located in the manner set forth in the application filed herewith. JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 Mary H. Petrauskas P.O. Box 530 Mattituck, NY 11952 November 1, 1990 Re: Trailer Permit Renewal No. 125 Dear Ms. Petrauskas: This is to advise you that your trailer permit will expire on December 12, 1990. Enclosed you will find a partially completed application form for renewing same. Please complete this form, have your signature notarized, and return it to this office together with the required $35.00 renewal fee, as soon as possible. Please make check or money order payable to "Southold Town Clerk." If application and fee are not received on or before December 12, 1990, your special permit will ,be revoked and your trailer will have to be removed from the premises. Very truly yours, Judith T. Terry $outhold Town Clerk Enclosure (1) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSEGAR LOCATION PERMIT No..,!.2..5. ............ Date June 21, 1990 Name .................. ,~.a..r.y....H.. :....P, .e. ~ ~.t~ s..k.~..s. ................................................................................... Street ..................... P. :..O.. :....B..o.,.x....5. ~ 0. ................................................................................................ Town .................... . .M..a..t..t.i.t..u..g..k. ,..., .N. f~ ~...Y..9..r..k..... ]..1..9..5..2. ................................................................... Your application for a (single trailer) (l'x~ecl~ permit was reviewed by the Town Board June 19 19...9..0..., and (was) (~Yo~xr~ approved. A permit is hereby issued to locate a (single trailer) ~s~'), license number ........................ or serial number ................................................ at ......... 3..9..0.....H.!.l.!...S..t..r..e..e..t. ................................. ............................... .M. . .a. .t.t. .i.t. .u. .c. . .k..,. . . .N. . .e. .w. . . . .y. ~ r.l¢ .................................................................................. pursuant to application dated ...............J...u..n..e....1...2.~....1.9.9..0. .................................. and the followin~ conditions: ............ .P...E..R...M..L.T..., ,R .N...T..H....p..E..,R... f).D ........................... EXPIRATION DATE: DECEMBER 12, 1990 TOWN BOARD, TOWN OF SOUTHOLD Town Clerk JUDITH T. TERRY TO~q CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765 1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON JUNE 19, 1990: RESOLVED that the application of Mary H. Petrauskas for renewal of her single family house trailer permit, for trailer located at 390 Hill Street, Mattituck, New York, which permit expired on June 12, 1990, be and hereby is granted for a six (6) month period. June 21, 1990 TOWN OF $OUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved .................... -.~./~'--.~.., 19. .~'..~---). Permit No ................. Application 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 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 Permi~ 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 lows, ordinances and regulations. (Signature of app. cant) (Address) State whether applicant is owner, lessee or agent .................. O.w~'. .......................................................... Name of Owner of premises ................ Mflr.~...IJ., ..P.~.l:c.a..~.lf.a..~ ........................ 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 ......... 3.9.0...H..i.!!....S..t.r..e..e..t.s. ....................... Street and number ..... MattJ.tu.ck,...biew....Y~r.k ................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ...... IJ.v. JD.g..q~tar.[e,C~. ......................................................................... b. Intended use and occupancy ....saz~ ............................................................................................. c. Period of time trailer is to be located on premises ...6..mon.t~s- ................................................. 3. Fee ....$.~.[i.,.I).0. ............................ (To be paid on filing application) 4. Dimensions of trailer, length ...~.D...:.~:: ................ width ........ ,/...~......~.: ........... height ..../..?.:'. ................. Registration Number .... !..,/....~v;..~..~.7..J .............. Serial Number ..... ~) .................... !....l ........................ ,~. Size of lot: Front ........... 29.5,81 ..................... Rear ..... 9,]...?.~ ................. Depth ...... 1. ~.0. .:,7.,5. ............... 6. Date of purchase or lease of land .~.ecemb.~r ]~, 1~1~ 7. Zone or use district in which premises ore situated " " 8. Does proposed use violate any zoning law, ordinance or regulation? .................................................. 9. a. Method cfi Sewerage disposal ........ 3 cesspool tanks b. Source of Water Supply ............... .~..a..t.~r well c. Source of Electricity ........................ l,,iJ.c.O .............................................................................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing er 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 prem- ises, showing distances from al! buildings and property lines. On File with Original Application STATE OF NEW YORK } COUNTY OF SUFFOLK ss. Mary. H. Petrauskas ........................................................................................................ 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 tl~is application; and that oil statements contained in this application are true to the best of his knowledge and belief; <;nd that the trailer will be located in the manner set forth in the application filed herewith. Sworn to before me this ........ .9.~b. .................. day of ~~.~...~...b~ ........ June 6 ~ .~ ................................................. , 19..~..0. .................. ~ '~x~ignature) ............ ........ (Notary Public) Nela'y Pub~, 8me el Ne~ Yed~ No, 4660818 JUDITH T. TERRY TO'~q CLERK REGISTRAR OF VITAL STATISTICS OF~CE OF THE TO~ CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 Mary H. Petrauskas P.O. Box 530 Mattituck, New York 11952 May 22, 1990 Re: Trailer Permit Renewal No. 125 Dear Ms. Petrauskas: This is to advise you that your trailer permit will expire on June 12, 1990. Enclosed you will find a partially completed application form for renewing same. Please complete this form, have your signature notarized, and return it to this office together with the required $35.00 renewal fee, as soon as possible. Please make check or money order payable to "Southold Town Clerk." If application and fee are not received on or before June 12, 1990 your special permit will be revoked and your trailer will have to be removed from the premises. Very truly yours, Judith T. Terry ~ Southold Town Clerk Enclosure (I) No ..... 12.5 ........... TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Date ..... IP.e.c.e.~)~ f~ r... ~1. 5 ,... J. ~. ~ ~ ................... Name Mary H Petr~ufiJ¢85 Street P.O. Box 530 Town .........Ma Lti.t uck ,...l~ew...Yor. k .1.1952 ............ Your application for a (single trailer) ~.~If, r~ permit was reviewed by the Town Board on ............... ~.f~Gf~mber..J2 ............................., 19.89..., and (was) ~:~t) approved. A permit is hereby issued to locate a (single trailer) ~ftc,,ks~e~:~: license number ........................ or serial number ................................................ at 3.9.0...HJ. ll..S.tr, ee/,,..M~t.ti.tuck,...N.e~w...Y..ork pursuant to application dated ........... Der-,emher...12,...19B9 ............................. and the following conditions: ...... P.E, P,J~I.I .T... I~. E~ EWJE D...E.Q P~..SIX...(.6].. MD ~l .T. kl...P. ~.'l~,I .Q D. ................................ ....................... F,,XP.I.P,A.T.I.O~I.. I]A.T.E: .... J.U~IE.. 12 ,....l 99 O .......................................................... TOWN BOARD, TOW, N OF SOUTHOLD JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON DECEMBER 12, 1989: RESOLVED that the application of Mary Petrauskas for a single family house trailer permit, for trailer located at 390 Hill Street, Mattituck, be and hereby is granted for a six (6) month period. /~Z~Judith ~T. Terry~~ Southold Town Clerk December 13, 1989 DEC 0 ? *'" ~ TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................................... , 19 ........ Approved ................ .//.¢;~?.././.~,...., 19~.7. Permit No ................. Disapproved a/c ............................................................................ Application No..../...~.....~,. .................... 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 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. ~:~x~......~......~......~.. ~~' Lx~ ........... (S ig na~,r,~'~xf~ pp I i c ant ) (Address) ................................. · x ....... ~ ............. whe,he, o..e,. ........... - ................ ............ ,om~ o, Ow.e. o, ,~.m,~s .~...~......~.~....~....~....,....~..~..~..~.,.~~ If applicant is corporate, signature of ~uty autho~d offi~ ' ~ ~ (Name and title of corporate officer) 1. L~ation of land on which proposed trailer will be located ~'~'~"."~..~.t.~ s,.~., o.d ..mb.r ........ 3...~.~......~....~' ' .................................................................. 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 ........................................................................................................... ~'~ c. Period of time trailer is to be located on premises ...t.~.2.~ ................................................... 3. Fee .......................................... (To be paid on filing application) 4. Dimensions of trailer, length ..... .~,,~.~...L/ .............. width .... ~...,O.,. ...................... height ..J...~. ...................... gistration Number ......................................... Serial Number ............................................................ ~ Size of lot: Front ,~ .~..~..~...~' !. Rear ~ I.,..?. ~ Depth 6. Date of purchase or lease of land .... ~.~ ( .0. / ~ ~ 7. Zone or use district in which premises are situated 8. Does proposed use violate any zoning law, ordinance or regulation? .................................................. 9. a. Method of Sewerage disposal .... ,~......C,¢~:;~......'~s,~ ..................................................... b. Source of Water Supply ............. .~...~...~....~..~ ................... c. Source of Electricity ........ ~...(....Lm....~....¢?. .............. PLOT DIAGRAM Locate clearly and distinctly all buildings, whe'~'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. STATE OF NEW YORK } COUNTY OF SUFFOLKjss' · ~l[-"~'~--~'~'~.'"~'"~'.~'"Ll'~.'~0..~.(~L-.~.. ......,....-,-~ ....... bei~duly sworn,deposes and says that he is the~plicont homed obove. He is the ..':..~~.~xx~x ~m'~:'C~- ~"~?""~,~,,~,,,.~.~..=~,~ · ~-~x,,.~ (owner or lessee or ogent) o* so~rJ owner or ,owners, ond is duly auihorized to moke ond ~ile this opplicotion; ond thot oil stotements contoined in this opplicotion ore true to the best of his knowledge end belief; ond thor the troiler will be Iocoted in the monner set forth in the opplicotion filed herewith. Sworn to before me this .......... ./~ ............. day of ,~ / ~ --~ ,'2 ............ ............... ..... . ' ..... - ~W Public, State ~ N~ ~ No. 52-81258~, Suffo~ ~ T~m ~r~ ~ 31, 1= ,/ 'lq SURVEY FOR JOSEPH W ~ MARY H. PETRAUSKAS AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y SCAL£ : I"'- 4C' NOV. 26~ 19~9 JUNE 28, 1974 JUNE 7~ 1973 JULY 2,1973 ,JUNE 2~,/974 R~FERENCE: 0 TEST BORING ! 6UARANTEED TO' THE TITLE GUARANTEE COMPANY JOSEPH ~ ~ MARYH. PETRAUSKAS. LAND SURVEYOR N, YS. LiC. NO.£87P5 RIVERHEA~ ~2 FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION DECEMBER 4 89 Date ........................................................ , ] 9 ........ TO MARY H. PETRAUSKAS (owner or authorized agent of owner) 390 HILL STI~ET; MATTITUCK, W/ 11952 (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance CHAP I00 Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that A TRAILER I$ LOCATED ON YOUR PROPERTY (state character of violation) WITHOUT A TOWN BOARD PEP, MIT. in violation of ARTICLE XXIII, CHAP. 100-239.2 (B) (State section or paragraph of applicable [aw, ordinance or regulation) ....... YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at 390 HILL S'£REET, MATTITUCK, ~. . ................................................................................. %.OUn[y of Suffolk, New York. SUFFOLK COUNTY TAX MAP # 1000- 140- 02- 38 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. (CERT.) cc: TOWN CLERK ORDINANCE INSPECTOR VINCENT R. WIZEZOI~K Mary H. Petrauskas Hill Street P. O. Box 530 Mattituck, NY 11952 December 06, 1989 Southold Town Building Department Southold Town Hall Main Road Southold, NY 11971 Dear Sir/Madame: I have recently received title/deed to property located at Hill Street, Mattituck New York 11952. On December 5, 1989, I received a letter from your office stating my responsibility for an addition that was added on to an existing mobite~ome at the above mentioned property. To the best of my knowledge, my ex-husband Mr. Joseph Petrauskas Sr. had obtained all necessary permits, paperwork, etc. to have this work completed. I was totally unaware of any circumstances due to my absence from the State of New York. I would appreciate any assistance you can provide me for correcting this matter. Sincerely, Mary H. Petrauskas 109507'" STAT! OF NI~f~EK, ~OUNT~I' OF SUFFOLK SS: Onthe------/V'~ayof~u~'~ 19 89, beforeme personally came 5oseph ~. tO lilt' known to bE' the individual described in and who executed the foregoing instrument, and acknowledged that ho executed the same. STATE OF NEW YORK, COUNTY OF SS: On the day of 19 , before me personally came to me known, who, being by me duly sworn, did depose and say that he resides at No. that be is the of , the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal aflfxed to said instrnment is such corporate seal; that it was so affixed by order of the board of directors' of said corpora- tion, and that he signed h name thereto by like order. STATI OF NIW YOKK, ¢OUN?Y OF SUFFOLK SS: Onthe/°r~-~ dayof~ ~x-~tt-~ 1989,beforeme personally came Mary H. Petrauskas to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that she executed the same. / Notary pub<Iie Term Expires December 22/ STATE OF NEW YORK, COUNTY OF SS: On the day of 19 , before me personally came the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that he resides at No. that ' he'knows ; to be the individual described in and who executed the foregoing instrument; that he, said subscribing witness, was present and saw execute the same; and that he, said witness, at the same time subscribed h name as witness thereto. Bargain ani ale leeh WITH COVENANT AGAINST GRANTOR'S ACTS TITLE NO. JOSEPH W. PETRAUSKAS and MARY H. TO PETRAUSKAS MARY H. PETRAUSKAS STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by CHICAGO TIT~I~ INSURANCE COMPANY SECTION BLOCK LOT COUNTY OR 'TOWN Recorded at Request o! CHICAGO TITLE INSURANCE COMPANY Return by Mail to PACHMAN & OSHRIN, P.C. VETERANS MEMORIAL HIGHWAY P.O.B. 273 COMM^CK. NY CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS-ONLY THIS INDENTURE, made the {~t_~ day of August , nineteen hundred and eighty-nine BETWEEN JOSEPH W. PETRAUSKAS and MARY H. PETRAUSKAS 774.L Hill St. ino house no.) ,' Hill St (no house no.) Mattituck, NY MatZituck, NY of the first part, and 7741, party MARY H. PETRAUSKAS Hill Street (no house no.) Mattituck, .NY F, EAL ES ,['\TE OCT 18 ~989 SIJi FOI K party of the second part -0~'~--,--!(''01374 {Y WITNESSETH, that the party of the first part, in consideration of ten dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the hei. rs or successors and assigns of the party of the second part forever, &OiP~I~¥".~.t~' [~,/k ~ ] .ALL that certain plot, piece or parcel of land, with the buildings and im~e~.~hereon erected, situate, lyingand being~ at Mattituck, Town of ~lt~fi~y~,o~' Suffolk, New York, more particularly bounded and described' as follows: BEGINNING at a monument set in the southerly side of Hill Street distant 295.81 feet westerly when measured on a bearing of South 47 degrees 08 minutes 40 seconds West along the Southerly side of Hill Street from the corner formed by the intersection of the Southerly side of Hill Street with the Westerly side of Marys Road; RUNNING THENCE South 19 degrees 23 minutes 10 seconds East 186.88 feet to a monument and land now or formerly of Lupton; THENCE South 74 degrees 22 minutes 00 seconds West along said last mentioned land 91.78 feet to a monument and land of the American Legion; THENCE North 19 degrees 23 minutes 10 seconds Wes'~ along Said last mentioned land 140.75 feet to a monument and the southerly side of Hill Street; THENCE along the southerly side of Hill Street the following tw~ courses and distances: 1) North 45 degrees 52 minutes 30 seconds East 14.84 feet to a monument; 2) North 47 degrees 08 minutes 40 seconds East 85.16 feet to the point or place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to'parties of the first part by deed dated December 6, 1969 and recorded in~ Suffolk County Clerk's Office on December 10, 1969 in Liber 6672 Page 480. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof: TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD thc premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part c~venants that the party of thc first l~art has not done ,or suffered anything v. hereb the a~ r m e ~n · y s 'd p emises have been encu b red ' any way whatever eKcept as-M0resaid! AND the party of the first part n comp lance w th Sect on 13 of the ~ugh~'~l~W'.' CoYelX~%t2i~J3N. the part), o.f the first part will receive the consideration for this conveyance and will hold the (ight to receive such consid- eration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indent.nee $o requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the clay and year first above written. IN PRESENC~' OF: JOSEPH W. PETRAUSKAS MARY ~4 . ~TRAUgI<AS ' ELIZAJ~ETH A. NEVILLE TO'WN CLERK REGISTR~ OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFOILMATION OFFICER Town FIaU, 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. 127 Date September 6, 2001 Issued to Joseph W. Petrauskas Address P.O. Box 295 Mattituck, NY 11952 A renewal permit is hereby issued for the location trailer/h(~t~e~ar at 490 Hill Street, Mattituck pursuant to application dated September 13, 2001 This renewal permit is granted for a six (6) month period. Expiration date March 13~ 2002 of a single Southold Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 $outhold, New York 11971 (516) 765-1801 PERMIT NO. 127 EXPIRATION DATE: September 13, 2001 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 c~pplicant is owner, lessee or agent ............ .a.g..e..n..t. .................................................................. Name of Owner of premises .. Joseph W. Pe.t, rauskas If applicant is corporate, signature of duly authorized officer ........... (Name and title of corporate of~i;;;) 1. Location of land on which proposed trailer will be located ........... ..M..a..t..t.!.t..u..c..k..:....N..e...w.....Y..o..r..k.. ......... Street and number ...................... .4..9..0.....H.j.l.I....S..t..r..e..e.,t. .............................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..V..a..c..a..n..t....t..r..a.!!.e...r.:`...w..h..!.c..h.....w..a..s.~.!.~...c.a.~...~.~..R.~.~!~.~...~?.~.~..~.~rchased b. Intended use and occupancy .......... ~J.[IgJ.e...f.~t~j. ly..~..~j.qLe..n..c;.~ .................................................... c. Period of time trailer is to be located on premises ................ j.n...d..e..f!..n.j.t..e.!.y.. ................................ Fee .... .~.1..0..0..:.0..0. .......................... (To be paid on filing application) Dimensions'of trailer, length .......... ,5.7..' ............. width ..... .1. .1. !. ..1. ..0.'~ .............. height ....7.'..9.:'. .................. Extension length 21' Width 11'7" height 7'9" Registration Number ......................................... Serial Number ............................................................ c Size of lot: Front ............................................ Rear Depth ......................... : ...... .~. 100' 71' 187' & ~232' 6. Date of purchase or lease of land . ...M..a. rch ,2.2~ 1974 7. Zone or use district in which premises are situated Agriculture 8. Does proposed use violate any zoning law, ordinance or regulation? ....... ~.o. ...................................... 9. a. Method of Sewerage disposal cesspool b. Source of Water Supply well. c. Source of Electricity ................................ lg.[f;~ ......................... PLOT DIAGRAM Locate clearly and distinctly ail 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 nd~cate 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. be located in the manner set forth in the application filed h,~ Swom//~b/ef. ore me this ....... .~...~ ............... day of ~.,,~r~ ....... .................. , ..... J ~" LINDA L SMITH / ................. N~Y P~.BL'C, STATE OF NEW YORI( ~ gu" ' ~' "731~gl ..................... STATE OF NEW YORK '1 COUNTY OF SUFFOLKjss' Jose h W. ........................ ~... Petrauskas ............................................................................. being duly sworn, deposes and soys thor he is the applicant named above. He is the aclent (owner or lessee or agent) of said owner or owners, and is duly authorized'to make and file this a--"ca"on;wr,, r~ contained in this application are true to the best of his knowledge and belief- and that all statements and that the trailer will ~/ith. ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER To~vn Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 7, 2001 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on September 13, 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 September 13, 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 ELIZAJBETH A. NEVILLE TO~ 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. 127 Date February 13, 2001 Issued to Joseph W. Petrauskas Address P.O. Box 295 Mattituck, NY 11952 A r.enewal permit is hereby issued for the location trailer/~g at 490 Hill Streetr Mattituck pursuant to application dated March 13r 2001 This renewal permit is granted for a six (6) month period. Expiration date September 13f 2001. of a single Elizabeth A. Neville Southold Town Cler~k PERMIT NO. 127 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 March 13, 2001 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 agent ........... .a.~l..e..n..t. .................................................................. Name of Owner of premises .............. .J..o..s..e.p...h....W..:....P..e.~t.r..a..u..s...k..a..s. ................................................................ 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 ........... ..M..a..t..t.[.t..u..c..k..:....N..e...w.....Y..o..r..k.. ......... Street and number ...................... .4..9..0.....H.j!.l....S..t..r..e..e.,t. .............................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..V..a..c..a..n..t..~.t..r..a.!!.e...r.:~..w...h.!.c..h..~..w..a..s.~!.~..c..a..t..e.~.~...R[~.~!.~.~.~.~.~.~rchased b. Intended use and occupancy .......... .S~.~g~.~...f..a.0~kl.y..r..e..~j.C[~.O..c..e. .................................................... c. Period of time trailer is to be located on premises ................ !.n...d..e..f!..n.!.t..e.!y.. ................... ............. Fee .... .~.1..0..0..:.0...0 .......................... (To be paid on filing application) ~ Dimensions' of trailer, length .......... 5.~: ............. width ..... .1. .1. ~. . J .0. .'] .............. height ....7.'..9.]'. .................. Extension length 21' Width 11'7" height 7'9" Registration Number ......................................... Serial ~umber ............................................................ ~ Size of lot: Front ............................................ Rear Depth .~, 100' 71' 187' & 232' 6. Date of purchase or lease of land March ,2.2~ 1974 7. Zone or use district in which premises are situated Agriculture 8. Does proppsed use violate any zoning law, ordinance or regulation? ....... .n..9. ...................................... 9. a. Method of Sewerage disposal cesspool b. Source of Water Supply w.e. ll. c. So~rce of Electricity ................................ ~.[f;(~ ................................................................................ PLOT DIAGRAM Locate clearly and distinctly oll 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 ali 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. Joseph W Petrauskas ............................................................. being duty sworn, deposes and says that he is the applicant named above. He is the .................. .a. gent (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 ................................ day of ...... ·, ~ ,- - __/~ (Signature) .......... ............. / (Notary Publico . ~"" Net~y%DA M. f,?,0NCAYO blic. State of New No. 27~612E Qualified in Suffolk County Commission F-~pJrc~ /~ _ .~ / -- ~ / 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 Joseph Petrauskas P.O. Box 295 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 5, 2001 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on March 13, 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 March 13, 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 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Ha]], 53095 Main Road P.O. Box 1179 Southold, New York 1197] Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD · SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 127 Date September 15, 2000 Issued to Address Joseph Petrauskas P.O. Box 295 Mattitu'ck, NY 11952 of a single A renewal permit is hereby issued for the location trailer/la~a~a~3~r at 490 Hill Street, Mattituck pursuant to application dated September I~3, 2000 This renewal' permit is granted for a six (6) month period. Expiration date March 13, 2001 Elizabeth A. Neville Southold Town Clerk PERMIT NO. 127 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 September 13, 2000 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. a ent State whether opplicant is owner, lessee or agent ............. ~1. ........................................................................ Name of Owner of premises Josep. h W. Petrauskas 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 ........... ..M..a..t..t.[.t.,u..c,.k..:....N..e...w....,Y..o..r..k.. ......... Street and number ...................... .4,.9..0.....H.j!.l,...S..t.r..e..e.& .............................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .Y..a..c..a'.n..t.~.t'.r..a.[!.e...r.~.'w'..h.[.c..h.~..w..a..s.~!~.'.c~.~.~.~.~!~.~.~.~rchase~ b. Intended use and occupancy .......... .~j.tlgJ.~...f.~l.r~j.l.y...r..~.~j.c[~..q.c;.e.. ................................................... c. Period of time trailer is to be located on premises ................ !.n...d,.e..f.i..n.!,t..e,!y.. ................................ 3. Fee .... .~.1..0..0,.:.0..0.. ......................... (To be paid on filing application) 4. Dimensions'of trailer, length .......... ~.?! ............. width ..... .1..I.~...!.0.:~ ....... i ...... height ...?.'..9.]'. .................. Extension length 21' Width 11'7" height 7'9" Registration Number ......................................... Serial Number ............................................................ c Size of lot: Front .......... ].0.?. ........................... Rear .................. ~,p~nr~e-'~ ". . . 71t 187' & 232' 6. Date of purchase or lease of land ..M. arch 22.~ 1974 7. Zone or use district in which premises ore situated Agriculture 8. Does proposed violate use any zoning law, ordinance or regulation~ no 9. a. Method of Sewerage disposal cesspool b. Source of Water Supply ........................~,...e.[! c. Source of Electricity ................................ l.,,i.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. [ndlcate clearly location of proposed trailer on prem- ises, showing distances from al! buildings and property lines. ON FILE IN TOWN CLERK'S OFFICE. If ~ny chancjes have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. S. TATE OF NEW' YORK } COUNTY OF SUFFOLKjss' · . Jos_eph W. Petrauskas .......................... · ................................. being duly sworn, deposes and says that he is the applicant named above. He is the agent (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 ..i.~... ....................... day of ..... / / .... ............................. (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 September 14, 2000 Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your triler permit expired on September 13, 2000. If your application and $100.00 fee are not received on or before September 21, 2000, your special permit will be revoked and your trailer will have to be removed from the premises. Very truly yours, 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 (516) 765-1823 Telephone (516) 765-1800 Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 25, 2000 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on September 13, 2000. ' 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 Sept. 13, 2000, 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 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFIC~.I:[ FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 127 ~ Date March 3, 2000 Issued to Address Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 of a single A renewal permit is hereby issued for the location trailer/l~ua~e~- at 490 Hill' Street, Mattituck pursuant to application dated March 13, 2000 This renewal permit is granted for a six (6) month period. Expiration dateSeptember 13, 2000 Elizabeth A. Neville Southold Town Clerk PERMIT NO. 127 EXPIRATION DATE: TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-3801 March 13, 2000 MAR 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 agent ~ .a.~.e..n..t. ............................................................... Name of Owner of premises Joseph W. Pe?auskas 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 MattJtuck, New York Street and number 490 Hill Stree,t 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy Vacant trailer, which was located on premises when purchase~ b. Intended use and occupancy .......... ,Sj.~gJ.~...f.~,~0.i.l.y...r..~j.Cl..e.D.c;.~ ....................................... c. Period of time trailer is to be located on premises indefinitely 3. Fee .... .~.1..0..0..:.0..0. ........................... (To be paid on filing application) 7~9'' 4. Dimensions'of trailer, length .......... ,~ ................ width ..... .1..1.~...1..0..'~ .............. height ............................ Extension length 21' Width 11~7" height 7'9" Registration Number ......................................... Serial Number ............................................................ 100' 71' 187~ $ 232~ 5. Size of lot: Front ............................................ Rear ............................. Depth 6. Dote of purchase or lease of lend .M. arch .,2.2~ 197q 7. Zone or use district in which premises are situated Agriculture 8. Does proposed use violate any zoning Iow, ordinance or regulation~ no 9. o. Method of Sewerage disposal cesspoo b. Source of Water Supply ....... well c. Source of Electricity ................................ ~-J.[CG ................................................................................ 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 o~ 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 SUFFOLK ss. , Jose~.h W. Petrauskas being '" ' ...................................................................... ' duly Sworn, deposes and says that he is the applicant named above. He is the a~..ent (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 · ............ ............... ,.- ~ ~ i .......... '.~ ~- ......... /,,,..,.,. ........... ~.,z....~~...,m~.' ~ J~.~ ~. /~. /,¢ ~ .// ' // / (Signature) " ..... ............... ..> 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 Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 15, 2000 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on March 13, 2000. 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 March 13, 2000. 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 Southoid, New York 11971 Fax (516) 765-6145 Telephone (516) 765-1800 OFFICE 'OF THE TOWN CLERK TOWN OF SOUTHOIA) SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 127 Date September 3, 1999 Issued to Joseph W. Petrauskas Address P.O. Box 295 Mattituck, NY 11952 of a single A renewal permit is hereby issued for the location trailer/h~ at 490 Hill Street, Mattituck pursuant to application dated September 13, 1999 This renewal permit is granted for a six {6) month period. Expiration date March 13, 2000 A. Neville Southold Town Clerk PERMIT NO. 127 EXPIRATION DATE: TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. I~ox 1179 Southold, New York 11971 (516) 765-1801 September 13, 1999 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 (B) 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 Southoid, Suffolk County, New York. State whether applicant is owner, lessee or agent ........... ~l..e..n..t. .................................................................. Name of Owner of premises .............. .J..o..s..e.p...h....W..:....P..e.,t.r..a..u..s...k..a..s. ................................................................ If applicant is corporate, signature of duly authorized officer i'Li ' h '¥iiiL of corporate 1. Location of land on which proposed trailer will be located ........... ..M..a..t..t.!.t..u..c..k..:....N..e...w.....Y..o..r..k.. ......... Street and number ...................... .4..9..0.....H.j.l.I....S..t..r..e..e,t. .............................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..V..a..c.~a.?..t....t..r..a.!!.e...r.,*~..~...h.!.c..h.~...~..a..s...!.~...~.a..t..e..d..~.~.~..~.~!~.~.~.~.~..~.~rcha~e~ b. Intended use and occupancy .......... ,~.13g.l.~...[..~.l:0j.l.y...r..~.~j.~.e..n..q:.~. ................................................... c. Period of time trailer is to be located on premises ................ !.n...d..e..f!..n.!.t..e.!~.. ................................ 3. Fee .... .~.1..0..0..:.0..0. .......................... (To be paid on filing application) 4. Dimensions'of trailer, length .......... ,5.~.~ ............. width ..... J..1.~...1..0..'] .............. height ....7.~.~]~. .................. Extension length 21' Width 11'7" height 7~9'' Registration Number ......................................... Serial Number ............................................................ 100~ 717 187~ 8 232~ 5. Size of lot: Front ............................................ Rear ................................ Depth 6. Date of purchase or lease of land March 22~ 1974 7. Zone or use district in which premises are situated Agriculture 8. Does proposed use violate any zoning law, ordinance or regulation? no 9. a. Method of Sewerage disposal cesspool b. Source of Water Supply well c. Source of Electricity ................................ k.J.[f;G ................................................................................ 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 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. , Joseph W Petrauskas ........................ '" · .................................. being duly sworn, deposes and soys that he is the applicant named above. He is the , agent (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 be;ore me this -'~ O Z~ J ....... NOTARF PUBLIL~ S/~ae of New Yor} Qualified in .guffol~ Connty Coming sion E.rpircs__~ - ~ '_~ 0 ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOV~rN CLERK TOVv'N OF SOUTHOLD August 5· 1999 Joseph W.Petrauska$ P.O. Box 295 Mattituck, NY 11952 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on September 13, 1999. 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 September 13, 1999, 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 53095 Main Road Pt). Box 1179 New York 11971 C,l~h 765-1823 SINGLE TRAtI.EJ~ O1{ LOCATION RENEWAl PERMI Permit No. 127 l);~t~ :",larch 3, 1999 Issued to Address Joseph W. Pet*:*uskas P.O. Box 295 Mattituck, NY 11952 of a single A renewal permit is hereby issued fl}r the location trailer/~r at 490 Hill Street, Mattituck pursuant to application dated Ma~ch 13, 19~9_ .... . This renewal permit is granted for : " (6} ~,~:~t? ~,, . Expiration date September 13, 1999 Elizabeth A. Neville Southold Town Clerk PERMIT NO. 127 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 March 13, 1999 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 $outhold 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 ........... .a.g..e..n..t. .................................................................. Name of Owner of premises .............. .J..o..s..e.p...h....W..:....P..e.~t.r..a..u..s...k..a..s. ................................................................ If applicant is corporate, signature of duly authorized officer (Name end title of corporate officer) 1. Location of land on which proposed trailer will be located ........... ..M...a..t..t.[.t..u..c..k..:....N..e...w.....Y..o..r..k.. ......... Street and number ...................... .q..B..0.....IJj!.l....S..t..r..e..e.,t. .............................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..V..a..c..a..n..t.~.t..r..a.!!.e...r.:`~..w..h..!.c..h.~.~.w..a..s.~!.~...c.a..t.~.~R.~.~!~.~.~.b.~.~.~rchase~ b. Intended use and occupancy .......... ~j.qg.l.e...f.i~.~j.l.y..r..~.~j.cl.e..n..(;.e. .................................................... c. Period of time trailer is to be located on premises ................ !.n...ct..e.~)..n.j.t..e.[~'.. ................................ 3. Fee .... .~.1..0..0..:.0..0. .......................... (To be paid on filing application) 4. Dimensions of trailer, length .......... ~.7..' ............. width ..... .1. J.]...!.0..'] .............. height ....7.?.]'. .................. Extension length 21' Width 11'7" height 7'9" Registration Number ......................................... Serial Number ............................................................ ~ Size of lot: Front ............................................ Rear Depth 187~ & 232' ..,. 100' 71' 6. Date of purchase or lease of land March ,2.2,. 1974 7. Zone or use district in which premises are situated Agriculture 8. Does proposed use violate any zoning Iow, ordinance or regulation> no 9. a. Method of Sewerage disposal cesspool b. Source of Water Supply ... well. c. Source of Electricity ................................ l.i.l.~ ............................................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whet-her existing or proposed, cnd indicate all set-back dimen- sions from property lines. Give street and block numbers or description according to deed, and show street names and ir, dicate Whether inteHo, o~ corner Jot. 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' Joseoh W. Petrauskas ....................... * ....................................... being duly sworn, deposes and soys that he is the applicant named above. He is the a~.ent (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 ............ Z ................ day of . ~ ............ ........................ , ..... ................... 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 (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 4, 1999 Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on March 13, 1999. 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 March 13, 1999, 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 $ou~hold, New.York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEY/AL PERMIT Permit No. 127 Date August 10, 1998 Issued to Joseph W. Petrauskas Address P.O. Box 295 Mattituck, NY 11952 of a single A renewal permit is hereby issued for the location trailer/ho~s~x at 490 Hill Street, Mattituck pursuant to application dated September 13, 1998 This renewal permit is granted for a six (6) month period. Expiration date March 13, 1999 --~zabeth'A. Neville Southold Town Clerk PERMIT NO. 127 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 September 13, 1998 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OUTSIDE OF TOURIST CAMP. OR HOUSE 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 anent agent Name of Owner of premises Josep. h W. Petrauskas 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 ........... ..M..a..t..t.!.t..u..c..k..:....N..e...w.....Y..o..r..k.. ......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: b. Intended use and occupancy .......... ,~J.[lgJ.e...fAr~.l.y...r..e;.~i.c[.e..n..¢.q. ................................................... c. Period of time trailer is to be located on premises ................ !.n...cl..e..f.i..n.j.t..e.!~,.. ................................ 3. Fee .... .~;.1..0..0..:.0..0. .......................... (To be paid on filing application) Extension length 21' Width 11'7" height 7'9" Registration Number ......................................... Serial Number ............................................................ 5. Size of lot: Front .......... ?..0.t ........................... Rear ..........7.!.~. .................. Depth ..!..8..7.1...~....2..3.~.~. ......... 6. Date of purchase or lease of land ........... .M..a..cc...h..,2L2.,....1..9..7..q. ................................................................ 7. Zone or use district in which premises are situated ....... .A...g..r.!..c..u.!.t.?..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.E°.9.1 .......................................................................... b. Source of Water Supply ........................ .w...e.H .................................................................................. c. Source of Electricity ................................ L3.1.~;Q ................................................................................ PLOT DIAGRAM Locate clearly and distinctly ail 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 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' ............... .J..o...s..e~.h.....W........P_e.t..r..a..u...s..k..a.?. .............................................. being duly sworn, deposes and soys that he is the applicant named above. He is the ................... .a.~.e..n..t. .................................................................... (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 be~ore me this ................ . .'~....~.... day of · ....... . / (Signature) p' (Notory~Public) . CHERYL M ZIMMER Notary Public, State of New~ No. 02Zl5059025 · Qualified in Suffolk ~ C~mnliss~on Ex~ires A~'i122. ~ ELIZABETH A. NEVII,I,E TOWN CI,,ERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF sOUTHOLD July 31, 1998 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on September 13, 1998. 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 September 13, 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 1998, Enclosure ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CI,ERK TOWN OF SOtJTItOI,D Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 SINGLE TRAILER O1~. tlOUSECAR LOCATION RENEWAl_ PERMIT Permit No. 127 Date March 4. 1998 Issued to Address Joseph W. Petrauskas P.O. Box 295 Mattituck~ NY 11952 A renewal permit is hereby issued for the location trailer/~ama~le~' at 490 Hill Street, Mattituck pursuant to application dated March 13, 1998 This renewal permit is granted for a ,_,ix {6) month period. Expiration date September 13, 1998 - of a single Elizabett~ A. Neville $outhold Town Clerk PERMIT NO. 127 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 March 13, 1998 RECEIVED Sout~old Town Cle~/ 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 submittin9 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 oaent agent Nome of Owner of premises Joseph W Petrauskas If applicant is corporate, signature of duly authorized off cer tNt:me and title of corporate officer) 1. Location of land on which proposed trailer will be lccated Mattituck, New York Street and number . 490 H ~.tre.e,t. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy Vacant trailer, which was located on premises when purchased b. Intended use and occupancy .......... .~J.ClgJ.~. ~.a_oj.i[y..r..~sig[enc.~ c. Period of time trailer is to be located on premises indefinitely 3. Fee .... .~.1..0..0..:.0..0. .......................... (To be paid on filing application) 4. Dimensions of trailer, length ~7' '' . ................... 7'9" ........................... w~oth 11~ 10" height Extension length 21~ 'Width 11'7" height 7'9" ............................ Registration Number ......................................... Serial Number ........................ ~:;~';~,~.i~'~'Tm'~*'J ........ : Size of lot: FrOnt 1001 ............................................ R~r 71' ................................ Depth 187~ ~' 232~ 6. Dote of purchase or lease of land .M. arch 22~ 197q 7. Zone or use district in which premises are situated Agriculture 8. Does proposed use violate any zoning Iow, ordinance or regulation;) no 9. a. Method of Sewerage disposal cesspool b. Source of Water Supply ............ .w...e.l~ : c. Source of Electricity ................................ LJ.I.C;Q, ..................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-bock 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 oil 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. Jose h W. Petrauskas ....................... ~ .............................................................................. being duly Sworn, deposes and soys that he is the applicant named above. He is the agent (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 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. Sworn to before me this ..(;~..~ 7~ ~ ~_~ ........ day of .............. · .......................... ....... (Signature) ...................... lc, S:ate of New¥4111 __ ...NO.. 02ZISOS902S ~ ..... uuel~t~ed in Suffolk ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Rogd P.O. Box 1179 Southold, Ne~v York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 3, 1998 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you t[hat your Trailer Permit will expire on March 13, 1998. ~ 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 $100.00 renewal fee as soon as possible. Please make your check or money order payable to "$outhold Town Clerk." If your application and fee are not received on or before March 13, 1998, 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 PE F~'VII T NO. 127 EXPIRATION DATE: TOWN OF $OUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 September 13~ 1997 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 $100.00, fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. a ent State whether applicant is owner, lessee or aeent ............. .g ............ Name of Owner of premises Joseph W. Petrauskas If applicant is corporate, signature of duly authorized officer (Name and title of corporate offi~) ......................... 1. Location of land on which proposed trailer will be located Mattituck, New York Street and number . 490 H Stree,t. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy Vacant trailer, which was located on premises when purchasec b. Intended use and occupancy .......... .Sj. QgJ.~...:F..a,r~.i.l.y...r..~.~k~¢..n..q.e. ............................. c. Period of time trailer is to be located on premises indefinitely Fee .... .$..1..0.0..:.0..0. .......................... (To be paid on filing application) 7' · 7'9" Dimensions'of trailer, length .......... ~ ................ w~dth ......1. J.~...I..0..'~ .............. height ............................ Extension length 21' Width 11'7" height 7'9" Registration Number ......................................... Serial Number 5. Size of lot: Front I00" 71~ ............................................ Rear Depth 187' & 232' 6. Date of purchase or lease of land ...... March 22= 1974 7. Zone or use district in which premises are situated Agriculture 8. Does proposed use violate any zoning law, ordinance or regulation.;) ....... .n..9. ...................................... 9. o. Method of Sewerage disposal cessl~ool b. Source of Water Supply ........................ W..e.J! ........................................ c. Source of Electricity ................................ I,j.I.f;~ ................................. PLOT DIAGRA/v~ Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimer~- 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 chancjes have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEW YORK '~ COUNTY OF SUFFOLKjss' . Joseph W. Petrauskas .............................. · ........................... being duly sworn, deposes and soys that he is the applicant named above. He is the a ent (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 c~? ~ day of ........... .................. ,19..Z.Z ........ / ' ...... ~ (N~ Public) . ' ....... JUDITH T. TERRY 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 (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 127 Date Auqust 29, 1997 Issued to Joseph W. Petrauskas Address P.O. Box 295 Mattituck, NY 11952 A renewal permit is hereby issued for the location trailer/l~a~¢~l( at 490 Hill Street, Mattituck pursuant to application dated September 13, 1997 This renewal permit is granted for a six (6) month period. Expiration date March 13, 199~ of a single Judith T. Terry Southold Town Clerk JUDITH T. TERRY TOWN CLERK REGISTRAR Ol~ VITAL STATISTICS Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 1, 1997 Town Hall, 53095 Main Road P.O. Box l 179 Southold, New York 11971 TELEPHONE (516) 765-1801 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on September 13, 1997. Enclosed is a paFt~ally completed application renewal form. Please complete the form, have your signature notarized and return it to this office together with the required $100.00 renewal fee as soon as possible. Please make your check or money order payable to "$outhold Town Clerk". If your application and fee are not received on or before September 13, 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, Judith T. Terry $outhold Town Clerk 1997, Enclosure (I) JUDITH T. TERRY 1OWN CLERK OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 TELEPHONE (516) 765-1801 SINGLE TRAILER OR HOUSECAR LOCATION RENE~tAL PERMIT Permit No. Issued to Address 127 Date February 28t 1997 Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 A renewal permit is hereby issued for the location trailer/~u~ at 490 Hill Street~ Mattituck pursuant to application dated March 13, 1997 This renewal permit is granted for a six (6} month period. Expiration date September 13, 1997- of a single Judith T. Terry~ Southold Town Clerk PERMIT NO. 127 EXPIRATION DATE: TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 5outhold, New York 11971 (516) 765-1801 March 13~ 1997 RENEWAl APPLICATION FOR L~3CATION 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 agent ........... .a.g..e..n..t. .................................................................. Name of Owner of premises .............. .J..o..s..e.p...h....W..:....P..e.,t.r..a..u..s...k..a..s. ................................................................ If applicant is corporate, signature of duly authorized officer (Nome and title of corporate officer) 1. Location of land on which proposed trailer will be located ........... ..M..a..t..t.!.t..u..c..k..,.....N..e...w.....Y..o..r..k.. ......... Street and number ...................... .4..9..0.....H.j.lJ...~..t..r..e..e..t. .............................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy Vacant trailer,., which was located on premises when purchasec; b. Intended use and occupancy .......... .sj.cig.l.e...f..a.~j.l.y...F..~.~i.(;;(.e..n..c..e.. ................................................... c. Period of time trailer is to be located on premises ................ !.n...d..e..f.J..n.!.t..e.!~.. ................................ 3. Fee .... .}.1..0..0..:.0..0. .......................... (To be paid on filing application) 7' · 7'9" 4. Dimensions' of trailer, length .......... ~ ................ w,dth ......1..1.~...!.0.:~ .............. height ............................ Extension length 21' Width 11'7" height 7'9" Registrotion Number ......................................... Serial Number ............................................................ 5. Size of lot: Front .......... !..0..0.'. ........................... Rear 71' ................................ Depth 187~ & 232' 6. Date of purchase or lease of land March~.2~. 1974 7. Zone or use district in which premises are situated Agriculture 8. Does proposed use violate any zoning law, ordinance or regu otion~ no 9. a. Method of Sewerage disposal cesspool b. Source o~ Water Supply ........................wall ................................................................................. c. Source of Electricity ................................ I,i.[f;~. ............................................................................... 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 .chan.~les have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEW YORK ~ COUNTY OF SUFFOLK J ss. Joseph W. Petrauskas ....................................................................................................... being duly sworn, deposes and says that he is the applicant named above. He is the agent (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 · . ........... '~.~.:~: :. .................. ~~. -- .... i~ignature) ............................ NOTARY PUBL C, St~.f ~ " No, 52-4-82~314 Term Exp r~s, JUDITH T. TERRY TO'tN CLERK REGISTRAR OE VIT ~,L STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 5, 1997 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York ! 1971 TELEPHONE (516) 765-1801 Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on March 13, 1997. 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 March 13, 1997, 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, Judith T. Terry Southold Town Clerk Enclosure (1) JUDITH T. TEI~RY 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 (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 127 Date September 4~ 1996 Issued to Joseph W. Petrauskas Address P.O. Box 295 Mattituck, NY 11952 A renewal permit is hereby issued for the location trailer/ke~ec~K at 490 Hill Street, Mattituck pursuant to application dated September 13, 1996 This renewal permit is granted for a six (6} month period. Expiration date March 13, 1997 of a single Judith T. Ter~.-~ Southold Town Clerk PERMIT NO. 127 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 September 13, 1996 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 $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether c~pplicant is owner, lessee or agent ........... .a.~..e..n..t. .................................................................. Name of Owner of premises .............. .J..o..s..e.p...h....W..:....P..e.t.r..a..u..s...k..a..s. ................................................................ If applicant is corporate, signature of duly outhcrized officer (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located ........... ..M.?..t..t.!.t..u..c..k..:....N..e...w.....Y..o..r..k.. ......... Street and number ...................... .4..9..0.....H.j.l.l....S..t..r..e..e3. .............................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy Vacant trailer,~ which was located on premises when purchasec b. Intended use and occupancy .......... .sj.agJ.e...f..a.~j.l.y...r_e..s..i.ci.e..n..c..e.. ................................................... c. Period of time trailer is to be located on premises indefinitely 3. Fee .... .$..1..0..0..:.0...0 .......................... ('Fo be paid on filing application) 4. Dimensions of trailer, length .......... .5.7. J ............. width ..... j.J.J...].0..'~ .............. height ...7.'..9.:'. .................. Extension length 21" Width 11'7" height 7'9" Registration Number ......................................... Serial Number ............................................................ 5. Size of lot: Front 100' 71' 187' & 232' ............................................ Rear ................................ Depth 6. Date of purchase or lease of land March 22~ 1974 7. Zone or use district in which premises are situated Agriculture 8. Does proposed use violate any zoning Iow, ordinance or ragu ationP no 9. a. Method of Sewerage disposal cass.poD b. Source of Water Supply ...... we c. Source of Electrici~ ................................ I,J.I.~;CL ............................................................................... PLOT DIAGRAM Locate ciearty and distinctly all buildings, whether existing or proposed, and indicate all set-back dimenL 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 af proposed trailer on prem- ises, showing distances from al! buildings and property lines. ON FILE IN TOWN CLERK'S OFFICE. If any chancjes 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. Jos.ezqh W Petrauskas ............................ ' ....................................... being duly sworn, deposes and soys that he is the applicant named above. He is the agent (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 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. Sworn t~, before me this .......... .~;.~....'...~.. ....... - .......... ............ :. ........... - ..... ..................... .................................. .................... ...... NOTARY PUBLIC, State of New Yor~, No. 52-4825314 = Suffolk Co~ntl/ Te!m JUDITH T. TERRY 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 (516) 765-1823 Telephone (516) 765-1800 Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 1, 1996 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on September 13, 1996. 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 September 13, 1996, 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, Judith T. Terry Southold Town Clerk Enclosure (1) JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Ha}l, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOI. D SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 127 Date February 28, 1996 Issued to Joseph W. Petrauskas Address P.O. Box 295 Mattituck, NY 11952 A renewal permit is hereby issued for the location trailer/l~ at 490 Hill Street, Mattituck pursuant to application dated March 13, 1996 This renewal permit is granted for a six (6) month period. Expiration date September 13, 1996. of a single Judith T. Terry Southold Town Clerk PERMIT NO. 127 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 March 13, 1996 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR OUTSIDE OF TOURIST CAMP. HOUSE 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 $outhold 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 a ent agent ............. 9. ........................................................................ Name of Owner of premses Josep. h W. Petrauskas fapp cant is corporate, signature of duly authorized officer ........ (Name and title of corporate' o~i~;) ....................... 1. Location of land on which proposed trailer will be located Matt tuck, New York Street and number . 490 H Stre.e,~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: Vacant trailer, wh ch was ocated on prem ses when ur o. Existing use and occupancy ......................................... _ ..... chased b. Intended use and occupancy .......... c. Period of time trailer is to be located on premises indef nte y Fee :~100. O0 ........................................... (To be paid on filing application) Dimensions'of trailer, length .......... .~ ................ width 11' I0" height 7'9" Extension length 21' Width 11'7" ...................... height 7'9" ............................ Registration Number ......................................... Serial Number 100' 71' 5. Size of lot: Front ............................................ Rear ................................ Depth 187' & 232' 6. Date of purchase or lease of land March ~2,. 1974 7. Zone or use district in which premises are situated Agriculture 8. Does proposed use violate any zoning low, ordinance or regulation? ....... .n..0. ...................................... 9. o. Me~hod O~Sewerage disposal ...... ~ ........... .c..e.s..s.p.o...o.! ......................................................................... b. Source of ~/~ter Supply ........................ .w...eJ! ................................................................................. c. Source of Electricity ................................ I~i.[f:~ ............................................................................... PLOT DIA. GRA~vl Locate clearly and distinctly all buildings, whether existing ar proposed, and indicate all set-back dimen- sions from property lines. Give street and block numbers ar 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 CLERKJS OFFICE. If any changes have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NLm~V YORK ~ COUNTY OF SUFFOLKjss' . Joseph W. Petrauskas ................................ being duly sworn, deposes end soys that he is the applicant named above. He is the .................. .a.c~.e...n.t. .................................................................... (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; end that the trailer will be located in the manner set forth in the application filed herewith. Sworn to before me this ~ -~ ~:~ ................................ day of · . .... ,9 ..... ... ......... ~ .................................. ~ ............................................................................ ................ ~..'.....~z~../..V.....~....~/.. ......... / (j(N°tory Public) . "" MARY G. ROG~R~ NOTARY PUBLIC, St~l.~ --" i' ~ No, 52-4825314 - Sufl · ~ r. ~, JUl)Il'Eli T. TERRY 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 (516) 765-1823 Telephone (516) 765-1800 Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 2, 1996 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on March 13, 1996. 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 March 13, 1996, 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, Judith T. Terry Southold Town Clerk Enclosure (1) JUDITH T. TERRY 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 (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 127 Date September 18, 1995 Issued to Address Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 of a single A renewal permit is hereby issued for the location trailer/l~,~l,~l~ at 490 Hill Street, Mattituck pursuant to application dated September 13, 1995 This renewal permit is granted for a six (6) month period. Expiration date March 13, 1996 Judith T. Terrier Southold Town Clerk PERMIT NO. 127 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 September 13, 1995 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR OUTSIDE OF TOURIST CAMP. HOUSE 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 . .a.~l..e..n..t. . Name of Owner of premises Joseph W. Petrauskas If applicant is corporate, signature of duly authorized officer ....................................... (Name and title of corporate off[~) ........................ 1. Location of land on which proposed trailer will be located Mattituck, New York Street and number . 490 H Street 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy Vacant trailer, which was located on premises when purchasec b. intended use and occupancy .......... .~J.[lgJ.~..f.~.~jl.y..r..~i~ence c. Period of time trailer is to be located on premises indefinite y 3'. Fee .....~.1..0..0..:.0..0. .......................... (To be paid on filing application) 7' ............. 7'9" 4. Dimensions of trailer, length ........... ~ ................ width ..... J..1.' 10" .......... height Extension length 21' Width 11'7" height 7'9" ............................ Registration Number ......................................... Serial Number 100~ 711 5. Size of lot: Front ............................................ Rear ................................ Depth 187~ ~' 232~ 6. Date of purchase or lease of land March 22~ 197~, 7. Zone or use district in which premises are situated Agriculture 8. Does proposed use violate any zoning law, ordinance or regulation? ....... ~..o. ...................................... 9. a. Method of Sewerage disposal .................. .c..e..s..s.p,.o..o..I. ......................................................................... b. Source of Water Supply .............. W.e.I ............................................................................. c. Source of Electricity ................................ ~.j.[f;Q. ............................................................................... PLOT DIAGRAAR 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 changes have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NE"~ YORK ~ COUNTY OF SUFFOLKjss' Josel~h W. Petrauskas ....................... * ............................................................................... being duly sworn, deposes and says that he is the applicant named above. He is the agent (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 befbre me this ........... .................... ...... ................ ' ~,,., ~r-~ ,'-"~'-~ .~,~. -- (Signature) ................. ............ : ................ MARY G. ROGERS N.O, TA.R~Y .P_U_B_LIC, State of I~lO, ~g_-qu~. 5314 - Suffolk Tefltl EXpires, -'¢'cpt~' so, JIYI)ITH T. TERRY 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 (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 August 1, 1995 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on September 13, 1995. 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 September 13, 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, Judith T. Terry $outhold Town Clerk 1995, Enclosure (1) JUDITH T. TERRY, TOWN CLERK RECEIPT Town of Southold ~uthold, New York 11971 DATE ,~"~. Phone: 516-765-1801 FOR:- PERMIT NO. 127 EXPIRATION DATE: TOWN OF $OUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 March 13, 1995 MAR Sou/hol~,to~n Clerk RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OUTSIDE OF TOURIST CAMP. OR HOUSE 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 anent agent Nome of Owner of premises Josep. h W. Petrauskas 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 Mattituck, New York Street and number 490 Hill Street 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy Vacant trailer, which was located on premises when purchased. b. Intended use and occupancy .~j.rlgJ~. f..a,.~.il.y r..~.~j.c~ence cl Period of time trailer is to be located on premises .n...d..e..f!.n. it.e. ly ............... 3. Fee .... .~.].0.0..:.0_0. .......................... (To be paid on filing application) 7'9" 4. Dimensions'of trailer, length .......... ~ ................ width ..... .1..1.!...!.0..'~ .............. height ............................ Extension length 21' Width 11'7" height 7'9" Registration Number ......................................... Serial Number ............................................................ 100' 71' 5. Size of lot: Front ............................................ Rear ...................... Depth 187' & 232' 6. Date of purchase or lease of land March 22~ 1974 7. Zone or use district in which premises are situated Agriculture 8. Does proposed use violate any zoning law, ordinance or regulation;~ no 9. o. Method of Sewerage disposal cess.pool b. Source of Water Supply ..... well~ c. Source of Electricity ................................ ~.[f;Q ................................................................................ PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimen- sions from property fines. 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' Joseph W Petrauskas ........................... · ..................................... being duly sworn, deposes and says that he is the applicant named above. He is the .................. .a.~..e..nt (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 ......... ....t~ ............ day of ,~) , ..... ................... ........................ : ......... (Notory Publf'~ ' '. .... ~OTAR? PUBLIC, SJat9 of N~w York N0, 4780107-$.~!:.t!: JUDITH T. TERRY TOWN CLERK REGISTRAR OF V1TAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 February 2, 1995 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on March 13, 1995. 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 March 13, 1995, 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, Judith T. Terry Southold Town Clerk Enclosure (1) JUDITH T. TERRY 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 (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 127 Date September 6, 1994 Issued to Joseph W. Petrauskas Address P.O. Box 495 Mattituck, NY 11952 A renewal permit is hereby issued for the location trailer/l~mK at 490 Hill Streetr Mattituck pursuant to application dated September 13, 1994 This renewal permit is granted for a six (6) month period. Expiration date March 13, 1994 of a single Southold Town Clerk PERMIT NO. 127 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 September 13, 1994 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR OUTSIDE OF TOURIST CAMP. HOUSE 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 (ii) 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 opplicant is owner, lessee or agent , .a.g.e..n..t. ........................ Name of Owner of premises Joseph W. Petrauskas 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 Mattituck, New York Street and number .q;~.0 Hill .S. tree,t 2. State existing use and occupancy of pre~nises and intended use and occupancy of proposed trailer: a. Existing use and occupancy Vacant trailer, which was located on'premises when purchased. b. Intended use and occupancy .......... ~j.tlgJ.~...[~.ffli. l.y...~..~,s.j.cl~.D.~.~ ............ c. Period of time trailer is to be located on premises indefinitely 3. Fee .....~.1..0..0..:.0..0. .......................... (To be paid on filing application) 4.' Dimensions'of trailer, length ~ ' 7~9" .......... · 5.? .............. w~dth 1 1 ~ 1 0" height Extension length 21' Width 11'7" height 7'9" Registration Number ......................................... Serial Number ............................................................ c Size of lot: Front 100t 71~ 187' g 232~ ............................................ Rear Depth 6. Dote of purchase or lease of land ........... ~.~rc.h .2.2~ 197L~ 7. Zone or use district in which premises ore situated Agriculture 8. Do, es p~roposed use violate any zoning Iow, ordinance or regulation? ....... .rt..o.. ...................................... 9. a. Method of Sewerage disposal cesspool b. Source of Water Supply ........................W.?.H .................................................................................. c. Sou, rce ;~( Electricity ................................ I,j.l.f;~ ............................................................................... PLOT DIAGRAM Locate, clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen- sions tram prupetty lines. Give street and b!ock 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 an), changes have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATE OF NEV~ YORK 'l COUNTY OF SUFFOLKjss' . Jos_e~oh W. Petrauskas ............................ . ........................ being duly sworn, deposes and says that he is the applicant named above. He is the .................. .a.~..e..n...t .............. (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 .................... day of .. ............ ............................ .......... ...... (Notary Public),.) . ~'~'~'~ BONE, J& HOTANY PUBLIC, S~i o! JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971.~: Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Joseph W. Petrauskas P.O. Box Mattituck,vNY 11952 August 1, 1994 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on September 13, 1994. 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 $100.00 renewal fee as soon as possible. Please make your check or money order payable to "Southold Town Clerk". If your application and fee are not received on or before September 13, 1994, your Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure (1) JUDIT,~/~. TERRY TOWN CLERK REGISTI6%R OF VITAL STATISTICS MARRIAGE OFFICER P, ECORD$ MANAGEMENT OFFICER FI~.'EDOM 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 (516) 765-1823 Telephone (516) 765-1801 SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 127 Date March 9, 1994 Issued to Joseph W. Petrauskas Address P.O. Box ~9.5 Mattituck~ NY 11952 A renewal permit is hereby issued for the location trailer/he~e~a~ at 490 Hill Street, Mattituck, NY pursuant to application dated March 13, 1994 This renewal permit is granted for a six (6) month period. Expiration date September 13~ 1994. of a single Sout o d own Clerk PERMIT NO. 127 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 March 13, 1994 RECEIVED RENEWAL APPLICATIOhl 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 agent ............. ~1... ,. a ent Name of Owner of prem sas .... Josep. h W. Petrauskas If applicant is corporate, .................................................................. (Nome and title of corporate officer) 1. Location of land on which proposed trailer will be located Mattituck, New York Street and number ...................... .4..9..0.....H. jII ~.tree,t ....... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: Vacant trailer, which was ocated on' rem ses a. Existing use and occupancy .................................................... .p. when purchased. b. Intended use and occupancy .......... ,~J.CIgJ.e. [~r~jl.y. c. Period of time trailer is to be located on premises indef n tey Fee .~100.00 ........................................... (To be paid on filing application) Dimensions'of trailer, length ~ · .......... ~ .............. w~dth 11 ' 10" height 7'9" Extension length 21' Width 11'7" height 7'9" ............................ Registration Number ......................................... Serial Number ....................................................... 100~ 71' 1871 &~2' S Size of lot: Front ............................................ Rear · · ............................... Depth ................. :~.. .......... 6. Dote of purchase or lease of land ........... )~/J.a. cc. . .h. .2. ~ ~. .1. .9. .7. .u,. ~ 7. Zone or use district' in which premises are situated Agriculture 8. Does proposed use violate any zoning law, ordinance or regulation:~ no 9. a. Method of Sewerage disposal cessl~ool b. Source of Water Supply well_ c. Source of FJectricity ................................ k,J.l.c;(~ ................................................................................ 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 changes have occurred since your last renewal, please indicate, on a separate sheet of paper, the exact changes. STATF OF NE~/YORK ) COUNTY OF SUFFOLKjss' · Joseph W._ Petrauskas ....................................................... being duly sworn, deposes and says that he is the oppllcant named above. He is the a ent (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 th s z ~ , · . ......... . . . , qz/ /' J ~ h ~ ~, . / (Signature) . TARY pUBUC State o, ,~= JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952. February 1, 1994 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on March 13, 1994. 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 March 13, 1994, 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, Judith T. Terry Southold Town Clerk Enclosure (1) TOV~N CLERK REGISTRAR OF VZTAL STATiSTiCS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 127 Date August 13, 1993 Issued' to Address Joseph W. Petrauskas P.O. Box 295 Mattituck, NY 11952 of a single A renewal permit is hereby issued for the location trailer/l~m~ae~ex at q90 Hill Street, Mattituck, NY pursuant to application dated September 1~> 1993 This renewal permit is granted for a six (6) month period. Expiration date March 15, 199q Judith T. Te~/ Southold Town Clerk TOWN OF SOUTHOLD TOWN CLERK¢S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 PERMIT NO. 127 EXPIRATION DATE: September 12, 1993 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. a ent State whether applicant is owner, lessee or aoent ............. ~1.. · Name of Owner of premises Joseph W. Petrauskas ' If applicaht is corporate, signature of duly authorized officer (Name and title of corporate officer) '- i. Location of land on which proposed trailer will be located Mattituck, New York Street and number . 490 H ~.tre.e,t. . 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy Vacant trailer, which was. located on'premises when purchased. b: Intended use and occupancy .......... ~J.CIgJ.e...[..~.~i.].y...r..~.~i.~.e..r).q.~ .................................................... c. Period of time trailer is to be located on premises indefinitely 3. Fee ....,~.1,.0..0..:.0..0. .......................... (To be paid on filing application) 7' 4. Dimensions'of trailer, length .......... ,5 ................ width .... .1..1.~...10" ...... ~ ...... height ....7.'..9.'.'. .................. Extension length 21' Width 11'7" height 7'9" Registration Number ......................................... Serial Number ........................................................... 5. Size of lot: Front 100' 71~ ............................................ Rear 187' & 232' ................................ Depth ................................ 6. Date of purchase or lease of land .M. arch .,2.2~ 1974 7. Zone or use district iri which premises are situated Agriculture 8. Does proposed use violate any zoning law, ordinance or regulation;~ no 9. a. Method of Sewerage disposal cesspoo b. Source of Water Supply .........................w...e.[I ...... . ........... c. Source of Electricity ................................ I~i.[~;G .......................................................................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimen- sions from property lines. Give street and block ~umbers 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 el! buildings and property lines. ON FILE IN TOWN CLERK'S OFFICE. If any .chan.qes 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. Josepl ~. FetrausKas .......................... ' ......................................... being duly Sworn, deposes and says that he is the applicant named above. He is the a ant (owner or lessee or agent) of said owner or owners, end is duly authorized'to make and file this application; and that oil statements contained in this application are true to the b~st 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 ...... ~.....c~.. .................. day of '/) ~ / (Signature) ............................. ~ (Notary Public) ............. /? JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York' 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Joseph Petrauskas 490 Hill Street Mattituck, NY 11952. August 2, 1993 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on September 12, 1993. 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 September 12, 1993, 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, Judith T. Terry Southold Town Clerk Enclosure (1) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSEGAR LOCATION pI~RMIT No. 127 Date March 11, 1993 Name .......................... .J..o..s..e. ~.. ,h.., P.e.t. ?. ~..u..s..k. ~ .s. ............................................................................... Street ............................ ~.g..0.....H. ! !.!...S..t..r..e..e..t. ...................................................................................... Your application for a (single trailer) (boru'~cJd permit was reviewed by the Town Board on ............... .M...a..r..c..h....g. ...................................... , 19...g..3..., and (was) (~a~'x~) approved. A permit is hereby issued to locate a (single trailer) (J-m~r~, license number ........................ or serial number ........... Z.ZZ.T.T.T..-.T..-. ................... at 490 Hill Street pursuant to application dated ..............M...a..r..c..h....1..3..:...1..?9.3. .................................. and the following conditions: .................... .RE. !..T....t.S...S..U...E...D....F., ,O...R.....S..I..X.... f.f.)...M.O...N..T...H....P...E..P'..L .O...D. ...................... EXPIRATION DATE: SEPTEMBER 1~, 1993 TOWN BOARD, TOWN OF SOUTHOLD JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON MARCH 9. 1993: RESOLVED that the application of Joseph W. single family house trailer permit, for trailer located Mattituck, which permit expires on March 13, 1993, granted for a six (6) month period. Petrauskas for renewal of his at 490 Hill Street, be and hereby is Judith T. Terry ~/' Southold Town Clerk March 10, 1993 REC JVFD MAR 4 TOWN OF SOUTHOLD So,, ol Tn,.,. TOWN CLERK'S OFFICE SOUTHOLD, N. Y. RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date ........ .M..~...r..c..t!...1..3. ........... , 19...?..3.. 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 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 ~¢cmnp/y with all applicable laws, ordinances and .. (Address) State whether applicant is owner, lessee or agent .......... ..A.g..e..n..t. .................................................................. Name of Owner of premises ........... .J..o..s..e.~...h....W..:....P..e..t..r~.u..s...k..a..s. ................................................................... 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..0..0...T....1.~.0...?....0..2...Z....3.7. ................... Street and number ~9~ n,h Street, Mott,~uc~, 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy Vncnnt trniler which wns Iocnted on ~remises when purchnsed. b. Intended use and occupancy ........... ,,S.[,n.~.[e...f.,a..m.[!y.....r.e...s.!.d..e...n..c,.e. .................................................. c. Period of time trailer is to be located on premises ...[.n..d...e..f?.!t..e.!.y. .............................................. 3. Fee ....$.!..0..0.:..0.0. ........................... (To be paid on filing application) ~ ~ " 7'9" 4. Dimensions of trailer, len. gth ...... .5.~, ................. widerh ..],.1...1..0.....,..i, ............ height ............................ Extension length 21 Wdth 11 7 height 79 Registration Number ......................................... Serial Number ............................................................ .5=. Size of lot: Front 100 71 ........................................... Rear .......................... Depth ...... 1..~.7....~.[1.ql..2~2 .... 6. Date of purchase or lease of land March 22.~ 1974 7. Zone or use district in which premises are situated "A" 8. Does proposed use violate any zoning law, ordinance or regulation? ................ .N..o. .............................. 9. a. Method of Sewerage disposal Cesspool b. Source of Water Supply We c. Source of Electricity .......... LILCO PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing ar proposed, end 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. STATE OF NEW YORK ~ COUNTY OF SUFFOLK ss. Joseph Wa Petrauskas ................................... ..... being duly sworn, deposes and says that he is the oaalicant 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 bef~ore me this ....~ ........... day of ................... ~~..~.~ ........................ ~ -- (Signature) ................ N~'- MA?y G. ROGERS tJIAh:¥ J:,.BLIC, State of N,~w Yor No. 52-48~5~314. Suffolk County Term Expire~,.~ 30. JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Joseph Petrauskas 490 Hill Street Matttiuck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 24, 1993 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Re: Trailer Permit Renewal No. 13 Dear This is to advise you that your Trailer Permit will expire on March 13, 1993. 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 $100.00 renewal fee as soon as possible. Please make your check or money order payable to "Southold Town Clerk". If your application and fee are not received on or before March 13, 1993, your Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure (1) TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No ..... 122 .......... Name ......... J.Q ,S f~pil..P. ~.t ci~ u,sJ~ s ................................................................................................ Street ........... ~ .9..0....H..jl L ..S.L .r..e.~.t ....................................................................................................... Town ........... ~.t.~i.t~.ck~,...N.e.w...Y..~r...k..].].9.~.~. .............................................................................. Your application for a (single trailer) (J01Jl:~l~') permit was reviewed by the Town Board on ................ .S..e.,Q..t.e...m..J~..e.E ........ .8. ...................... , 19....9..2.., and (was) ~'~t) approved. A permit is hereby issued to locate a (single trailer) ~o~J¢:~ll~, license number ........................ or serial number ....... 'Z'Z.'ZZ'Z'Z'ZZZ. ...................... at ........... fl.g..0,....H.j,l.!...S..t.,r..e..e..t.: ............................. ...................... M ~ t4.i.Lu..~..k. ,... !J..e.w... Y.9..r..k....1.1 ,~ ~ .2. ............................................................................... pursuant to application dated ...... : ....... ,~filr~f~mJ~.~.c..J.$.,..J.~).9.?. ........................ and the fallowing conditions: ............. PJ~ RM.I.T... iS SU I: D...E fl R ..S I~X...( .6~..JYJ.Q ~ .m. kl...p. J~.I~.I..Q .D.. ............................. ................................ .~,~ P. 1. B..A..T..LO...N.....D...A...T..E..;......M...A...R...C...H ...L3. ,... J..9..9..3. ............................................. TOWN BOARD, TOWN OF SOUTHOLD JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON SEPTEMBER 8, 1992: RESOLVED that the application of Joseph W. Petrauskas for renewal of his single family house trailer permit, for trailer located at 490 Hill Street, Mattituck, which permit expires on September 13, 1992, be and hereby is granted for a six (6) month period. Southold Town Clerk September 9, 1992 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ' Approved ................................... , 19 .~.....~P. ermit No. 127 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Dine ...... , 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 I~_ca+;o,~ of !at and of b,-.i.dings on premises, re!otionship 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 port 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 Budding Zone Ordinance of the Fawn of Southold, Suffolk County, New York, end other applicable Laws, Ordinances or Regulations· The applicant agrees to comply with all applicable laws, ordinances and regulations. ~...~..~..:...~~..¢~... ............ ,//'~a~'~'r~'-~"app lica nt ) .5..,...M...a..t. tj.L"..c...k.:.....N..?..w.....Y..°..r...k...! / (Address) State whether applicant is owner, lessee or agent .......... ..A.g.e...q.t. .................................................................. Name of Owner of premises ........... .J..o..s..e.p...h....W..:...?.~t..r~.u..s...k..a..s. ........................................ ~ .......................... 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.,0.0...T....1..4..0...?...,0.,2...T...3..7. ................... Street and number ..... .q.?.~.~H.!!.~.s..t~.r~.e..e~t..~..M..a..t..t)~t.?~.c~.k..~..N..e..w..~.~..r..k.~1.~[~.~..2. ....................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy Vacant traller, wllJch was located on premises wi~en pu~ b. Intended use and occupancy ........... .S..i.,n.g.[e....f..a..m.[!~....r.e...s.i..d..e...n..c,.e. .................................................. c. Period of time trailer is to be located on premises ...!.n..d...e..f?.!~.e.!.y. .............................................. 3. Fee $75.00 (To be paid on filing application) ' ' " 7'9" · 57 . 11 10 4. Dimensions of tra er, ength ................. width ..., height II I Il I II ............................ Extension length 21 Width 11 7 height 7 9 Registration Number ......................................... Serial Number ............................................................ · ow~ ¢~ TOWN OF SOUTHOLD Suffolk County, New York Phone 516-765-1801 Southold, New York 11971 Date JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Joseph W. Petrauskas 490 Hill Street Mattituck, N Y 11952 August 3, 1992 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on September 13, 1992. 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 $75.00 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 September 13, 1992, 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, Judith T. Terry Southold Town Clerk Enclosure (1) No. 127 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. LOCATION PERMIT Town ................... ..M.,a.,t.,t..t.U~; k, ...bl.Y......1.1 ~ 5 2 ................................................................................. Your application for a (single trailer) (J~m~z) permit was reviewed by the Town Board March 24, 1992 on ..................................................................... 19 ........ , and (was) (¥v~:N~) approved. A permit is hereby issued to locate a (single trailer) (housecar), license number ........................ or serial number ......... at .......... .~..g..O....H..i.[!...S..t.?.,e.,e.,t. ................................ Mattituck, NY pursuant to application dated ...................... I~..a.r.c.h....1..3.:....1..9..9..2. ......................... and the fallowing conditions: ......................... .T....I..S.. .O...D. ................. ............................................. .E..X...P. !..R...A...T.J.g..N.....D...A...T...E.;.....S..E..P...T..E...M...B..E...R....! ..3.,...1.9.9.~ ........................ TOWN BOARD, TOWN OF SOUTHOLD Town Clerk JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (5 l 6) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON MARCH 2q. 1992: RESOLVED that the application of Joseph W. single family house trailer permit, for trailer located Mattituck, which permit expired on March 13, 1992, granted for a six (6) month period. Petrauskas for renewal of his at 490 Hill Street, be and hereby is · TerryJ Southold Town Clerk March 25, 1992 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ................................... .~....~...~. , 19.~....~'~P.. ermit No. ................ 127 RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, RECEIVED OUTSIDE OF TOURIST CAMP. MAR S 1992 Southold T ..... 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 Will issue a trailer permit to the app!icont. 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) State whether applicant is owner, lessee or agent .......... ..A.g.e...n..t. .................................................................. Name of Owner of premises ........... .J..o..s..e.p...h...~/.:....P..e..t..r.,a..u..s...k..a..s. ................................................................... 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 ................... Street and number ..... .q.~'~.~.H.~j!!~.~..t..r~.e~.e~t.~:~..M.~.t~.t!~t..`u~.c~:~.N..e...w.~~ ....................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: c. Period of time trailer is to be located on premises ...i.n..d..e..f!..n.!.t..e.!.y. .............................................. 3. Fee $75.00 (To be paid on filing application) 4. Dimensions of tra er, ength ........ ; width Extension length 21" W~dth 11 7' K~}'~'R'~"~l§" ............ height ............................ Registration Number ......................................... Serial Number ............................................................ ~ 100 71 ,~. Size of lot: Front ............................................ Rear ................................ Depth ...... 1..~..7...?..q.~1..]]~ .... 6. Date of purchase or lease of land March 2.2.~ 1974 7. Zone or use district in which premises ore situated "A" 8. Does proposed use violate any zoning law, ordinance or regulation? ................ ~.o. .............................. 9. a. Method of Sewerage disposal Cesspool b. Source of Water Supply .... .We ..................................................................... c. Source of Electricity .... b. lLCO ................................................... PLOT DIAGRAM Locate clearly and distinctly all 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 end p[operty lines· STATE OF NEW YORK 'l COUNTY OF SUFFOLK )ss. , Josep.,h W. Petrauskas ....................................................................................................... being du¥ sworn, deposes ond 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 /~2~ day of ................................ ....................... ............... ,,9 ................ / (Signature) .................... .............. ...................... JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 3, 1992 Joseph W. Petrauskas 490 Hill Street Mattituck, NY 11952 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your Trailer Permit will expire on March 13, 1992. 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 $75.00 renewal fee as soon as possible. Please make your check or money order payable to "Southold Town Clerk". If your application and fee are not received on or before March 13, 1992, your Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure (1) No. 127 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Date .......... ,S. ,e. P. t..e. m .b..e...r...2..6..:.. J.?.?.! ..................... Street ........................... ,~..~. 0.....H. ].[!...S..t..r..e..e..t. ....................................................................................... Town ........................... M. ~ .t.t.i..t .g..c..k. ,.....N..y..... !..1. ~ .5.2. .......................................................................... Your application for a (single trailer) ~sJ/~/e'f) permit was reviewed by the Town Board on ................................. .S..e.p..t..e..m...b..e..r....2..4. .......... , 19...9..I..., and (was)(~l~c~[~t) approved. A permit is hereby issued to locate a (single trailer) (J~oV, u~, license number ........................ or serial number .................. at 490 Hill Street Mattituck, New York pursuant to application dated .............S..e.p..t..e.,m.b.e..r....1..3.f...]..~..~..1 ........................... and the foJJowin~l conditions: ................... LT....LS..$.,u..E.D....F...O...R.....S.!.,X....f..e.L ..M...O...N...T...H...P.,E.R..! O..D. ....................... EXPIRATION DATE: MARCH 13, 1992 TOWN BOARD, TOWN OF SOUTHOLD JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON SEPTEMBER 2ti. 1991: RESOLVED that the application of Joseph W. Petrauskas for renewal of his single family house trailer permit, for trailer located at 490 Hill Street, Mattituck, which permit expired on September 13, 1991, be and hereby is granted for a six (6) month period. Southold Town Clerk September 25, 1991 ! ? lggl TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTflOLD, H. Y. Application No....1..~..7.....R..e..n..e...w..a.! ........... Approved ...................... 19.~./... Permit No../...¢~...~.. .... APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. I Date September 13 1~.1. ..... 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 comply with all applicable laws, ordinances and regulations. .............................................. ,/ ~ PO Box 295, Mattituck, New York 11952 (Address) State whether applicant is owner, lessee or agent .......... ..A.g..e..n..t. .................................................................. Name of Owner of premises ........... .J..o..s..e.P...h....W..:....P..e..t.r.,~..u..s...k..~..s. ...................... f app cant s corporate, s gnature of duy authorized officer (Name and title of corporate officer) 1. Location of land on which proposed trailer will be lucated 1000 - 1/~0 - 02 - 37 Street and number 490 Hill Street, Mattituck, New York 11952 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy Vacant trailer wh ch was ocated on prem ses when purchased. b. Intended use and occupancy Single family residence c. Period of time trailer is to be located on premises indefinitely 3. Fee ...... .$..7.5..:.0..0. .......................... (To be paid on filing application) 4. Dimensions of trailer, length ....... .5..7.~ ........... width 11'10" 7'9" Extension length 21 Width'"1'1 7 6~'~'f{~"~l~Ju ............ height Registration Number ......................................... Serial Number ............................................................ - 100 71 ,~. Size of !at: Front ............................................ Rear ................................ Depth ...... !.~..7...?.~1.ql..2~2 .... 6. Date of purchase or lease of land March 22,, 1974 7. Zone or use district in which premises are situated "A" 8. Does proposed use violate any zoning law, ordinance or ragu etion~ ................ .N..o. .............................. 9. a. Method of Sewerage disposal Cesspool b. Source of Water Supply Well c. Source of Electricity ........ klkCO ....................................................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, end 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. STATE OF NEW YORK } COUNTY OF SUFFOLK,~ss' Joseph W. Petrauskas ......................................................................... being duly sworn, deposes cnd says lhat he is the applicant named above. He is the Owner (owner or lessee or agent) of said owner or owners, and is duly quthorized 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 7^ .... ..................................  ~ ~ (Signature) GARY J, SUZI~ ~NOTARY P&JBLIC, State of New ~o, 52-452714,,1~ ~ufto[k County JUDITH T. TERRY TOWN CLERK ~.EGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD September 11, 1991 Joseph W. Petrauskas 490 Hill Street Matttituck, NY 11952 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your trailer permit will expire on September 13, 1991. Enclosed you will find a partially completed application form for renewing same. Please co~nplete this form, have your signature notarized, and return it to this office together with the required $75.00 renewal fee as soon as possible. Please make check or money order payable to "Southold Town Clerk." The fee for a trailer permit application or renewal was raised to $75.00 by resolution of the $outhold Town Board on October 10, 1990 to be effective January 1, 1991. If application and fee are not received on or before September 13, 1991, your special permit will be revoked and your trailer will have to be removed from the premises. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure (1) Enclosed is another application for your trailer. Please return it to this office with the renewal fee as soon as possible. ~JDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE O1~ THE TOWN CLERK TOWN OF SOUTHOLD August 1, 1991 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 Joseph W. Petrauskas 490 Hill Street Mattituck, NY 11952 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your trailer permit will expire on September 13, 1991. Enclosed you will find a partially completed application form for renewing same. Please complete this form, have your signature notarized, and return it to this office together with the required $35.00~ renewal fee, as soon as possible. Please make check or money order payable to "Southold Town Clerk." If application and fee are not received on or before September 13, your special permit will be revoked and your trailer will have to be removed from the premises~ Very truly yours, Judith T. Terry Southoid Town Clerk 1991, Enclosure (1) No. 127 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT 490 Hill Street Street ............................................................................................................................................... Mattituck, NY 11952 Town .............................................................................................................................................. Your applicetion for e (single treiler) (~l~e~) permit wes reviewed by the Town Boercl on ............................ .M...a..r.g..h...1.2. ........................ 19.~..1...., end (wes) (v~:~:~h~t) epproved. A permit is hereby issued to Iocete a (single treiler) (l~,~x), license number ........................ or seriel number ............. et ......... .4..9.0.....H.!!.l....S..t..r..e..e..t.,. ............................... Mattituck, New York pursuent to epplicetion doted ..............M...a..r..c..h....l...3.~....1..9..9..1 .................................. ond the following conditions: PERMIT ISSUED FOR SIX (6) MONTH PERIOD EXPIRATION DATE: SEPTEMBER 13, 1991 TOWN BOARD, TOWN OF $OUTHOLD TOWN CLERK TOWN OF $OUTHOLD Suffolk County, New York 516- 765-1801 ]~.0 38826~ RECEIVED FEB 2 ? 1991 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. 127 Renewal Approved .................. ...~'.'/./..~...., 19..~./.. Permit No ................. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date March 13 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 ~ 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 comply with all applicable laws, ordinances and regulations. . ,;;,? .~-.. · · ./ ................... /.. ~........z .~.z..,~..~¢..~...~..~r.': .~. ~ ........ /t~ignatuCe of applicant) PO Box 295, Mattituck, New York 11952 (Address) State whether applicant is owner, lessee or agent , ..A.g..e..n..t. ................................................... Nome of Owner of premises ........... .J..o..s..e.P...h....W..r....P..e_t..ra..u..s...k..a..s. ......................... If applicant js corporate, signature of duly outhoriz~'~J officer .......................................... t[ ie of corporate 1. Location of land on which proposed trailer will be located ...1..9.?.?...T....1..~.?...T...?..~...T.....~.......j~:.,['j.-~;~ ..... ~ Street and number 490 Hill Street, Mattit.,uck, New York 11952 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: o. Existing use and occupancy Vacant trailer which was located on premises when purchased. b. Intended use and occupancy Sin~lle .f~milT. residence c. Period of time trailer is to be located on premises indefinitely 3. Fee $75.00 (To be paid on filing application) 4. Dimensions of trailer, length ...5.7.I width 1,lll0'' , 7~9" Extens on length 21;""1~/'i'~J[~"'1'1'7" t~l'~'~:~"~"~a ............ height ............................ Registration Number .Serial Number .~.= Size of lot: Front ............................................ 100 Rear ................................ 71 Depth .. .............. 1~7 ?.q.~..;~]]...~ 6. Date of purchase or lease of land March 224 197q 7. Zone or use district in which premises are situated 8. Does proposed use violate any zoning law, ordinance or ragu ation~ ................ .N.,o. .............................. 9. a. Method of Sewerage disposal Cesspool b. Source of Water Supply Well c. Source of Electricity ...... ~ILCO PLOT DIAGRAM Locate clearly and distinctly afl buildings, whe?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. STATE OF NEW YORK } COUNTY OF SUFFOLKjss' ....................... .J.,o..s..e,p,h W. Pet.r..a.u.s...ka..s' ............................. b~in9 duty swor,~, 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 tobefore me this ....~.~...'.A. ................. day of ~. ..... .................................... , ........... ; . .......... '~"~t~ry Pu~ GARY J. SUZI~ KSTARY PU~UC, Slate 0f New JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS Joseph W. Petrauskas 490 Hill Street Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 13, 1991 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 Re: Trailer Permit Renewal No. 127 Dear Mr. Petrauskas: This is to advise you that your trailer permit will expire on March 13, 1991. Enclosed you will find a partially completed application form for renewing same. Please complete this form, have your signature notarized, and return it to this office together with the required $75.00 renewal fee as soon as possible. Please make check or money order payable to "Southold Town Clerk." The fee for a trailer permit application or renewal was raised to $75.00 by resolution of the Southold Town Board on October 10, 1990 to be effective January 1,. 1991. If application and fee are not received on or before March 13, 1991, your special permit will be revoked and your trailer will have to be removed from the premises. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure (1) No. 127 TOWN OF SOUTHOLD TOWN CT,~,,RK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Date September 12, 1990 Street 490 Hill Street Your application for a (single trailer) (t'Yl~re~r) permit was reviewed by the Town Board on September 11 19....9..0.., and (was) ('ac~xx~ approved. A permit is hereby issued to locate a [single trailer) ~), license number ........ or serial number ........... at ~~~~~.q.?~.~~~~.~..j~!!~~.s.'t..r..e..e..t.~~~~.M..a..t.t.~.t..~..c..~f~~~~~.N.~.Y. ...... pursuant to application doted ........ ..S..e.p.t..e..nl. b.~r....1.3.,...1.9.9.0 .............................. and the fallowing conditions: PERMIT ISSUED FOR SIX (6) MONTH PERIOD EXPIRATION DATE: MARCH 13, 1991 TOWN BOARD, TOWN OF SOUTHOLD JUDITH T. TERRY TOWN CLERK REGISTRAR OF' VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON SEPTEMBER 11. 1990: RESOLVED that the application of Joseph'W. house trailer permit, for trailer located at 490 Hill Street, York, which permit expires on September 13, 1990, be granted for a six (6) month period. Petrauskas for a single family Mattituck, New and hereby is Southold Town Clerk September 12, 1990 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. ,.!..2..7..,.R,..e,.n..e...w.~! ........... Approved ................................... ..~.~--. ~/ , 19.. .~..~.. Permit ~o ................. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. SEP Instruct|ohs o. 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 comply with all applicable laws, ordinances and ............... i ................. .//(Signature of applicant) ''' (Address) State whether applicant is owner, lessee or agent ........... ..A.g.e...n..t. .................................................................. Name of Owner of premises ........... ,J.,o.s..e.p...h....W,.:....P..e,.t,.r.~,u.,s..k..~..s. ................................................................... 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 7. ................... Street and number 490 Hill Street, Mattituck, New York 11952 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ~..v.~.c.~.n..t.~.t..r~a~!!.e..r.~.w.~h.i..c..h.~..w.].s.~!.~..c.~.~t.e..d.~.~.~.n.~P.r..e.~.m.j~.s~e.~.s~w.~.h..e.~?chased. b. Intended use and occupancy ........... ..S.!.n.g.!e....f.,~.m.!!Y.....r..e..s.i..d..e..n...c,.e. .................................................. c. Period of time trailer is to be located on premises ...[.n..d...e..f?.!t..e.[.y. .............................................. 3. Fee ............................................ (To be paid on filing application) 7~9. 4. Dimensions of trailer, len. gth ....... .5..,7.,] ................ widl~h ...1,.1.'..1...0.]i:~rxlI ............ height ............................ Extension mength 21 Width 11 7 height / u Registration Number ......................................... Serial Number ............................................................ 100 71 5. Size of lot: Front ............................................ Rear ................................ Depth .... !.?.7....a..q.d..2.32 .... 6. Date of purchase or lease of land March 22,, 197z~ 7. Zone or use district in which premises are situated 8. Does proposed use violate any zoning law, ordinance or regulation? ........ I~.o. .............................. 9. a. Method of Sewerage disposal Cesspool b. Source of Water Supply We c. Source of Electricity ......................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whe?her existing or proposed, cnd indicate all set-back dimen- sions from property lines. Give street end 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 el! buildings and property lines. STATE OF NEW YORK ~ COUNTY OF SUFFOLK ss. Joseph W Petrauskas ....................................... · ........................... 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 th s z~- ~T~- da of ~' ._ ......................................................... , i y..,.~ ........ .E... ~..~.. // / .................................. (Notary Public) ........ ~"-" HELENE D, HORNE Notary Public, Stme of New Ymk No. 6,g$1364 Oualified in Suffolk County Commission Expires May 22, 19 JUDITH T, TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS Joseph W. Petrauskas 490 Hill Street Mattituck, NY 11952 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 7, 1990 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 Re: Trailer Permit Renewal No. 127 Dear This is to advise you that your trailer permit will expire on September 13, 1990. Enclosed you will find a partially completed application form for renewing same. Please complete this form, have your signature notarized, and return it to this office together with the required $35.00 renewal fee, as soon as possible. Please make check or money order payable to "Southold Town Clerk." If application and fee are not received on or before September 13, 1990, your special permit will be revoked and your trailer will have to be removed from the premises. Very truly yours, Judith T. Terry ~' Southold Town Clerk Enclosure (1} TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT No....12.7 ............ Name ....... Jgs.ep b...W,..P.~tr, auskas .................................... 7. ...... Street q90 Hill Street Town Mattituck, New York 11952 Your application for a (single trailer) (~lo¢~61~o<;~x) permit was reviewed by the Town Board on ............................M..a...r.c...h......1..3., . , 19....9..0.., and (wos) C~:~t) approved. A permit is hereby issued to locate a (single trailer) (boraxec~N, license number ........................ or serial number .............. z.z.z..-.z.~.r..~z ................ at 490 Hill Street, MattJtuck, New York pursuant to application dated .... M~.K.c..h...J.,....1.9..9..0. . and the following conditions: .................... RE.RMI..T...ISS U ED.. F..O R..SI X.. (.6)...MO.N.TH..P. EI~ I.(DD ....................... EXPIRATION DATE SEPTEMBER 13~ 1990 TOWN BOARD, TOW, N OF SOUTHOLD JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1 179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON MARCH 13, 1990: RESOLVED that the application of Joseph W. Petrauskas for a single family house trailer permit, for trailer located at 490 Hill Street, Mattituck, be and hereby is granted for a six (6) month period. ? Judith-T. Terry. Southold Town Clerk March lq, 1990 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved .......................... , 19 . Permit No ................. Application No ..................................... R~Cr~Vr~D APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Instructions o. 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 ~ 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 Coun)~, N,~w Yor~d other applicable Laws, Ordinances or Regulations. The applicant agrees to comj~Sy,~t~/~lq ?~i/~/p laws, ordinances and/ (Address) State whether ~pplicant is owner, lessee or agent.....~..~ .................................................... 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 1000 - ].40 - 02 - 3? Street and number ......... ~.?.~....~.J:..l..]:....S...t..~.e...e.~.~..`~..9~..~:.J:..~.~?...k..:...~.~...~'°..~......]...].~..5..2. ................ State existing use and occupancy of premises and intended use and occupancy of proposed trailer: Vacant trailer whiCh was located on premises when a. Existing use and occupancy .............................................................................................. ~J~'f~a~ed. b. intended use and occupancy .... ~.~_.Dg.~,.~...~.~.~_..],~7...~'..~D..i.~..e.~.c...e. ............................................... c. Period of time trailer is to be located on premises .... ~.~.~..e...~..J:.g.i.~.e...]:.y. ..................................... Fee ............................................ (To be paid on filing application) Dimensions of trailer, length ........ ~.?..~ .............. width ..]..~,.'...]..0..'.'. ................. height ...?..~.~.'.'. ............... Extension lenth 21 Width 11 7 z,eight 7 9 Registration Number ......................................... Serial Number ............................................................ .~. Size of lot: Front 100 Rear 71 Depth 18'7 anc!. 2.32 6. Dote of purchase or lease of land March 22~ 1974 7. Zone or use district in which premises are situated ........................................................................ 8. Does proposed use violate any zoning law, ordinance or ragu etlon? ...... .N. 9. ....................................... 9. a. Method of Sewerage disposal Cesspool b. Source of Water Supply Well c. Source of Electricity ................................. L. i3..CO ............................................................................ PLOT DIAGRAM Locate clearly and distinctly oil buildings, whe[-her existing or proposed, end 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. See annexed Plot Diagram Sworn to before me this ............ ~..~..t. ............. doyof .~.,~,~, .. /~ /( ~ ~/~ STATE OF NEW YORK '( COUNTY OF SUFFOLK ~ss. J. Kevin McLaughlin ......................................................................................................... being duly sworn, deposes ond soys thor he is the applicant named above. He is the agent (owner or lessee or agent) of said owner or owners, and is duly authorized to moke 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. JUDITH T. TERRY f O'/,'N CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 January 11, 1990 Vincent R. Wieczorek Ordinance Inspector Building Department Southold Town Hall ~c Main Road Southold, New York 11971 Dear Vinnie: Please be advised that we have never received any inquiry or request for a special trailer permit application from Joseph W. Petrauskas concerning the trailer located on his property without a Town Board permit at 490 Hill Street, Mattituck, New York. Very truly yours, ~~. Terry Southold Town Clerk Attachment (I) JUDITH T. TERRY IOWN CLERK REGISTRAROI VITALSrATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1 179 Southold, New York 1 1971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 January 11, 1990 Vincent R. Wieczorek Ordinance Inspector Building Department Southold Town Hall Main Road Southold, New York 11971 Dear Vinnie: Please be advised that we have never received any inquiry or request for a special trailer permit application from Joseph Wo Petrauskas concerning the trailer located on his property without a Town Board permit at 490 Hill Street, Mattituck, New York. Very truly yours, ~~. Terry Southold Town Clerk Attachment (1) FORSI NO. 5 TOWN OF SOUTHOLD BUILDING D£PARTMENT TOWN CLERK'S OFFICE 5OUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Dote DECEHBER 4, 89 TO JOSEPH W. PETEAUSKAS (owner or authorized agent of owner) 490 HILL ST; P.O. BOX 295; MATIITUCK, NY 11952 (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance . CH 100 Other Applicable Lows, Ordinances'or Regulations ............................................ at premises hereinafter described in that A TRAIleR IS LOCATED ON YOUR PROPERTY (state character of violation) WITHOUT A TOWN BOARD PEI~IIT. in violation of ARTICLE XXIII CHAPTER 100-239.2 (B) (State section or paragraph of applicable Iow, ordinance or regulation) ..... YOU ARE THEREFORE DIRECTED AND ORDERED.. to Comply with the Iow and to remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at 490 HILL STREET, MATTITUCK, ................................................................................ County of Suffolk, New York. SUFFOLK COUNTY TAX MAP ~' I000- 140- 02- 37 Failure to remedy the conditions aforesaid and to comply will~ the applicable provisions of law may constitute an offense punishable by fine,or imprisonment or both. (CERT.) cc: TOWN CLERK "~""'"'"'0 ~.D. I N A N C E INSPECTOR vincent R. ~41eczore~