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HomeMy WebLinkAboutTardif, John J.JUrHTH T. TERRY VN CLERK REGISTI~ ~ VITAL STATISTICS MAgRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 RE: Tom Fisher, Building Inspector Judith T. Terry, Town Clerk ~, 1996 Trailer Permit No. 143 - John J. Tardif The above's trailer permit expired on February 1, 1996. Please do an inspection to see that the trailer has been removed. Enclosed is a copy of his original application. 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 TO: Tom Fisher, FROM: Judith T. Terry, DATE: April 3, 1996 RE: Trailer Permit No. Building Inspector Town Clerk 143 - John J. Tardif The above's trailer permit expired on February 1, 1996. do an inspection to see that the trailer has been removed. Enclosed is a copy of his original application. Please TOWN OF SOUTHOLD TOWN CLERK'S OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 (516) 765-1801 PEIg~MIT NO. 143 EXPIRATION DATE: RENEWAL APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. a. Please review this renewal application. If there have been no changes to the premises, trailer, ownership of the premises, or ownership of the trailer, please sign at the bottom of the reverse side of this application, have your signature notarized, and return to the Southold Town Clerk's Office with your $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application .you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. owner State whether c~pplicont is owner, lessee or agent ........................................................................................ Nome of Owner of premises ................. J..°..h..~..:J.:....Z..a..r~!,.f ........................................................................... If applicant is corporate, signature of duly authorized officer (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .... ,R..O...W....o..f..f...,E.,u.~.e...n..e.'..s.....R..o.?..d. ............. Street and number ..................B..a..n.,,k.s....S..t..r..e..e..t...Z...,L.°,,t:.....~.q. ................................................................... State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ..... *~v~a~c~a~n~t~p~a~r~t~ia~L~n~s~t~r~u~c~t~e~d~ .................................. single family residence b. Intended use and occupancy .................................................................................. c. Period of time trailer is to be located on premises ...................................................................... 3. Fee .......$.]..0..0.;..0.9. ....................... (To be paid on filing application) 4. Dimensions of trailer, length ........... .5..0.'. ............ width 10' height 7' Registration Number ........... 1..6..2. ......................... Serial Number 124946 6. Dote of purchase or lease of land 3-31-95 7. Zone or use district in which premises are situated E. Cutcho.c[ue 8. Does proposed use violate any zoning Iow, ordinance or regulation? ......... .~...o..I .................................. 9. o. Method of Sewerage disposal Cessp. ools b. Source of Water Supply well c. Source of Electricity LILCO (underground) PLOT DIAGRA/v~ 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 SUFFOLKjss' ................................................................................................... being duly sworn, deposes and says that he is the applicant named above. He is the .................. . (owner or lessee or agent) of said owner or owners, and is duly authorized'to make and file this application; and that all statements contained in this application are true to the best of his knowledge and belief; and that the trailer will be located in the manner set forth in the application filed herewith. Sworn to before me this ................................ day of (Signature) (Notary Public) JUDrr~l 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 John J. Tardif 116 South Bay Dr. W. Babylon, NY 11702 OFFICE OF THE TOWN CLERK TOWN OF. SOUTHOLD January 11, 1996 Re: Trailer Permit Renewal No. 143 Dear Mr. Tardif: This is to advise you that your Trailer Permit will expire on February 1, 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 February I, 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) 143 TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N.Y. SINGLE TRAILER OR HOUSECAR LOCATION PERMIT Name John J Tar~ f Street 116 South Bay Dr. W. Babylon, NY 11702 Town ............................................................................................................................................... Your application for a (single troller) (J'~o~¢~[l~ permit was reviewed by the Town Board A permit is hereby issued to locate a (single trailer) ~), license number ........................ or serial number 12~9q6 at ROW off Eugene's Rd Banks St. Lot ~q - Cutchogue pursuant to application d~ted .'. ........... ~.~].~..~,....~ ....................................... and the following TOWN BOARD, TOWN OF SOUTHOLD 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 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON JULY 11, 1995: RESOLVED that the Town Board of the Town of Southold hereby grants permission to John J. Tardif to locate a single family house trailer on his property off of Eugene's Road, Lot #4, Banks Street, Cutchogue, for a six (6) month period, effective August 1, of his new home on the property. 1995, during the construction Judith T, Terry Southold Town Clerk July 12, 1995 JUDITH T. TEH,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 '/'elephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 28, 1996 John J. Tardif 116 South Bay Dr. W. Babylon, NY 11702 Re: Trailer Permit Renewal No. 143 Dear Mr. Tardif: This is to advise you that your trailer permit expired on February 1, 1996. If your application and $100.00 fee are not received on or before March 5, 1996, your special permit will be revoked and your trailer will, have to be removed from the premises. Please notify this office in writing, if you are not renewing this permit. cc - Building Department Very truly yours, Judith T. Terry Southold Town Clerk TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved .................................... , 19 ........ Permit No ................. APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date '7- ~ 19..?...~..~ 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 appJicant agrees to comply with all applicable laws, ordinances and regulations. (Address) State whether applicant is ow__~ner, 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 . ./.~.~..../~......~..~..../~...~.~.~.~.~.. ...... ..,~...~./~Z~ Street and number ............. .z~....'~..../~...~....~......~'~...7-~.....~-.~.-....7~.. .......... ./_~....~.....-~........~......~4~. ................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy .....V~.~..~../~..~.....~..~./.....~....~..?.~..7~...~.~..~...~...~..~.~.u..~...~. ....... b. Intended use and occupancy .... ..?.~./~....6..~...,./~...~./.~.~......./...~..'~.?../..'..~.~..~...'~.~. ......................... c. Period of time trailer is to be located on premises 3. Fee '~'/6~-~' ~-~ (To be paid on filing application) 4. Dimensions of trailer, length ~'-O / width ......./...~...fl ................ height ............................ Registration Number ........... L...~....-~.. ................... Serial Number ............/..~....~.".~.....'~..~.. ........................ Size of lot: Front ,=~ ~3 ~ / ~ ~,~//~,~ / / ........................................... ~ear ................................ Depth ................................ 6. Dote of purchase or lease of land , ~ --~,/-- 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 b. Source of Water Supply c. Source of Electricity ........ ~-,"L--.~,O ~'~A/Z>Z:-/8-~/'~/~) ) 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. STATE OF NEW YORK t COUNTY OF SUFFOLKjss' ................ ~Z~'4L.."~'~..'~.Z)I~' , being duly sworn, deposes and says that he is the applicant named above. He is the (owner or lessee or '~g;~-) .................... 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. ..... · .............. KEVIN DRISCOLL '~ Notary Public, State of New Y~rJ( No. 01DR4949279 Oualified in Suffolk Count~ Expires April 3, 19.~:~ JT~M U¥ 7-A,rc~x'/~ / ./ 3-4' WIDE OOT PATH PIPE 08,