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HomeMy WebLinkAboutPetrauskas, Joseph W ELIZABETH A. NEVILLE,MMC Town Hall,53095 Main Road
TOWN CLERK ® f$' P.O. Box 1179
'=`
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER �� ®�' Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Pete Doherty, Code Enforcement Officer
CC: Mike Verity, Chief Bldg. Inspector
FROM: Carol Hydell,Account Clerk C
DATED: May 12,'2016
RE: Trailer Renewal for Petrauskas
Please perform an inspection and advise of any existing violations on trailer and property and if trailer
permit may be renewed for the following:
Applicant: Joseph Petrauskas
Trailer Address: 1250 South Harbor Road, Southold
Thank you.
ELIZABETH A.NEVILLE,MMC �,�® �,� Town Hall,53095 Main Road
TOWN CLERK PO Box 1179
co
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 05/11/2016
Issued to: Petrauskas, Joseph W
Address: 1250 South Harbor Rd
Southold,NY 11971
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 05/11/2016. Expiration Date: 10/17/2016
This renewal permit is granted for a six,(6)month-period.
i
Elizabeth A.Neville
Southold Town Clerk
* * * RECEIPT * * *
Date: 05/11/16 Receipt#: 204433
Quantity Transactions Reference Subtotal
1 House Trailer Permit 127 $250.00
Total Paid: $250.00
Notes:
Payment Type Amount Paid,By
CK#1037 $250.00 Petrauskas, Joseph W
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Petrauskas, Joseph W
1250 South Harbor Rd
Southold, NY 11971
Clerk ID: CAROLH Internal ID: 127
FO(.1
ELIZABETH A. NEVILLE, MMC j� �y Town Hall,53095 Main Road
TOWN CLERK c P.O_ Box 1179
en Southold,New York 11971
REGISTRAR.OF VITAL STATISTICS p Fax(631)765-6145
MARRIAGE OFFICER y
Q Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER 0.( �� www.southoldtownnygov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLEF.
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fees✓
✓ 250.00 (for maximum of six (6) months) Must be submitted with application.
$100.00 (for maximum of 6 months) for trailer on land used in agricultural
production. (see attached, proof may be required) Fee must be submitted with
application.
Please check one:
New Application ( ) Renewal Permit No.
Received Date: ob6
Issue Date: Expiration Date:
Name of Applicant: ,/� i� �" s��
Mailing Address: ,_/V
Telephone No. Iz"
Applicant is: W/Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises 22L Ck-S
If owner is corporate, signature and titlJ of duly authorized officer:
Number of Occupants & Names: ,'k
MailingAddress
Telephone No.:
Employer of Occupant
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
Y339 Ala- 4 t
SCTM #:
Permit will not be issued if the SCTM# is not provided
Existing use and occupancy of premises and intended ussnd occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy
3. Period of time trailer i to be located on premises:
Lot Size: Front Rear �' Depth
Date of purchase or lease of land
Zoning District for premises: �S
Does proposed use violate any zoning ordinance r law. o ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width Ile' ht
Registration No. Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Cony of survey showing location of existing buildings and existinF_/proposed trailer must be
attached to this application.
State of New York
Coun of Suffolk
being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith. r
(Signature)
Sworn to before me this f 1 day T
2
(Notary Public)Public)
CAROL HYDELL
NOTARY PUBLIC-STATE OF NEW YORK
NO.01 HY6189695
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES 06/30120_Q-0
AP,
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�Of SO(/ry
ELIZABETH A. NEVILLE �0� Ol0 Town Hall, 53095 Main Road
TOWN CLERK P.O. $ox 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER G Q Fax(631.) 765-6145
RECORDS MANAGEMENT OFFICER �' �� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ��if'`+oU '� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 127
Name: Petrauskas, Joseph W
Address: P. 0. Box 295
Mattituck,NY 11952
City ST Zip:
* *RENEWAL NOTICE
This is to advise you that your Trailer permit will expire on 03/14/2008
Enclosed is a trailer permit application. Complete the application, have your signature notarized and return
it to this office with the required fee of$100.00 as soon as possible. Please make your check or money
order payable to the"Southold Town Clerk".
If your application and fee are not received on or before 3/28/2008 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
FOL
ELIZABETH
ELIZABETH A. NEVILLE,MMC �y� �y Town Hall,53095 Main Road
TOWN CLERK P.O. Box 1179
CCsa 2M Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ® v� Fax(631)765-6145
MARRIAGE OFFICER ®� �a®�' Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 12/01/2016
Issued to: Petrauskas, Joseph W
Address: 1250 South Harbor Rd
Southold,NY 11971
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 11/03/2016. Expiration Date: 04/17/2017
This renewal permit is granted for a six(6) month period.
Eliza eth A. Neville
Southold Town Clerk
This Permit and approval is limited as to property location compliance only. The Town of Southold
does not make any representation or verification as to the habitability, safety or structural integrity
of said Trailer. Responsibility for the same is the sole responsibility of the Property Owner and
Applicant.
Daroski, Bonnie
From: Doherty,Peter
Sent: Friday, November 18, 2016 8:43 AM
To: Doroski, Bonnie
Cc: Duffy, Bill; Hagan, Damon; Silleck, Mary
Subject: RE: Emailing: petrauskas trailer_20161109081208
Bonnie,
The trailer is where it is shown on the application. Ok to renew.
-----Original Message-----
From: Doroski, Bonnie
Sent:Wednesday; November 09, 2016 8:14 AM
To: Buckner, Nicole; Bunch, Connie; Doherty,Peter; Duffy, Bill; Hagan, Damon; Neville, Elizabeth; Silleck, Mary;Verity,
Mike
Subject: Emailing: petrauskas trailer_20161109081208
Please review the attached trailer application, if there are any concerns regarding the renewal of this permit, please
advise this office.
Thank you,
Bonnie J. Doroski
Deputy Town Clerk
Your message is ready to be sent with the following file or link attachments:
petrauskas trailer_20161109081208
Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file
attachments. Check your e-mail security settings to determine how attachments are handled.
i
ELIZABETH A. NEVILLE, MMC �� �/y Town Hall,53095 Main Road
TOWN CLERKc P.O_Box 1179
C13 Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS . Fax(631)765-6145
MARRIAGE OFFICER ,
RECORDS MANAGEMENT OFFICER �� �a0 Telephone
FREEDOM OF INFORMATION OFFICER www-southoldtownny.gov
765-1800
www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fees
$250.00 (for maximum of six (6) months) Must be submitted with application.
$100.00 (for maximum of 6 months) for trailer on land used in agricultural
production. (see attached, proof may be required) Fee must be submitted with
application.
Please check one:
New Application ( ) Renewal (. Permit No. 7
Received Date: 111311011 V7
14
Issue Date: Expiration Date:
Name of Applicant: =8out1hio1d],h"NY
PQtrauskas
Mailing Address: Harbor Rd.
11§7 1-4506
Telephone No. � --*l 7,6 a� 4GS
Applicant is: (q6wner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises,<, , �5
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants 4& Names: �� �'t� 2.
MailingAddress
Telephone No.: �r
Employer of OccupantG �r�
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
E UtzSCTM#: c��—
P mit will not be issued if the SCT.M# is not provided
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy 1
3. Period of time trailer is to be located on premises:
Lot Size: Front '/Qy Rear 7S" Depth �� 3 k
Date of purchase or lease of land 3 ^ -�_`(--
Zoning District for premises: L/ 3/` e&
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information•
Length Go"' Width f Height j' h
Registration No. &A Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
A-7�
State of New York
County of Suffolk
4nnPQ-'`1��S� S being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that t trailer will be located in the manner set
forth in the application filed herewith.
(Signature)
Swor4 tobefore me this 3 day of
, 2
7 &��X- A
(Notary Public) BONNIE].DOROSKI
Notary Public,State Of New York
No. O1D06095328, Suffof aunty
Term Expires July 7,20
I
r-•_ j i
t,A
ELIZABETH A.NEVILLE,MMC y. Town Hall,53095 Main Road
TOWN CLERK a y` P.O. Box 1179
r®is :' Southold,New York 11971
REGISTRAR OF VITAL STATISTICS v® ® Fax(631)765-6145
MARRIAGE OFFICER ®� ��'J Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 10/30/2015
Issued to: Petrauskas, Joseph W
Address: 1250 South Harbor Rd
Southold,NY 11971
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St.,Mattituck
.,
SCTM#: ` 140-2-37
Pursuant to application dated 10/30/2015. Expiration Date: 04/18/2016 !
This renewal permit is granted for a six(6) month period.
Elizabeth A.Neville
Southold Town Clerk
i
1
3
ELIZABETH A.NEVILLE,MMC ��• G,y Town Hall,53095 Main Road
TOWN CLERKP.O.Box 1179
co
CIO a Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ® Fax(631)765-6145
MARRIAGE OFFICERTelephone
RECORDS MANAGEMENT OFFICER ®,( �°��
FREEDOM OF INFORMATION OFFICER www.southoldtownnygov
765-1800
www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee .
250.00 (for maximum of six (6) months) Must be submitted with application.
_$100.00 (for maximum of 6 months) for trailer on land used in agricultural
production. (see attached, proof may be required) Fee must be submitted with
application.
Please check one:
New Application ( ) Renewal ( Permit No.
Received Date:
Issue Date: Expiration Date:
Name of Applicant: i Joseph Petrauskas�
Mailing Address: 1250 S Harbor Rd.
° Southold,NY 11971-4506
-J
Telephone No.
Applicant is: (d�wner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants & Names: /-/0 L`/,�s9i✓� ��� ¢ '✓��s -;"G;,,/� .
MailingAddress
Telephone No.:
Employer of Occupant
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
�C7 /%ALL 57�
SCTM #:
Permit will9 not provided
Mortes aro.ow
5 a UO3 baillinu
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancyi��
3. Period of time trailer is to be located on premises:
/ Al'�OZ-, �*-TX
Lot Size: Front Rear Depth
Date of purchase or lease of land
Zoning District for premises:. .
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper. Q
Trailer Information:
Length Width Height '
Registration No. Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
State of New York
County of Suffolk _
,-}'}r'OU(, CQ��j being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
rile this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application riled herewith. t%
r /l (Signature)
Sworn to before me this "> 0 day f
20
SABRINA M BORN
'(Notary Public) �IateryPublia State of NeW11mk
No.01 B083tt038
Qualified in Suffolk County
cammission DOM DeG 22.2013
l
ELIZABETH A. NEVILLE, MMC �� �/y Town Hall,53095 Main Road
TOWN CLERK ® P O.Box 1179
2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS O Fax(631)765-6145
MARRIAGE OFFICER 'f'� ®� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �l �►� www.southoldtownnygov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN.OF SOUTTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION VIAS ADOPTED BY Tgg
SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON'DECEMBER 23, 7ggg_
RESOLVED that the Town Board of the Town of Southold hereby adopt the falldwing
.%amended Policy Regarding Trailer Permits, effective immediately:
POLICY REGARDING TRAILER PERMITS
WHEREAS, Section 100 '3°.2 of the SoLik;Old 1 own Code auth.orizes the Town
Board to issue permits for an autor,oeile trailer or house ter, and
WHEREAS, the proliferation of these trailers is not encouraged, and is the policy
Of the Town Scard to issue such permits only uporl an adequate showing cf
necessity and hareship, subject to such conditions relating to ,cermit{erm and
use as the Board shall deem appropriate; now, therefore, be it .
RESOLVED that the Town Board 1h ereby detef-mines tat the fcllowing are
appropriate reasons for issuance of a trailer permit.-
1
ermit:1. Use of the trailer by a waie,',man in order to ensure- the sac,;rml Of a
site. There should be no rent Colleted inassLc:aticn with such, a use i ne
cL'DIICant Si Gt:id rr8S2:it aVlG'2n of a f 1SCf'f GT ree.,,.,�(; ( t{iOIcUCns on Site'NfSIC:�
net SSitate a'Aratc:lman an site.
2. Use Of the trailer as temccrary ^cLisinc curing the ccns�:Gvcn rr _
rbOid--ing cf a residential szr_-cz Ire. Tine-emit mall niv C@ :5ji3eL' `cr the
^e;iCd ^er..rS cfV C eIicC: E feCc:r_ ;::e aGClicant Siafl :�Tr'Se.I ell1Cence
:I IICIriC �2. it -r:C an esurnareG{ C:C1SIrL:CvGr7 SC:eC(�!�
ti.
3. Use of the trailer has existed.prior to the adoption of the code in 1957.
The applicant shall provide evidence that the trailer has been on-site and used
since 19,,57 or earlier_
4.- Use of the tZ aiidr,for-seasonal arm laborer housing_ the percent shall
be issued for this limited purpose and will be discontinued if the need for
housing dea eases_Tne-applicant-shall;orovide-evidencr of need, availability of
existing housing, and other relevant information_
5. Use of the trailer for rdsidential purposes, under a previously issued
permit, ager destruction of the trailer by an Act of Gods if the presence of the
trailer is consistent with the chartder of the neighborhood_*
The Town Board may impose other wrditions on permrs as it deems necessary,
based an the Gcts associated with the individual.applications.
Q_TL�/k
Eliza eth A. Neville
Southold Town Clerk
June 11,2014
.d
"Land used in agricultural production" means not less than seven acres of land used as a
single operation in the preceding two years for the production for sale of crops, livestock
or livestock products of an average gross sales value of ten thousand dollars or more; or,
not less than seven acres of land used in the preceding two years to support a commercial
horse boarding operation or a commercial equine operation with annual gross receipts of
ten thousand dollars or more. Land used in agricultural production shall not include land
or portions thereof used for processing or retail merchandising of such crops, livestock or
livestock products.
N.Y. AGRICULTURE AND MARKETS LAW§301
®�uFF0LIrc0
ELIZABETH A.NEVILLE,MMC ��� ly Town Hall,53095 Main Road
TOWN CLERK ® P.O.Box 1179
e/s Y Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER ®� �`�® Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 127
Name: Petrauskas,Joseph W
Address: 1250 South Harbor Rd
Southold,NY 11971
City ST Zip:
* *RENEWAL NOTICE
This is to advise you that your Trailer permit will expire on 10/16/2015
Enclosed is a trailer permit application. Complete the application,have your signature notarized and return
it to this office with the required fee located on the enclosed application as soon as possible. Please make
your check or money order payable to the"Southold Town Clerk".
If your application and fee are not received on or before 10/16/2015 your Permit will be revoked and you
will be required to remove the trailer from the premises. Thank you for your cooperation.
Very trul ;yo�
Elizabeth-A.-Neville
Southold Town Clerk
Enclosure
SECOND NOTICE
ELIZABETH A.NEVILLE,MMC �y� y Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
y Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ® Fax(631)765-6145
MARRIAGE OFFICER y� ®! Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD '
Organization Name: Permit Number: 127
Name: Petrauskas,Joseph W
Address: 1250 South Harbor Rd
Southold,NY 11971
City ST Zip:
* * RENEWAL NOTICE
This is to advise you that your Trailer permit will expire on 10/16/2015
Enclosed is a trailer permit application. Complete the application, have your signature notarized and return
it to this office with the required fee located on the enclosed application as soon as possible. Please make
your check or money order payable to the"Southold Town Clerk".
If your application and fee are not received on or before 10/16/2015 your Permit will be revoked and you
will be required to remove the trailer from the premises. Thank you for your cooperation.
t
M
E ' abeth"A7e+vile
Southold Town Clerk
Enclosure
o�oS�FFOLAr
ELIZABETH A.NEVILLE,MMC may. P/y Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
y Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ® .�' Fax(631)765-6145
MARRIAGE OFFICER 'j' Qt' Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER o.( , �+� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 04/22/2015
Issued to: Petrauskas, Joseph W
Address: 1250 South Harbor Rd
Southold,NY 11971
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 04/22/2015. Expiration Date: 10/16/2015
This renewal permit is granted for a six (6)month period.
Elizabeth A. Neville
Southold Town Clerk
I ,
ELIZABETH A. NEVILLE,MMC �Z4 �Gy Town Hall,53095 Main Road
TOWN CLERK oa P.O.Box 1179
COD 2 Southold,New York 11971
REGISTRAR,OF VITAL STATISTICS p ® Fax(631)765-6145
MARRIAGE OFFICER y
iff Q Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER o1 , �`� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fees:
_ 250.00 (for maximum of six (6) months) Must be submitted with application.
_$100.00 (for maximum of 6 months) for trailer on land used in agricultural
production. (see attached, proof may be required) Fee must be submitted with
application.
Please check one:
New Application ( ) Renewal Permit No.
Received Date: I `�
Issue Date: _ __ Expiration Date: "l ��J 1��� l� [-k(
I___________ �
Name of ApplicanJOSEPH W PETRAUSKAS
t:
Mailing Address: .- 1250 S HARBOR RD
SOUTHOLD NY 11971-4506
Telephone No.
Applicant is: Awner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants & Names: (
MailingAddress
Telephone No.:
G 3/
Employer of Occupant Zczm& Y"5- �e w e-
_ (Name), (Address) (Telephone Number)
Property Information
Street address of land on which trailer will,be located:
4� QAl G��)
SCTM #•• e3�e ��fa6 �iW-1A AJ
SA
Permit will n6tjbeEissuecgfl},e� C'T1Vt# is not provided
10RU03}?9o11u�63i beiiil��s
�to�,�1h�P�a��iclu�aa�tia�pa�mra�
Existing use and occupancy of premises and intended use and occupancy of proposed traiie
1. Existing use and occupancy
2. Intended use and occupancy �s �
3. Period of time trailer is to be located on premises:
IA/Pi5 -ZdX
Lot Size: Front � _ �. 254— 'D pth
Date of purchase or lease of-land
Zoning District for premises: r `
Does proposed use violate any zoning ordinance or law? (A�o ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width `� Height
Registration No. '�Seria&No.
Method of Sewerage disposal
Source of Water,Supply
Source of Electricity
IMPORTANT
Cony of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
State of Now York-
County of Suffolk
O'W Vl Uj 3,6'ca Q5 being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief, and that he trailer will be loc ted in the manner set
forth in the application filed herewith.
ignature)
Sworn to before me this oid- day
0,0 Cil , 201S
LAUREN M.STANDISH
r/�,, , tp-7n . Ala(rip h Notary No.OI ST6164008State of �Y�
(Notary Public) Qualified in Suffolk County
Commission Expires April 9,20119
"r
S10 .0 I Lf
ELIZABETH A. NEVILLE,MMC �� Gy Town Hall,53095 Main Road
TOWN CLERK o P.O.Box 1179
rJa = Southold,New York 11971
REGISTRAR OF VITAL STATISTICS � . Fax(631)765-6145
MARRIAGE OFFICER 4,�
O Telephone(631)765-1800
- ---------RECORDS-MANAGEMEN-T-OFFICER------- -�j �`� --- - - -- — - – ----- - - --- ----
FREEDOM OF INFORMATION OFFICER www.southoldtownnygov
OFFICE OF THE TOWN CLERK '
TOWN OF SOUTHOLD
.. THIS I5 TO CERTIFY THAT THE FOLLOWING RESOLUTION W]AStADQ -13y THt
SOUTHOLD- TOWN BOARD AT .A REGULAR-MEETING HELD ON DEtbilhEF, 73,' _T996: '
RESOLVED that the Town Board of the Town of Southold hereby adapts the faltawing .
amended Policy Regarding Trailer Permits, effective immediately_
POLICY REGARDING TRAILER PERMITS
WH E;�EAS, Section 100-239.2 of the Southold gown Code aut,crizes the Town
Board to issue pe.,nits for an autowabile trailer or house ter, and
.•, ; WHEREAS, the proliferation of these trailers is not encouraged, and is the Policy
of the Town Board to issue such permits only U00r; an adequate showing of
necessity and hardship, subject to such conditions relating to permit tem. an ,
use as the Board shall deem appropriate; now, therefore, be it -
RESOLVED that the Town Board hereby determines that tae icllowing are
appropriate reasons for issuance of a trailer pe:,rnit:
1. Use of the trailer by a wat&,man in order to ensure the set-,;rity of a
_site. There-should be no rem coilered in assoc:aticn with such a use- i ne
acolicart sl.cuid rresz:;i evlde:�� of a his; or rem, ,qty�riciaiicns on site�i�
necessitate a°watchman an site.
2 Use cf the trailer as to ioGra� y^cosine cur:ns Lille ::.:nztr:cticr, cr
r ecLiidinc cr a -wide:;tial sir c �re. T,,:e;ermit snail oniy be Issue^--cr ..e
p enol inecassary 1C e ec: )'E re cFr_ -7'-e =cmicant buil ;,rrsant =°nCei ce
L-iiCinc per7m-it and an astirna.ed CChSIrL:ctGri Sc:,e,_,iuis.
a
3. .Use of the trailer has eMsted,prior to the adopticn of the code in 1'57.
- --- - - - -
--- - -- - - -__ The applicant stial!}provide Evidence that the trailer has been on-site and used
since 1957 or earlier_
4. Use of the trailer for seasonal farm laborer housing_ The permit shalt
be issued for this limited purpose and will be discontinued if the need for
housing decreases. Tne-applicant-shall-provide-evidence of need* availability of
existing housing, and other re!evant information_
5. Use of the trailer for residential purposes, under a previously issued
permit, ager destruction of the !railer by an Act of Cod, if the prese:��of the
trailer is consistent with the charmer of the neighborhood_
The Town Board may impose other conditions an permits as it deems necessary,
based an the facts associated with the individual.applications.
E"ethA. le
Southold Town Clerk
June 11, 2014
T
"Land used in agricultural production" means not less than seven acres of land used as a
single operation in the preceding two years for the production for sale of crops, livestock
or livestock products of an-average gross sales value of ten thousand dollars or more; or,
not less than seven acres of land used in'the preceding two years to support a commercial
horse boarding operation or a commercial equine operation with annual gross receipts of
ten thousand dollars or more. Land used in agricultural production shall not include land
or portions thereof used for processing or retail merchandising of such crops, livestock or
livestock products.
N.Y. AGRICULTURE AND MARKETS LAW§301
"0'
ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road
TOWN CLERK 'P O Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER Telephone(631) 765-1800
RECORDS MANAGEMENT OFFICER www southoldtownn
FREEDOM OF INFORMATION OFFICER y gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 11/12/2014
Issued to: Petrauskas, Joseph W
Address: 1250 South Harbor Rd
Southold,NY 11971
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 11/12/2014. Expiration Date: 04/16/2015
This renewal permit is granted for a six (6) month period.
Elizabeth A. Neville
Southold Town Clerk
ELIZABETH A.NEVILLE,MMC oj• ®l/y Town Hall,53095 Main Road
TOWN CLERK o P.O.Box 1179
CIO 2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 5 ® •�` Fax(631)765-6145
MARRIAGE OFFICER �� ��' Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER ®.( `j►� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fees
_$250.00 (for maximum of six (6) months) Must be submitted with application.
_$100.00 (for maximum of 6 months) for trailer on land used in agricultural
production. (see attached, proof may be required) Fee must be submitted with
application.
Please check one:
New Application ( ) Renewal Permit No. 7
Received Date:
Issue Date: Expiration Date:
JOSEPH W PETRAUSKAS
Name of Applicant: 1250 S HARBOR RD
Mailing Address: `kjjOr
SOUTHOLD NY 11971-4506
Telephone No. o O.-6 j
Applicant is: ( Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises 45 AXa 4/
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants & Names:
MailingAddress
Telephone No.:
Employer of Occupant
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will-be located:
SCTM#:
Permit:1.,iP noit,V lfit bld4f tke',SCTM# is not provided
�y836�s8� oVl
�Inuoo wltl?fit e
p�;gtaUsa°o�'l,e5n oh=7 nolUlm
na�
y
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy
3. Period of time trailer is to be located on premises:
Lot Size: 'Front Rear Depth
Date of purchase or lease of land
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width Height
Registration No. Serial No.
Method of Sewerage disposal
Source of Water`Supply
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
State of New York -- ` -
County of Suffolk
x.10 SEff W • PETRO U-S xis being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief, and that the trailer will be located in the manner set
forth in the application filed herewith. 14 77�
(Signature)
Sworn to,before me this /2 day o
moves 66TZ - ,201 `/
No!!t661 A._R1 j}E
(Nota Public)§likO4 lOw York.
k.C
1�u81ilieq jn48538�6
EoitirtlfBSiprbl: �Su1101
fBaf�OvonWEr30. ck
i
ELIZABETH A. NEVILLE,MMC �� �'/y Town Hall, 53095 Main Road
TOWN CLERK ® PO.Box 1179
era 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 1 .F Fax(631)765-6145
MARRIAGE OFFICER 'f �� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER . . �r �►� wwwhone(631)765- 800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION VIAS ADOPTS 13Y THE
SQUTHOLD- TOWN BOARD AT A REGULAR MEETING HELD ON DEt.II4ri$ER 7-3, r996_
RESOLVED that the Town Board of the Town of Southold hereby adopts the faElawing
.;-amended Policy Regarding Trailer Permits, effective immediately:
POLICY REGARDING TRAILER PERMITS
WHEREAS, Section 100-4-39.2 of the Souit:old Town Code aLtllorizes the Town
Board to issue pe.,nits for an autoobile trailer cr house ter, an
r; d
WHEREAS, ft;e Proliferation of these trailers is not encouraged, and is the poiicr
Of the Town Board to issue suclh permits onfy upon an adequate showing of
necessity and hardship, subject to such conditions relating to permit term acid
use as the Board shall deem appropriate; now, therefore, be it
RESOLVED that the Town Board hereby -4 to rm nes that the fclIowing are
appropriate reasons ;or issuance of a trailer permit_
1. Use of the trailer by a wat&jman in -order To ensure the set-c ;r:ty�a
site. i neve should be no rent c clleced in assLc:aticn �Mtih suc.�: a Lse i ne
L'DIICcnt Si,GUId r^,r v�;It e1/iG�2;1C'3 QI'a his""Crf Of rzcity `tiG(cI1Gt15 on SSE 1fETIC�'
necessitate a-watchman on site.
2. Use of the trailer as temporary;Gusino during he corzt uctcr; r
rep -iiding of_ .-wide:;tia .acture. ni
i s7 i�.:e;.em?it scall o be ssu 'cre
: ;;ericd neressaiV C eject 'e repair_ ;,;:e acp icant s ,ail pre-sent =--idence w
t;uiicing cerMftk _rad an eszirr;arnd ccnsdz:cncr sc:�eMuiY.
3. Use of the trailer has existed prior to the adoption of the code In 19571.
The-applicant shall provide evidence that the trailer has been on-site and used
since 1957 or earlier-
4.
arlier_4. Use of the trailer for seasonal farm laborer housing_ The penni"t shall
be issued for this limited purpose and will be discontinued if the need for
housing decreases. Tne-applicant-shall-provide evidence of need, availability of
existing housing, and other relevant information_
5. Use of the trailer for residential purposes, under a previously issued
permit, ager destruction of the trailer by an Act of Cod, if the presersLms of the
trailer is consistent with the character of the neighborhood-
The
�borhood_
The Town Board may impose other conditions an perms as it deerns necessary,
based an the facts associated with the individual.applications.
"ethA. le
Southold Town Clerk
June 11,2014
"Land used in agricultural production" means not less than seven acres of land used as a
single operation in the preceding two years for the production for sale of crops, livestock
or livestock products of an average gross sales value of ten thousand dollars or more; or,
not less than seven acres of land used,in the preceding two years to support a commercial
horse boarding operation or a commercial equine operation with annual gross receipts of
ten thousand dollars or more. Land used in agricultural production shall not include land
or portions thereof used for processing or retail merchandising of such crops, livestock or
livestock products.
N.Y. AGRICULTURE AND MARKETS LAW§301
o�oguFFo(�-�,
ELIZABETH A. NEVILLE,MMCTown Hall,53095 Main Road
may. Gy
TOWN CLERK oZ P.O. Box 1179
y Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p • Fax(631)765-6145
MARRIAGE OFFICER �'� �`` Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �,( `�►a www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fees:
_$250.00 (for maximum of six (6) months) Must be submitted with application.
_$100.00 (for maximum of 6 months) for trailer on land used in agricultural
production. (see attached, proof may be rewired) Fee must be submitted with
application.
Please check one:
New Application ( ) Renewa (`/� Permit No. �-
Received Date: �'
/4 )Issue Date: l to ( ly Expiration Date:
Name of Applicant: Ls%
Mailing Address: LL
�--
Telephone No. t'L
Applicant is: ( )Owner ( )Lessee )Agent forOwnerOwner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer: �—
Number of Occupants & Names: /
MailingAddress
Telephone No.:
Employer of Occupant
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
SCTM#:
Permit will not be issued if the SCTM# is not provided
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy
3. Period of time trailer is to be located on premises:
Lot Size: Front Rear Depth
Date of purchase or lease of land
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width Height
Registration No. Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Cony of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
State of New York
County of Suffolk
being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be 1 ted in the manner set
forth in the application filed herewith. -
��
(Signature)
Sw n to before me this a dayod"'- f
(Notary Public
��,►FFO[�
lbwn Hall,
ELIZABETH A.NEVII.LE,MMC P
. 53096 Main Road
��
P.O.Boz 1179
TOWN CLERK = Southold,New York 11971
REGISTRAR OF VITAL STATISTICS v$ Fax(631)766-6145
MARRIAGE OFFICER 'j',� aQ�' '1lalephone(631)765-1800
RECORDS MANAGEMENT OFFICER Ol '�► www eoutholdtownnygov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 11/20/2013
Issued to: Petrauskas,Joseph W
Address: 1250 South Harbor Rd
Southold,NY 11970
A permit is hereby issued to locate a single trailer,as follows:
License No.: '
Serial No.:
Located at: 490 Hill St.,Mattituck
SCTM#: 140-2-37
Pursuant to application dated 11/20/2013. Expiration Date: 0406/2014
This renewal permit is granted for a six(6)month period.
Elizabeth A.Neville
Southold Town Clerk
r
0f FO4�O
ELIZABETH A. NEVILLE,MMC �y� Town Hall,53095 Main Road
TOWN CLERK 0 P.O. Box 1179
W3 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS • .F Fax(631)765-6145
MARRIAGE OFFICER O'j'� �`' Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $250.00 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ( ) Renewal oz Permit No. I 7
Received Date:
Issue Date: Expiration Date:
Name of Applicant: ""''jam// �/ X "" /ty�s
Mailing Address:
Telephone No.
Applicant is: (fjt "er ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants &Names:
MailingAddress
Telephone No.:
Employer of Occupant
Property Information (Name) (Address) (Telephone Number)
Street address of land on which trailer will be located:
SCTM#:
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy
3. Period of time trailer is to be located on premises:
A
Lot Size: Front Rear Depth
Date of purchase or lease of land
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width Height
Registration No. Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existinpjproposed trailer must be
attached to this application.
State of New York
County of Sufifolk,
being duly sworn, deposes
and says that that (s)he is the applicant named-a 4 and`( ) he is authorized to make and
file this application; and that all statements contai4d in-Jhis application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith.
(Signature)
Sworn to before me this OZy day
(Nota Publi )
LINDA J COOPER
NOTARY PUBLIC,State of New York
NO.01C04822563, Suffolk Coun
Term Expires December 31,20
"Land used in agricultural production" means not less than seven acres of land used as a
single operation in the preceding two years for the production for sale of crops, livestock
or livestock products of an average gross sales value of ten thousand dollars or more; or,
not less than seven acres of land used in the preceding two years to support a commercial
horse boarding operation or a commercial equine operation with annual gross receipts of
ten thousand dollars or more. Land used in agricultural production shall not include land
or portions thereof used for processing or retail merchandising of such crops, livestock or
livestock products.
N.Y. AGRICULTURE AND MARKETS LAW§301
o -
o��4F SO�jyO
ELIZABETH A.NEVILLE,RMC,CMC l0 Town Hall,53095 Main Road
TOWN CLERK t ( P.O.Box 1179
REGISTRAR OF VITAL STATISTICS 0-7 Southold, New York 11971
MARRIAGE OFFICER ; • �O Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ��,Y + Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER COUhCfY southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Pleas -o
e-e-heekne: —___ -- --New Application O Renewal Permit No.
Received Date: �J p
Issue Date: 4 Expiration Date:
Name of Applicant: / G� I
Mailing Address:
Telephone No.
Applicant is: (,"%')10b'wner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants Z & Names: i'f�Gs 4 l.�✓►� G� �,�y�-,�/��g�/
MailingAddress f1 G G
TelephoneNo.:
Employer of Occupant
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
1 qtoo z
SCTM #:
Existing use and occupancy of premises and intended use and occu ancy of proposed trailer:
1. Existing use and occupancy AL/14/2
2. Intended use and occupancy
3. Period of time trailer is o e located on premises:
Lot Size: Fronta 4 I '
Date of purchase or lease of land Rear Depth_...P- 3 Z
Zoning District for premises: L �s
Does proposed use violate any zoning ordinance or law? ( )No y
If yes, explain on separate paper. ( ) es
Trailer Informatio :
Length Width
Registration No. Height/ ice„
Method of Sewerage disposal Serial No.
Source of Water Supply
Source of Electricity
IMPORTANT
Coof surve showiniz location of existin buil sand existin / ro 0
attached to this a lication. sed trailer must be
State of New York
County of Suffolk
be oduly sworn, deposes
file this application; and that all statemand says that that (s)he is the applicant named above and (s) he isauthorized tomake and
ents contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith.
Sworn to befo a this LS�� (Signature)
----d of
(No a Y Public)
ROBERT I. SCOTT,JR.
Notary Public,State of New York
Qualified in Suffolk County
No.01SC4725089
Term Expires May 31, 701 Z'�
r..
✓i v`
a
y �z
J �
,
t
� S
N . . . • ��S�FFO(,��,0
ELIZABETH A.NEVILLE,MMC ��� r/y Town Hall,53095 Main Road
TOWN CLERK C P.O. Box 1179
H Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICSpy • �� Fax(631)765-6145
MARRIAGE OFFICER 0 Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $250.00 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ( )l Renewalx Permit No. 1227
Received Date:
Issue Date: 20 Expiration Date:
Name of Applicant:
Mailing Address: E
Telephone No.
Applicant is: ( )Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants & Names:
MailingAddress
Telephone No.:
Employer of Occupant
Property Information (Name) (Address) (Telephone Number)
Street address of land on which trailer will be located:
SCTM#:
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy
3. Period of time trailer is to be located on premises:
Lot Size: Front Rear Depth
Date of purchase or lease of land
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width Height
Registration No. Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/vroposed trailer must be
attached to this application.
State of New York
County of Suffolk
being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
Me this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith.
ignature)
Sworn to before me this day o
, 2
(Notary Public)
"Land used in agricultural production" means not less than seven acres of land used as a
single operation in the preceding two years for the production for sale of crops, livestock
or livestock products of an average gross sales value of ten thousand dollars or more; or,
not less than seven acres of land used in the preceding two years to support a commercial
horse boarding operation or a commercial equine operation with annual gross receipts of
ten thousand dollars or more. Land used in agricultural production shall not include land
or portions thereof used for processing or retail merchandising of such crops, livestock or
livestock products.
N.Y. AGRICULTURE AND MARKETS LAW§301
OpF SOUryol
ELIZABETH A.NEVILLE,RMC,CMC O Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
REGISTRAR OF VITAL STATISTICS G Southold, New York 11971
MARRIAGE OFFICER '� • �O Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER COU southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
ase-teaseone:
New Application ( ) Renewal tA Permit No. JAZ
Received Date: 3h.'/jV
Issue Date: Expiration Date:
Name of Applicant: /
Mailing Address:
�C ?�
Telephone No.
Applicant is: (/owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises SAr.10¢
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants 2-- & Names:.
MailingAddress G
Telephone No.: 193r +�L
Employer of Occupant a�i✓ —/1'i¢TT,�GvrlG/y fef�y
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
O
AfAT-r. / 19J_z
SCTM #: -'
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy FjyF/syjL� E3�y -
2. Intended use and occupancy
3. Period gf timee-,trailer is, Oe located on premises:
• Lot Size: Front �easeOf
1Rear, '
Date of purchase d ------ Depth—!L3 Z
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? No y
If yes,explain on separate paper. )yes
Trailer Informatio
Length Width
Registration No. Height d X;�
Method of Sewerage disposal Serial No.
Source of Water Supply
Source of Electricity
LMPORT-ANT -
Co of sunT showinlocation of existin buildin sand
i
exstin ro
attached to this a lication. osed trailer must be
/T
State of New York
County of Suffolk
and � 'M . Ye "'Zan
ccc?
says that that (s)he is the applicant named above and (s) hebsing duly sworn, deposes
authorized to make and
file this application; and that all statements contained in this application are true
knowledge and belief; and that the
best of(her) his knmanner the
forth in the application filed herewith. trailer will be located in the set
Sworn to befoa this �5 (Signature)
-__ _,.d of
(No a Public)
ROBERT 1.SCOTT.JR.
Notary Public,State of New York
Qualified in Suffolk County
No.01SC4725089
Term Expires May 31, 701 n
. Y
,
r
r
i r !
i
�- s V1.
• ��Sf,�f F0(,�co
ELIZABETH A. NEVILLE,MMC �•�� r/y Town Hall, 53095 Main Road
TOWN CLERKo P.O. Box 1179
CO2 Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p .F Fax(631)765-6145
MARRIAGE OFFICER y� �� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 127
Name: Petrauskas,Joseph W
Address: 1250 South Harbor Rd
Southold,NY 11970
City ST Zip:
* * RENEWAL NOTICE
This is to advise you that your Trailer permit will expire on 04/16/2013
Enclosed is a trailer permit application. Complete the application, have your signature notarized and return
it to this office with the required fee of$250.00 as soon as possible. Please make your check or money
order payable to the "Southold Town Clerk".
If your application and fee are not received on or before 4/16/2013 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,
Sou old Town le
Enclosure
Q�OgUFFO(,��0
ELIZABETH A.NEVILLE,MMC �� G.j, Town Hall,53095 Main Road
TOWN CLERKp P.O. Box 1179
COD Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 5 Fax(631)765-6145
MARRIAGE OFFICER 'y�o aQ� Telephone(631)765-1800
RECORDS OF MANAGEMENT OFFICER 1 'T► southoldtown.northfork.net
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 10/16/2012
Issued to: Petrauskas, Joseph W
Address: 1250 South Harbor Rd
Southold,NY 11970
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 10/16/2012. Expiration Date: 04/16/2013
This renewal permit is granted for a six(6)month period.
Elizabeth A. Neville
Southold Town Clerk
ELIZABETH A.NEVILLE so Town Hall, 53095 Main Road
TOWN CLERK ~ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER G Q Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER a0 Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER �li�'CoU'M,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ( ) Renewal (,11 Permit No. 7
Received Date: 101J 6
Issue Date: Z 01Z 12— Expiration Date: lc l Z-
-----------
Name of Applicant: Joseph Petrauskas
Mailing Address: 1250 S Harbor Rd.
Telephone No.
Southold, NY 11971-4506
Applicant is: Owner ( )Lessee ( )Agent for Own( -
fAM
Joseph Petrauskas
Name of Owner of Premises 1250 S Harbor Rd.
If owner is corporate, signature and title of duly aulSouthold, NY 11971-4506
Number of Occupants _J_& Names: �S d
MailingAddress L4 q 4 y;
Telephone No.:d j $
Employer of Occupant ,
(Name) (Address)AA1,611v (Telephone Number) w10N0-✓IV
Property Information
Street address of land on which trailer will be located:
9c� �L� Tic ?
SCTM #:
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy A�yo':F—
2. Intended use and occupancy je,,M�
3. Period of time trailer is to be located on premises:
V(Nlr L ,�'��M�`✓r/,gN�'".4�i�,�v L/�1 r'"1Po�? T�w�
Lot Size: Front Rear Depth
Date of purchase or lease of land
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width Height
Registration No. Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
State of New York
County of Suffolk W
�V© 4 �C'_T`1-a CX 5 G� S being duly sworn, deposes
and says thaf that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith.
/-(,A Signature)
Swor to b fore me this /& f`Lday of
, 2
V
(Notary Public)
CLAIRE L.QLEW
Notary Public,State of New York
No.01GL4879505
Qualified in Suffolk County
Commission Expires Dec.8, l�
i
Q�OggFFO��►�o
ELIZABETH A.NEVILLE,MMC �`Z` �j. Town Hall,53095 Main Road
TOWN CLERK P.O. Box 1179
CA : Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p Fax(631)765-6145
MARRIAGE OFFICERO aQ�' Telephone(631)765-1800
RECORDS OF MANAGEMENT OFFICER 1 '�► southoldtown.northfork.net
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 04/04/2012
Issued to: Petrauskas, Joseph W
Address: /a
Mattituck,NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant fo application dated 04/04/2012. Expiration Date: 10/15/2012
This renewal permit is granted for a six (6) month period.
Elizabeth A.Neville
Southold Town Clerk
Lot Size: Front Rear Depth
Date of purchase or lease of land
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width Height
Registration No. Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
State of New York
Countyyoof Suffolk ,
O&C,lkU A/
t`e S�Ci(5 being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief, and that the trailer will be located in the manner set
forth in the application filed herewith.
"Y�• 4
ignature)
Swo to before me this day o
/ , 2 Old, .
o Public)
CLAIRE L GLM
Notary Public,Sfats of New York
No.0JG"879608
Qualified in Suffolk Cour
Commission'Expires Dec.8,
SOF SO(/l
ELIZABETH A.NEVILLEh�� y�lO Town Hall,53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 41 Southold, New York 11971
MARRIAGE OFFICER G Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER rO Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER lif'`+ southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ( ) Renewal ( ) Permit No.
Received Date:
Issue Date: Expiration Date:
Name of Applicant:
Mailing Address:
Telephone No.
Applicant is: ( )Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants & Names:
MailingAddress
Telephone No.:
Employer of Occupant
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
SCTM #:
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy
3. Period of time trailer is to be located on premises:
jL--,-n-ILLF.,,w4c,CMC Town Hall,53095 Main Road
7rj1F%-CLERK41
P.O.Box 1179
Southold,New York 11971
` �S yQ Fax(631) 765-6145
-7' .—,- Telephone(631) 765-1800
southoldtown.northfork.net
OYTICE OF TIS TOWN CLERK
AF'FLTCaTT0N
z�-Tf?'%T0B1 F- T?-NTLER OR HOUSE CAR
Fee: S100 (for maximum of six (6) months) Must be submitted with application.
----Please ehe ontew
New Application O Renewal..0 Permit No.
Rtcri,ved Harr- C
-a' i_in Date:
w �G
Telephone No. 74
Applicant is: Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants Z & Names: itil,�s 4 ��c✓►��G �yiJ�'ii�Fy7A�
Mail ngAddress L G
Employer of Occupant 4gd/ i✓� —/l1�¢TT��ivr!`G�y 1•�f�� .
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
Aill7mic-4 -'q
SCTM #:
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy � i�►f�`/L/�fyiyec
2. Intended use and occupancy
3. Period Qf time trailer iso a located on premises:
1 �
Lot Size: Front 4 4 Rear t
Date of purchase or lease of land Depth Z 3 Z
Zoning District for Premises: --r-
Does
remises: €f
Does proposed use violate any zoning ordinance or law? Otios 'es
If yes, explain on separate paper.
Trailer Information:
Length_/d width / L
Registration No. Height
Method of Sewerage disposal Serial No.
Source of Water Supply
Source of Electricity
_ IMPORTANT
Copy of survey showing,location of existin bun s and esistime' r`,P�4:F� trailer u�vst be
attached to this application
State of New York
County o(f'Suffolk
and says that that (s)he is the applicant named above and (s) helislng authoriz d torn
omake and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the L- i . . ._ -__
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o�OgUFFO(,��,
ELIZABETH A. NEVILLE, MMC �� �Gy Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
N 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145
MARRIAGE OFFICER
Q Telephone (631) 765-1800
RECORDS OF MANAGEMENT OFFICER ;91 �a southoldtown.north fork.net
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 10/07/2011
Issued to: Petrauskas, Joseph W
Address: P. O. Box 295
Mattituck, NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant-to application dated 10/07/2011. Expiration Date: 04/07/2012
This renewal permit is granted for a six (6) month period.
ElizaLyeth A. Neville
Southold Town Clerk
O��OF SO(/ryol
ELIZABETH A.NEVILLE,RMC,CMC ti O Town Hall, 53095 Main Road
TOWN CLERK l 41 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Southold, New York 11971
MARRIAGE OFFICER '� • i0 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICERl Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER yCOU southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ( ) Renewal ( Permit No.
Received Date: g`2sh/
Issue Date: �oT� t� Expiration Date: "7 (1 -2-
Name
1 -2-Name of Applicant:
Joe �e�-vav s�n�,
Mailing Address: -►.O. -%,60)0 Qq5
Telephone No.
Applicant is: ( )Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants �2 & Names:_ ANI��S' /ei1/^/,E �,,/�' 1i1��Taj.
MailingAddress 6�20 Sr
Telephone No.: y —
Emplover of Occupant A 1;e&W p) - 73 �oy�
Property Information (Name) (Address) (Telephone Number)
Street address of land on which trailer will be located:
LL
r sy
SCTM #:
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy
3. P riod of time trailerjs to be located on premises:
71
r o vE' off G�lQ,
dA//
Lot Size: Front ZC70 Rear Depth
Date of purchase or lease of land
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information: per/
Length Width Height
Registration No. Serial No.
Method of Sewerage disposal C4SyPy©l-
Source of Water Supply 144 z
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application. 4 ./
State of New York
County of Suffolk
being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith.
��
ignature)
Sworn to before me this day o
,2 O/r .
(Notary Public)
CLAIRE L G LEW
Notary Pulft,Stats of New York
No.01OL4879505
QWKW in Suffolk County
Commb"expires Dec.8,7'Ll
'7z
�pf S0
ELIZABETH A. NEVILLE, RMC, CMC '`� l0 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N Southold, New York 11971
MARRIAGE OFFICER � Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER � � � Telephone (631) 765-1800
FREF,DOM OF INFORMATION OFFICER UNI�, southoldtown.northfork.net
-rzcci•-
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 03/18/2011
Issued to: Petrauskas, Joseph W
Address: P. O. Box 295
Mattituck, NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM4: 140-2-37
Pursuant to application dated 03/18/2011. Expiration Date: 09/14/2011
This renewal permit is granted for a six (6) month period.
Elizabeth A. Neville
Southold Town Clerk
f
*pF SO(/j�,o
ELIZABETH A.NEVILLE,RMC,CMC '`� l0 Town Hall,53095 Main Road
TOWN CLERK J�f P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N Southold, New York 11971
MARRIAGE OFFICER • �O� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � Telephone(631) 765-1800
COMM
FREEDOM OF INFORMATION OFFICER , southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application O Renewal ( Permit No.
Received Date:
Issue Date: Expiration Date:
Name of Applicant:
Mailing Address:
Telephone No.
Applicant is: ( )Owner ( )Lessee ( )Agent or�w er ( )Age for Lessee
Name of Owner of Premises
If owner is corporate, signat re d title of duly author' d fficer:
Number of Occu az s Na s.
MailingAddress
Telephone No.:
Employer of Occupant
(Name) ddress) (Telephone Number)
Property Information
Street address of land on which trailer wi a located:
SCTM #:
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy
3. Period of time trailer is to be located on premises:
Lot Size: Front Rear Depth
Date of purchase or lease of land
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width Height
Registration No. Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
State of New York
County of Suffolk -
AN O S 0.s being duly sworn, deposes
and says that tha (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief, and that the trailer will be located in the manner set
forth in the application filed herewith.
(S' nature)
Sworn to b ore a this day of
r , 2 V u
( ary Public
idin
1. SCOTT,JR.
State of New Yqt%
�i { Suffolk County
%,,OiSC472508
Turin tkp"irft May 31.
*pF SO!/ly0
ELIZABETH A. NEVILLE, RMC, CMC Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER �O Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER 0�'. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER Cow,N southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application O Renewal Permit No. Z 7
Received Date: q
Issue Date: Expiration Date: 3/
Name of Applicant: . v
Mailing Address: p
a� C_
Telephone No.
Applicant is: (Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants � & Names: sjF f .I-
MailingAddress yT,jjj'.�;, 5,7-
Telephone No..
Employer of Occupanty2
Property Information
(Name) (Address) (Telephone Number)
_
Street address of land on which trailer will be located:
SCTM #:
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy '
f
3. Period of time trailer is to be located on premises:
Lot Size: Front 6� Rear 7B / Depth —33
Date of purchase or lease of land — a
Zoning District for premises: J-1 CS
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information: � � �-x� /� � � 3� �
Length o Wid h Height
Registration No. Serial o. Aj 14
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existingjproposed trailer must be
attached to this application.
State of New York
County of Suffolk
S LFn i Ica Q being duly sworn, deposes
and says that that (s a is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief, and that the trailer will be located in the manner set
forth in the application filed herewith.
-l� e� -
(Signature)
Sworn to before me this da of
, 2
(Notary Public)
V
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1
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o��pF SO(/ryol
ELIZABETH A.NEVILLE,RMC,CMC ti O Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER • �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICERl Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER UIY I�,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 09/08/2010
Issued to: Petrauskas, Joseph W
Address: P. O. Box 295
Mattituck,NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 09/14/2010. Expiration Date: 03/14/2011
This renewal permit is granted for a six(6) month period.
Q�J
Elizatkth A. Neville
Southold Town Clerk
• o��pF SOl
ELIZABETH A.NEVILLE,RMC,CMC O Town Hall,53095 Main Road
TOWN CLERK 4 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER • Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER COU fl �,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ( ) Renewal Permit No. 7
Received Date: 9 11 it e) /-7
Issue Date: 3 Expiration Date: Iq
Name of Applicant: v
Mailing Address: p
Telephone No.
Applicant is: (Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises zs AT t c ate-8
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants _Z. & Names �y
MailingAddress }Q yzz ,tom rgr
ni 4r-': � Al /WSJ
Telephone No.: ;
a �:—o -3 2Z
Employer of Occupant 6MOOW �1�}-JT,/C►�'tCl� rGtiva� QisT; �9' 5�Z y2
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
SCTM#:
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy "
3. Period of time trailer is to be located on premises:
Lot Size: Front 16-0 Rear 78 /
O / Depth
Date of purchase or lease of land — a —
Zoning District for premises: J-. 18 CS
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information: / p� / / f
Length �® Wi•d�h a Height O / 3d C
Registration No. Iv Seriao. AJ /,d
Method of Sewerage disposal /
Source of Water Supply C.e'
Source of Electricity P
IMPORTANT
Copy of survey showing location of existing buildings and existingtproposed trailer must be
attached to this application.
State of New York
County of Suffolk
,s S being duly sworn, deposes
and says that that (spie is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith.
(Signature)
Sworn to before me this da of
,2
(Notary Public)
I
SOF SO .
ELIZABETH A.NEVILLE,RMC,CMC O l Town Hall, 53095 Main Road
TOWN CLERK #i[ l P.O.-Box 1179
REGISTRAR OF VITAL STATISTICS N Southold, New York 11971
MARRIAGE OFFICER �O� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER l Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER yCOViV I south oldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 03/15/2010
Issued to: Petrauskas, Joseph W
Address: P. O. Box 295
Mattituck, NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 03/15/2010. Expiration Date: 09/14/2010
This renewal permit is granted for a six (6) month period.
Eli abeth A. Neville
Southold Town Clerk
o�*pG SO!/lyol
ELIZABETH A.NEVILLE,RMC, CMC O Town Hall, 53095 Main Road
TOWN CLERK l l P.O. Box 1179
REGISTRAR OF VITAL STATISTICS CA Southold, New York 11971
MARRIAGE OFFICER �O Fax (631) 765-6145
RECORDS MANAGEMENT OFFICERl Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER yOu 11,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ( ) Renewal tA Permit No.
Received Date:
Issue Date: Q Expiration Date:
Name of Applicant: G
Mailing Address:
Telephone No.
Applicant is: ( owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
/17
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants Z & Names:��i'�Jis ¢ %;�� �ij�y►��6 �/
MailingAddress )L L
Telephone No.:
Employer of Occupant now—*Zlf% -/y1/1<T7,�GvrlG/f L�f��
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
v iC-
1MAx'T. AlK / I qft
SCTM #:
Existing use and occupancy of premises and intended use and occu ancy of proposed trailer:
1. Existing use and occupancy �Fyiycc
2. Intended use and occupancy
3. Period of time trailer is a located on premises:
y
Lot Size: Front ZP , Rear ,�� Depth Z 3 L
Date of purchase or lease of land -r
Zoning District for premises: LAAr
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width / Height d �! /Z X 3d ;F"
Registration No. Serial No.
Method of Sewerage disposal
Source of Water Supply L
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
State of New York
County of Suffolk
w • Ye �-tQo ,�-ka -c, being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief, and that the trailer will be located in the manner set
forth in the application riled herewith.
(Signature)
Sworn to befo a this d of
(No a Public)
ROBERT 1.SCOTT,JR.
Notary Public,State of New York
Qualified in Suffolk County
No.01SC4725089
Term Expires May 31, 2701 a
, e
*pf SO�lyO
ELIZABETH A. NEVILLE, RMC, CMC Town Hall, 53095 Main Road
TOWN CLERK l P.O. Box 1179
REGISTRAR OF VITAL STATISTICS cn Southold, New York 11971
MARRIAGE OFFICER �O Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �COu m,N southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 09/15/2009
Issued to: Petrauskas, Joseph W
Address: P. O. Box 295
Mattituck, NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 09/15/2009. Expiration Date: 03/14/2010
This renewal permit is granted for a six (6) month period.
Elizabeth A. Neville
Southold Town Clerk
r
ok�'OF SO�ryol
ELIZABETH A.NEVILLE,RMC,CMC O Town Hall,53095 Main Road
TOWN CLERK l P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER • COQ Fax(631) 765-6145
RECORDS
Telephone(631) 765-1800
FREEDOM OF MANAGEMENT ORMATION OFF CER OIycom,� s utho dt wn.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ( ) Renewal Permit No. /� 7
Received Date: 9
Issue Date: -/S-HJT Expiration Date:
Name of Applicant:
Mailing Address: ae';S-
r-1-
Telephone No. '4 3/- 7G 5'-SG ,
Applicant is: (46wner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises S /f 9
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants & Names:
MailingAddress y 4v /,<<6 C S r
/y�19- r /- //`;- 2,
Telephone No.: .2'0�k_ Zia 4,
Sig mss • s C `»A!-✓rte n.cF s-.?- a
Employer of Occupant CG,yviC i77,4Lr,&uMt� U�SrJ
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
Y!'o Ali LL s T
SCTM#:
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy / "/"/ c C-, S 'r 1,6
2. Intended use and occupancy s',gIn :F
3. Period of time trailer is to be located on premises:
/.vD �riv tJtFc.V
-over-
Lot Size: Front /DD Rear 7 r Depth 3
Date of purchase or lease of land �3 - .2 V 7�4 _.
Zoning District for premises: 1-6/ k JS
Does proposed use violate any zoning ordinance or law? (-VNo ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width / Height ° r` 1.2 x d
Registration No. Serial No.
Method of Sewerage disposal AV-5,51004.
Source of Water Supply
Source of Electricity G /P4t
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
! T
State of New York
County of Suffolk
1
being duly sworn, deposes
04
nd sa that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and Belief, and that the trailer will be located in the manner set
forth in the application filed herewith.
(Signature)
Sworn to befo this day f
,2
Public)
ROBERT 1.SCOTT,
Notary Public,State ew York
Quallo lified in nty
01SCu 2508 u9,.,, r '
Term Expires May 31, 11
t
743 -7 �f
I
ip
t�
0
V,6:V)
OF SO!/jyo
ELIZABETH A.NEVILLE,RMC, CMC Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR QF VITAL STATISTICS N Southold, New York 11971
MARRIAGE OFFICER ► • �O� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER COU NTI,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 04/14/2009
Issued to: Petrauskas, Joseph W
Address: P. O. Box 295
Mattituck, NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 03/14/2009. Expiration Date: 09/14/2009
This renewal permit is granted for a six (6) month period.
Elizabeth A. Neville
Southold Town Clerk
O��OF SOUjyol
ELIZABETH A.NEVILLE,RMC,CMC O Town Hall, 53095 Main Road
TOWN CLERK 41 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Southold, New York 11971
MARRIAGE OFFICER • �O Fax(631) 765-6145
RECORDS MANAGEMENT OFFICERTelephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER y�OUNTY,N ` southoldtown.northfork.net
RECr-I'JE�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD APR, 2009
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CARc q,,-!,,
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ( ) Renewal 64 Permit No.
Received Date:
Issue Date: Expiration Date:
Name of Applicant: Joseph Petrauskas
Mailing Address: P.O.Box 295
Mattituck,MY 11952-0295
Telephone No. 3 l 76 h','4dB
Applicant is:fi4Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises .,
If owner is corporate, signature an1l title of duly authorized officer:
Number of Occupants & Names:
MailingAddress j 90 //,e s>
Telephone No.: 7 y 2 6
X lyl�l d", y/ l ee-1,< ST. !�'.'v 2>;.itA�•s"� y'2-2 39Q
Employer of Oc' fw'e /�'1s1rT%ru/xJ�/y .M.9; Trp.
(Name) (Address) (Telephone�Number)
Property Information
Street address of land on which trailer will be located:
C7 �iLL
�'/J47yi7 i*CfAll,
SCTM#:
Existing use,and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy 1j6rj, - / re/Vic y
2. Intended use and occupancy r r t r
3. Period of time trailer is to be located on premises:
AIPI fiAIATlez
Lot Size: Front Rear Depth
Date of purchase or lease of land
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width Height
Registration No. Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity
IMPORTANT
�F
Copy of survey showing location of existing buildin and existin osed trailer must be
attached to this application.
r
f/
;i
State of New York
County of Suffolk
yo. 4&05kkx � being duly sworn, deposes
and says that tha (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief, and that the trailer will be located in the manner set
forth in the application filed herewith.
Signature)
Sworn to b or me this VVIC— day o/ 4
Ao,c ' 0
T .
tary Public)
R ERT 1.SCOTT,JR.
Not Public,State of New York
ualified in Suffolk County
No.01SC4725089
Term Expires May 31, Zd
�pF so
ELIZABETH A. NEVILLEyOIO Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER G Q Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �lycouf0m,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 09/08/2008
Issued to: Petrauskas, Joseph W
Address: P. O. Box 295
Mattituck, NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 09/14/2008. Expiration Date: 03/14/2009
This renewal permit is granted for a six (6) month period.
�Qr
Eliza eth A. Neville
Southold Town Clerk
10/03 '05 THLI 15:49 FAX 631 765 6145 SOUL'HOLD TOWli CLERK V.uu
Fr.rr.ABETB A.NBVILLE . Town Hall:53095 Maim Roast
TOWN CISIM P.O.Bax 1179
REGISTRAR OF VITAL STATISTICS � Southold,Now York 11971
1ViARFiIAG17 OFFICER �► 785 145
RE00EWS MANAGfEMENT OFFICER Telephone
((6S1)765-1800
FREEVQM OF INFOMUTION QFKCER aoutholdtown.n.or*E"ED
OFFICE OF THE TOWN CLERK SEP 8 2008
TOWN OF SOUTHOLD
APPLICATION S®oahold Town Clerk
SINGLE AUTOMOBILE TRAILER OR ROUSE CAR
Fee: $100(for maximum of six(6) months) Must be submitted with ap�ittdfi�,:, -
Plonse check one;
New Application ( ) Renewal-0 Permit No.
Reee ved Date: g
Issue Date: Expiration Date: 3 dL
Malting Address:
Telephone No. `-A - '
Applicant is:WOWRer ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises A5
If owner is corporate;signature and title of duly authorized officer:
Number of Occupants . X &Names:
h3.aiiingAddres
Telgihone No.:
5-
'EMRIMero a , (Rude) (Ad s) ( e ep oneN bor
Property X formio �� �
p n _atn
Street:address of land on which trailer will be located:
SCTM#: efss 27
Each ing use and occupancy of premises and 3ntauded use and occupancy of proposed trader;
1. Existing use and occupancy
2. intended use and occupancy,5,A16 L-�Zf `?
3. Period of time trailer is to be located on premises:
^T 'F"+. tf MiIS+RiTL '3 lVw,
•.e r.- u'SS :: C .. }'`
iQ3 05 T t 15.46 FAQ 631 765 6145 SOMOLD T01YN C[ERR " -= Hi u � (3.
Lost Size; Front „ v,�_ Rear 71 Depth_ .2-
10*
2Bate nfpurchase or lea.se of land
T a�nfag District fair premPses: G-i�)t7' � ,�� � J °-,°
u+es
0O.C4 violate any zoning ordinance or la WNo ( )Yes
Ifyes,ezp, on separate paper.
TrailerInfarma j `~
Lemgtb
Width / j Height .4 -.
;i ji", fiati0nNo. ti,1A Serlall+lo. .v/r�
q 11ethod of Sewerage disposal �►��
'01=6:0f. Water Snppl�r
Source of l lectrI _Vk . j.e.,d.
' �
a i t ti n:. extsti�n nlldin s sn i i r ed trailer. n
- aq
1y'
i ', i ^'ba' •v�. ., e sw y i q .+ " '� F{, Fu 3 ,
.{�s4k 5;✓ 3
t< r l• _ A 7 325...1 r �7,,, Ya 3 •R..�,'m a"� 1.7.1
Z0 _ ,
State of New York
County of Suffolk
Pc1(l4
lie t rt d tl�� �� $IIlCirCt�ll
+� (heir� �s>knv�ledge and; e e ; and•tliat:the�a�ie� �,,,, ca �: _a
forth in the agplicafiled hwewith. - 2
I Iwo
zo
�= *a uoisgwwoo
(Notary Pu lic) ¢/�O/ nod 3nohnS Ut PellllenD
9ZLWE*ON
VOA MON 10 GWIS'o!14nd tieloN
OAH'JNOW'W da3-1
3�
1 -?A
soar
ELIZABETH A. NEVILLEy�lO Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER G Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER140wo,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 127
Name: Petrauskas, Joseph W
Address: P. O. Box 295
Mattituck,NY 11952
City ST Zip:
* * RENEWAL NOTICE
This is to advise you that your Trailer permit will expire on 09/14/2008
Enclosed is a trailer permit application. Complete the application, have your signature notarized and return
it to this office with the required fee of$100.00 as soon as possible. Please make your check or money
order payable to the "Southold Town Clerk".
If your application and fee are not received on or before 9/21/2008 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,
1 . 4
Elizabeth A. Neville
Southold Town Clerk
Enclosure
ELIZABETH A. NEVILLE �p�*oF SU(/jy010 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER G Q Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �liT'COU ��y'� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 04/30/2008
Issued to: Petrauskas, Joseph W
Address: P. O. Box 295
Mattituck,NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 03/14/2008. Expiration Date: 09/14/2008
This renewal permit is granted for a six (6) month period.
Elizabeth A. Neville
Southold Town Clerk
h 10,'0 '05 TUr 15:49 FAT 631 765 6145 50t7HOLD TOWN CLERK t�u��r
• k Y O FoUr
f
RUZAB•TH A NEVIL.L.E Town Hall, 58085 Manx Road
TOV#.NL CLERK P.4.Sox 1179
REGISTRAR OF VITAL STATISTICS 10P
� 9onax(, Now York 11971
Pax(fi87)766-6145
CER
REQ MANAGE FNiE13T OF'F'ICER ,#�lTelephone(631) 765-1800
FREEDOM OF INFORMATIGN, QFFTCER southoldtown.aorthfork.neL
OFFICE OF THE TOWN CLERK
TOWN OF S{OUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee; $100(for maximum of six(6) months) '.Must be submitted rwtthlappr��cdfir,:,w�
Please check one;
New Application ( ) Renewal ( Permit No.
Received Date:
Issue Date: Expiration Date;
Maftg Address: e►X Z-9
Telephone No.
Applicant is;fillOwnerr ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Nance of Owner of Premises A3; A
If owner is corporate,signature and title of duly authorized officer:
Number of Occupants &Names:
MailingAddress - —�
Telephoxre No.:
E ��
3�y' A ff r
(Address) ( e ep toneN ber
Property IOMIdu
Street address of hood on which trailer will be located:
SCT M#: err 2-- 31
Existing use and occupancy of prcmiises and rinteuded use and occupancy of proposed trailer;
1. Existing use and occupancy _ �•r f �- Y� �"r;G ' /-ZOO;PpL.:/�:-�"
2. Intended use and occupancy,5,VeP 4,r Adlf c°
3. Period of time tranerr is to be located on premises:
t
'_ 3 ,�5.. ... ro 'mak. �. •"�' .dF' t..
16103 '05 TnLi 15:49 FAX 691 765 8145 SOUTHOLD TOWN CLERK 11-�
Lot Slxe; Front [v cQ' Rear71
Depth 2 3.2
lr
Date of purchase or lease of land
Zoning District for premises: L-e'a-W-F
Does proposed use violate any zoning ordinance or!a*?. ( )Yes
If Yes,explain on separate paper.
Trailer Infarmaio
Length Width l Z- � Holum 4� 'F
Registration No, ' /1,4 Serial No. .v�.�
Nfethod of Sewerage dlaposal e go R004
Source of Water Supply e!-4
6ource of Electricity k . i &d
ne
c tf o f existine buildines and existiapJoronosed trailer mu
Mfl
NO
State of New York
County of Suffolk
o Sep j ltesag only. de + se� ::
An says that th t*(s)Ete is the applicant.named above and(8)he
f# t6ts apleatlon; rind tltt Ytatemets eontatned„intl�isF ariic
bast of(her) b ge and belief; and that the trailer will be;locet the a t`:-
forth in the applica ' n filed herewith.
r
t ignatrrre) K. r ��.7 7-777 �
Sworn to befor G is.A6L/�„�day
OSE
tNotar�'1 a lit)
S'CL0j'6 '7
n �► �ch�,�,"3
r
'�'OF SO(/lyo .
ELIZABETH A. NEVILLE '`� l0 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENTOFFICERl Telephone (631) 765-1800
FREEDOM OF INFORMA'T'ION OFFICER UNTY+�� southoldtown.north fork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 09/21/2007
Issued to: Petrauskas, Joseph W
Address: P. O. Box 295
Mattituck, NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 09/14/2007. Expiration Date: 03/14/2008
This renewal permit is granted for a six (6) month period.
Elizabeth A. Neville
Southold Town Clerk
*pF SO!/Tyo
ELIZABETH A.NEVILLE '`� l4 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Q Southold,New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICERl Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ycou southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ( ) Renewal At Permit No. 2, 7
Received Date:
Issue Date: Expiration Date:
Name of Applicant:
Mailing Address:
T-ii
Telephone No. '4/
Applicant is: Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants & Names:
MailingAddress
Telephone No.:
Employer of Occupant �jc,��j� � 5-4f1/S/
(Name) (Address) (Telephone Number
Property Information _ 3 �
Street address of land on which trailer will be located:
u 9'c� ��•�L- 5 i��rr
SCTM#: ltI -- x - 37
Existing use andoccupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy
3. Period of time trailer is to be located on premises:
art.". ..4y v..,^. r •e.;+'P1',�+'Y5$r+�.yv._XmS�umvwa+wrr.wrccar.•n*sa �lt��
so TOWN CLERK
i,o,.:03 05 THL' 15:46 FAX 631 765 614'5
1
Lot Size', Front
` Rear ` Depth_ ; 3 2— — '"� • ,
Date of purchase or lease of land i
Zoning District for use polartt5any zoning ordinance `' WNo ( )Yes r
]Does Proposed
If yes,explain an separate paper..
'Trailer Infe-ma OR'-
_
Width---LZ- Height .�.. ..,
LengthSerial No. w,�
Registration No. 1 "2 __._.
Method of Sewerage disposal er _____________•
Source of Witter Supply
Source of Electricity ,
uxvev sho in location of existin bufldin sand e�CiStirl ro osed trailer must be
Attachod to tlt__ auolllGatio_tl.
r
A
c; State of New York
county of Suffolk
nd
and says that that(6)he is the applicant named abo (s
ed in application are true to)he is authorized to maket
contain he
flee this application; and that all statements
bit of(her) his knowledge and belief; and that the trailer will be located in the manner se
forth in the application filed herewith.
I (Ottg Lure)
am to before we this,/r/ _,day W
LEDA M.MDNCAYC
^ �„ ���• �/� � � . Notary Public,State of New York
No.2746125
(Notary Public) Qualified in Suffolk County
Commission Expire �„��Dq
l�
z
#r 1
1 �
f
1
1�
i
1
9- - v 7
*pF SO�ryo
ELIZABETH A. NEVILLE O l0 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS V12 Southold, New York 11971
MARRIAGE OFFICER G Q Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��l Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER yC0(JNTI,�� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 127
Name: Petrauskas,Joseph W
Address: P. O. Box 295
Mattituck,NY 11952
City ST Zip:
* * RENEWAL NOTICE
This is to advise you that your Trailer permit will expire on 09/14/2007
Enclosed is a trailer permit application. Complete the application, have your signature notarized and return
it to this office with the required fee of$100.00 as soon as possible. Please make your check or money
order payable to the "Southold Town Clerk".
If your application and fee are not received on or before 9/24/2007 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
o��OF SOUryol
ELIZABETH A. NEVILLE '` Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICERl Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �COU ry +� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 02/22/2007
Issued to: Petrauskas, Joseph W
Address: P. O. Box 295
Mattituck,NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 03/14/2007. Expiration Date: 09/14/2007
This renewal permit is granted for a six (6) month period.
Elizabeth A. Neville
Southold Town Clerk
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 02/22/07 Receipt#: 873
Transaction(s): Reference Subtotal
1 1 House Trailer Permit 127 $100.00
Check#: 873 Total Paid: $100.00
Name: Petrauskas, Joseph W
P. O. Box 295
Mattituck, NY 11952
Clerk ID: LINDAC Internal ID: 127
W,'03 0.5 THT! 1,5:4 9 F,%X 831 713 5 6145 SOUTHOLD TOWN UERY
F Ottft
ELEMBUTH A.NkVn.LB Town Hal1-53095 Main Road
TO "CLEC P.O. Bcm 1179
Sr
uWWMAR OF VITAL ;Ar_ jutjAi"t
MARRIAGE OFFICER Fax(631) 7,96-6145
RROORDSMANAOUNWRNT OFFICER 1631') 765-ISUO
MEDOM Or INPOWATION OFFWFfF,
orrICE OF THE TOWN CIXRK
TOWN OF SOUTHOLD
APPLICATION
S k]NCL-E' AU'T0M0B1LET RAILER OR HOUSE 1CziF,
Fee: $100(for maximum of six(6) months) Must be submitted wfoo. ."M910--ft". ci*rk
Mase check one;
New Application Reuewal'o Permit"No. :Zl
Received Datc:
Issue Date- Expiration Date;
Mailing Address: ,o,,
Telephone No.
Applicant is:fillowner )Lessee )Agent for Owner )Agent for Lessee
Name of Owner of PremisesA g 1>0i,-27-
If ovv ner is corporate,signature and title of duly authorized officer:
Ziq _qf_QqMnts _.A_& Names:.,�3'
NlailingAddress_-,4-1 0.'�
Tole N
(Namc) (Address) (re-]ell,Wrie Number)
Proeertv lddm"o
Street address of land on which trailer will be located:
SCTM #-. / o- ;.r"-- 3-1--
Exisdue use and occupancy of prcrWses and Wtuded use and occupancy of proposed trafleu;
1. Ex6fing use and occupaucy
.1. Intended use and occupancy
3. ic-.r-i'o' is to be, located on premises.
ti3 '65 TR77 't r, 4b FAA 611 7 :F, 6145
Lot Size. Ft•cxnt�..� Rear _�.o�._` ept�,.._��._�
Date of purchase car lease of late�ci , ''. �._�__ __-_..___ _. }�I�►=a
Zoning District for premises;
Does proposed use violate any zoning ordinance or l�'�To � )Yes
� p
If yes,explain on separate paper.
Trailer iaaIn�or!":
Length =�` _ Wid.tlY__�. IEeigl�t-24 ,bldX%07`��-�._ _
Registration. No. ._..._.�'���._.-__..,�...__.....r�_..� Serial No.
Method of Sewerage dasposati e ,G�er� _ -
Source of Water Supply
Source of Electricity
Cu __ sch�►win�Bca axtiorx f exi tin k ,Sldixtgs axrd�e istix ar c >erl t�a;iex° must be
1111chA 12 Ws Aulxcati4n. _
PP, g
State of New York,
County of Suffolk
br—in........_�......<......,..»._...._.-,.-....,._...._.. —...,.—....._._._..,......, ..._._..................�....-._._..—_._�_.--•,.ea..nmwe.a.+.w.....v.r.......:...+.r...+. g .J '. ry ..z
n Y"..
and says that#batt(s)tte i.� tb.fn applicant named above and (s) he is authorized to mare and
Me this application-, and that all statements contained in this application are true to the
hest of(her) his l ow1W.- ge a.nd belief; and 'what the trailer will be located in the manner yet
forth in the applicattion filed herewith.
igna►taare}
Sly n to before me this t1 day o'
(Notary Pabinc)
UWA M.MONCAYO
NOW P46k State al lw Yori
"IL 2746126
OUSIAW In Su*&County
twu11w"imom/0
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ELIZABETH A. NEVILLE ,`O� y�lO Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER G �Q Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER I�CQUsoutholdtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ( ) Renewal ( ) Permit No.
Received Date:
Issue Date: Expiration Date:
Name of Applicant:
Mailing Address:
Telephone No.
Applicant is: ( )Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants & Names:
MailingAddress
Telephone No.:
Employer of Occupant
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
SCTM#:
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy
3. Period of time trailer is to be located on premises:
Lot Size: Front ' 610 RearI Depth 2 32 j
Date of purchase or lease of land 7
Zoning District for premises: lii " tiSrr IeE>%�6�T,
Does proposed use violate any zoning ordinance or law? k<)No ( )Yes
If yes, explain on separate paper.
Trailer Information: f I-,'KT�T
7
Length ' Width /7� Height if ,2'►N X 3a�d'�C
Registration No. WTX Serial No.
Method of Sewerage disposalc¢
Source of Water Supply c'LL
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
i- -- 1r' e�
State of New York
County of Suffolk
being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith.
(Signature)
Sworn to before me this day of
, 2
(Notary Public)
p2/,/O 7
,�'pF SOUjyo
ELIZABETH A.NEVILLE 0 l0 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N Southold, New York 11971
MARRIAGE OFFICER �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER oTelephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER CQU ,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 127
Name: Petrauskas,Joseph W
Address: P. O. Box 295
Mattituck,NY 11952
City ST Zip:
* * RENEWAL NOTICE
This is to advise you that your Trailer permit wi11 expire on 03/14/2007
Enclosed is a trailer permit application. Complete the application, have your signature notarized and return
it to this office with the required fee of$100.00 as soon as possible. Please make your check or money
order payable to the "Southold Town Clerk".
If your application and fee are not received on or before 3/14/2007 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
�o�*pF SO(/ryol
ELIZABETH A.NEVILLE O Town Hall, 53095 Main Road
TOWN CLERK 1�[ l P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N Southold, New York 11971
MARRIAGE OFFICER �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER fly`, 'M Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER DU M, southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 09/20/2006
Issued to: Petrauskas, Joseph W
Address: P. O. Box 295
Mattituck,NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 09/14/2006. Expiration Date: 03/14/2007
This renewal permit is granted for a six(6) month period.
Elizabeth A. Neville
Southold Town Clerk
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 09/20/06 Receipt#: 848
Transaction(s): Reference Subtotal
1 1 House Trailer Permit 127 $100.00
Check#: 848 Total Paid: $100.00
Name: Petrauskas, Joseph W
P. O. Box 295
Mattituck, NY 11952
Clerk ID: LINDAC Internal ID: 127
o��oF so�ryol
ELIZABETH A.NEVILLE '` O Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS G Southold, New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Ol� ► Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER COUM southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Edward Forrester, Code Enforcement Officer
From: Linda J. Cooper, Deputy Town Clerk
Dated: September 20, 2006
Re: Trailer Renewal
Please perform an inspection and advise if the trailer permit may be renewed for
the following:
Applicant: Joseph Petrauskas
Trailer Address: 490 Hill Street, Mattituck
Thank you.
o�'*0 SO(/lyol
ELIZABETH A.NEVILLE O Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Q Southold, New York 11971
MARRIAGE OFFICER '� • �O Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 01 Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER Iron l�,� IkEelawian.northfork.net
OFFICE OF THE TOWN CLERK SSP ? ( 2'')'
TOWN OF SOUTHOLD
APPLICATION SS T ti= CS :'!c
SINGLE AUTOMOBILE TRAILER OR HOUSE
Fee: $100 (for maximum of six(6) months) Must be submitted with application.
Please check one:
New Application ( ) Renewal ( Permit No. -7
Received Date:
Issue Date: Expiration Date:
-----------
Name of Applicant: G D'V c rir
Mailing Address:
l'00 9? y��y
Telephone No.
Applicant is: 040wner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants & Names:-- L 4 a � ,� b-/%
MailingAddress
Telephone No.: � s 3 7 �—
Employer of Occupant 'r v�y K-Lj /16T�C�• �'C�1�� 0 9U to- �/�Y
(N ) (Address) ( elephone Number)
Property Information
Street address of land on which trailer will be located:
—lgc) 14iar S- z
SCTM#:
140 — 2 ' 3 7
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy rh i yiA �y j
2. Intended use and occupancy /( �
3. Period of time trailer is to be to ated on premises:
l
Lot Size: Front /00 i Rear 7/, 3 Depth
Date of purchase or lease of land M a /
Zoning District for premises: a V5 51
Does proposed use violate any zoning rdinance or la*? Wo ( )Yes
If yes,explain on separate paper.
Trailer Information:
Length 6 fs -� Width I� � Height � � F-7X� /a� � X 30 X
Registration No. Serial No.
Method of Sewerage disposal S e
Source of Water Supply Y j/� t
Source of Electricity L / 104=
IMPORTANT
Cop- of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
State of New York
County of Suffolk , w
�o�O h V V elk OI being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith.
(Are nature)
S orn to before me this day o
(Notary Public)
MELANIE V.BROWN
Notary Public,Stale of New York
No.4OW12
QAMW in&A*
Commbsion E*Iree©at.to, /�
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ELIZABETH A.NEVILLE '` O Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Southold, New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER OlyTelephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 'roum,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Edward Forrester, Code Enforcement Officer
From: Linda J. Cooper, Deputy Town Clerk
Dated: March 1, 2006
Re: Trailer Renewal
Please perform an inspection and advise if the trailer permit may be renewed for
the following:
Applicant: Joseph W. Petrauskas
Trailer Address: 490 Hill St.,Mattituck
Thank you.
,10/03 '05 TUU 15:49 FAX 631 765 e145W 9017THDLD TQIN CLERK U4.
+r+
1E+:1t.IZABWM A.PiLWIZ #. Town Halt.53095 Main Road
TOWN CLERK P.O.Box 1179
REGISTRAR OF VITAL STATISTICSSouthold,Now York 11971
MARRIAGE OFFICER � � Fax(051)766-S145
RECONDS MANAGEMENT OF'F'ICER '�;( •�� Telephone(sal)768-1900
FREEDQU OF WF'ORWATION CFFTCERR southoldtown.norddark.ne t
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR,HOUSE CAR
Fee: $100(for maximum of six(6) months) ?Must be submitted.with A¢MYiW05W.
Please check one;
New Application ( ) Renewal"( Permit No.
Received mate:
Issue Date: � Expiration Date:
Dlaxne of Anotjca ,.✓"
Malling Address: SwvoX 24 5
Telephone No. SAX
Applicant is;fi)jO-.vner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises A:�;_A _--
If owner is corporate,signature and title of drily authorized officer:
Number of Occu 2 ants _.A &Names: �.��`>!'� t=,�
MailingAddress .!• 13,e
Telef iotne No.:
Em,�,eller of=unant �C i ,�'� %�uG4i . ,rte. �" • `�" �`� - 73
(Name) (_Address) Tone Number)
Property Inform4don
Street address of land on which trailer will be located:
!y-0 fij r Al. Y1X -�-
SCTM#:
Existing use and occupancy of premises and inteuded use and occupancy of proposed frailer:
1. Existing use and occupancy _ r�+»'��- ¢.�,^r,e I :,p,,1r/c.� `
2. Intended use and occupancy,5,iVs 4r
3_ Period of time trailer is to be located on premises:
Lot Size: Front rl� Rear 71 Depth
Date of purchase or lease of land \
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper. l o o
Trailer Information: ,✓�,��' i✓� T/�
Length Width 2 Height
Registration No. A1111 Serial No.i✓`i9
Method of Sewerage disposal O L
Source of Water Supply SLG
Source of Electricity 4r• < R .
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
State of New York
County of Suffolk
being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith. _
ignature)
Sworn to before me this qday %�J ��
(Notary Public � s �o- i-
_._._..
t >
I
-�. V1, _ _.
�o��pF SOUjyol
ELIZABETH A.NEVILLE 4 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Southold,New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICERCOU '� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date: 02/27/2006
Issued to: Petrauskas, Joseph W
Address: P. O. Box 295
Mattituck,NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 03/14/2006. Expiration Date: 09/14/2006
This renewal permit is granted for a six(6) month period.
Elizabeth A. Neville
Southold Town Clerk
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 02/27/06 Receipt#: 816
Transaction(s): Reference Subtotal
1 1 House Trailer Permit 127 $100.00
Check#: 816 Total Paid: $100.00
Name: Petrauskas, Joseph W
P. O. Box 295
Mattituck, NY 11952
Clerk ID: LINDAC Internal ID: 127
C"4/
o��oF so�ryol
ELIZABETH A.NEVILLE '` O Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Southold, New York 11971
MARRIAGE OFFICER ' �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICERl Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER yCouKrv,��' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 127
Name: Petrauskas, Joseph W
Address: P. O.Box 295
Mattituck,NY 11952
City ST Zip:
* *RENEWAL NOTICE
This is to advise you that your Trailer permit will expire on 03/14/2006
Enclosed is a trailer permit application. Complete the application,have your signature notarized and return
it to this office with the required fee of$100.00 as soon as possible. Please make your check or money
order payable to the "Southold Town Clerk".
If your application and fee are not received on or before 3/14/2006 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
OF SO(/r�ol
ELIZABETH A. NEVILLE '` O Town Hall,53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS CAR Southold, New York 11971
MARRIAGE OFFICER %, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER lTelephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ��OUNT`I,��'` southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Edward Forrester, Code Enforcement Officer
From: Linda J. Cooper, Deputy Town Clerk
Dated: August 25, 2005
Re: Trailer Renewal
Please perform an inspection and advise if the trailer permit may be renewed for
the following:
Applicant: Joseph W. Petrauskas
Trailer Address: 490 Hill St., Mattituck
Thank you.
��yOF SOUryo
ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS N Southold,New York 11971
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER �ol� ``�O Fax (631) 765-65-1
�`,i` Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER C�U ,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: 100 (for maximum of six(6) months) Must be submitted with application.
Please check one:
New Application O Renewal Permit No. ,r Z T
Received Date:
Issue Date: Expiration Date:
Name of Applicant: JOSEPH W PETRAUSKAS
Mailing Address: PO BOX 295
- MATTITUCK, NY 11952
Telephone No. � /— 7G o---
Applicant
Applicant is:'NOwner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants I & Names:
MailingAddress 4.a, ae x f Z-i'
AArr;rLA/--
4 �!i. 119 z-
Telephone No.:
Employer of Occupanti,✓/� HLl��.1/'���
(Name) (Address) (Telephone gumber)
Property Information
Street address of land on which trailer will be located:
Z
SCTM#:
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy 9684,*
2. Intended use and occupancy �� iy fi
3. Period of time trailer is to be located on premises:
Lot Size: Front Rear j Depth Z 12
Date of purchase or lease of land 7
Zoning District for premises:
Does proposed use violate any zoning ordinance or law? h-gNo ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length Width Height
Registration No. —
Serial No.
Method of Sewerage disposal
Source of Water Supply
Source of Electricity L•i .�y?
IMPORTANT
Copy of survey showina location of existine buildings and existineproposed trailer must be
attached to this application.
State of New York
County of Suffolk
�
being duly sworn, deposes
P
and says that that (s)he is the applicant named above and (s) he is authorized to make and
Me this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith.
ignature)
Swo to before me this day
(Notary Public)
i'
� if !
1
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 08/12/05 Receipt#: 787
Transaction(s): Reference Subtotal
1 1 House Trailer Permit 127 $100.00
Check#: 0787 Total Paid: $100.00
Name: Petrauskas, Joseph W
P. O. Box 295
Mattituck, NY 11952
Clerk ID: LINDAC Internal ID: 127
oF so�ryol
ELIZABETH A.NEVILLE O Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Q Southold, New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICERTelephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER IINTI,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 127
Name: Petrauskas, Joseph W
Address: P.o. Box 295
Mattituck,NY 11952
City ST Zip:
* *RENEWAL NOTICE
This is to advise you that your Trailer permit will expire on 09/14/2005
Enclosed is a trailer permit application. Complete the application, have your signature notarized and return
it to this office with the required fee of$100.00 as soon as possible. Please make your check or money
order payable to the "Southold Town Clerk".
If your application and fee are not received on or before 9/14/2005 your Permit will be revoked and you
will be required to remove the trailer from the premises. Thank you for your cooperation.
Very truly yours,
Elizabeth A. Neville
Southold Town Clerk
Enclosure
'�'pF SO!/ryo
ELIZABETH A. NEVILLE lQ Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS cn Southold, New York 11971
MARRIAGE OFFICER p� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ���, � Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER OWN$ southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date:03/14/2005
Issued to: Petrauskas, Joseph W
Address: P.o. Box 295
Mattituck,NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 03/14/2005. Expiration Date: 09/14/2005
This renewal permit is granted for a six(6)month period.
Eliza th A. Neville
Southold Town Clerk
• Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 03/14/05 Receipt#: 763
Transaction(s): Reference Subtotal
1 1 House Trailer Permit 127 $100.00
Check#: 0763 Total Paid: $100.00
Name: Petrauskas, Joseph W
P.o. Box 295
Mattituck, NY 11952
Clerk ID: LYNDAB Internal ID: 127
•
ELIZABETH A.NEVILLE �� Town Hall, 53095 Main Road
TOWN CLERK y Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS O Southold, New York 11971
MARRIAGE OFFICERy • O!� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER .� `�►a Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
SINGLE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six(6) months) Must be submitted with application.
Please check one:
New Application O Renewal Permit No. 7i
Received Date:
Issue Date: Expiration Date:
Name of Applicant: ��-'o;6&e
Mailing Address:
Telephone No.
Applicant is: ¢Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises ^ ; X
If owner is corporate, signature and title of duly authorized officer:
Number of Occu ants �& Names:_ynL
MailingAddress a, �,t $Z�
y
Telephone No.: X76 3 7T
Employer of Occupant v+ �� �iz/. 737
(Name) (Address) (Tele ho e Number)
Property Information
Street address of land on which trailer will be located:
SCTM#: ,Lyy-2 .-�j7
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy ��, � � Y�d�; ,E'_ s� 'En&7-
3. Period of time trailer is to be located on premises:
- /
Lot Size: Front l e d � Rear 7$' Depth Z 3 Z1
Date of purchase or lease of land
Zoning District for premises: Z,
Does proposed use violate any zoning ordinance or law? ( )No ( )Yes
If yes, explain on separate paper.
Trailer Information:
Length 4j0,' Width l -1,/ Height
Registration No. &I J4 Serial No. 6a.W
Method of Sewerage disposal tf g
Source of Water Supplyz
Source of Electricity 4-
IMPORTANT IMPORTANT
Copy of survey showinLy location of existing buildings and existing/proposed trailer must be
attached to this application.
State of New York
County of Suffolk
being duly sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) 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 l' day of
, 2 iJUS ky
(Notary Public)
LEDA M.MONCAYO
Notary Public,State of New York
No2746126
i
Qualified n Suffolk County. i
Commission Expires/&.-�/_GS
10/03 '03 THU 15:49 FAX 631 78145 SOUTHOLD TOWN CLERK Z004
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ELIZABETH A.NEVILLE rry Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ,: Southold,New York 11971
MARRIAGE OFFICER . y � Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
FAX TRANSMITTAL
To: Joseph Petrauskas
From: Linda J. Cooper,Deputy Town Clerk
Dated: March 10, 2005
Re: House Trailer Renewal
Number of Pages (including cover): 4
If total transmittal is not received, please call 631-765-1800.
COMMENTS:
As requested
• • pd Ay/6S-
��g�FFO��►c
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK t�i� Z P.O. Box 1179
REGISTRAR,OF VITAL STATISTICSO Southold, New York 11971MARRIAGE OFFICER5
Fax (631)
RECORDS MANAGEMENT OFFICER y��• �aO�� Tele Phone (63 67654 800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 127-9/04
Name: Petrauskas,Joseph W
Address: P.o. Box 295
Mattituck,NY 11952
City ST Zip:
* *RFNEWAL NOTICE
This is to advise you that your Trailer permit w9exp>re on 03/13/2005
Enclosed is a trailer permit application. Complete the application, have your signature notarized and return it to this
office with the required fee of$100.00 as soon as possible. Please make your check or money order payable to
the "Southold Town Clerk".
If your application and fee are not received on or before3/2 8/05 you 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
• i
o�suFFot,��o
ELIZABETH A.NEVILLE �� � Town Hall, 53095 Main Road
TOWN CLERK �y Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER y O�� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ���( �a Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Pern&Number: 127-9/04 Date:09/10/2004
Issued to: Petrauskas, Joseph W
Address: P.o. Box 295
Mattiluck,NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St., Mattituck
SCTM#: 140-2-37
Pursuant to application dated 09/13/2004. Expiration Date: 03/13/2005
This renewal permit is granted for a six(6)month period.
Eliza eth A. Neville
Southold Town Clerk
• Town Of Southold •
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 09/10/04 Receipt#: 0
Transaction(s): Subtotal
1 House Trailer Permit $100.00
Check#: 0739 Total Paid: $100.00
II,
Name: Petrauskas, Joseph W
P.o. Box 295
Mattituck, NY 11952
Clerk ID: JOYCEW Internal ID: 100366
i
ELIZABETH A.NEVILLE ��O OGy� Town Hall, 53095 Main Road
TOWN CLERK W P.O.Box 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER y ��� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ��,( .�a Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK RBCRIVEp
TOWN OF SOUTHOLD
APPLICATION SP to
SINGLE AUTOMOBILE TRAILER OR HOUSSE CAR ck -031
O 7
Fee: $100 (for maximum of six (6) months) Must be submitted with aap%Phdo=pwn clerk
Please check one:
New Application ( ) Renewal 0 Permit No.
Received Date:
Issue Date: Expiration Date:
-----------
Name of Applicant: � Ijv✓� T�'�,�� � ��
Mailing Address: Am,
Telephone No.
Applicant is:0Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises A ;
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants & Names: �'I raL tt rr%1� t yVi.✓ 1�iair'c=
MailingAddress^
Telephone No.: L- 7-7
Employer of Occupant /— AV� lC�L i��✓ ,9;�v � °zg rc'i�.��'��' �✓� 73``�5 737
(Name) (Address) ( elephone Number)
Property Information
Street address of land on which trailer will be located:
SCTM#:
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy 5%mac Z CAf/'%Z `7 /z6 y%
2. Intended use and occupancy i✓G L y,#-7, 7 ,1 3;;Pi�c
3. Period of time trailer is to be located on premises:
i IV))w F I'AIA
IC of m
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f M�
Lot Size: Frontes o,d � Rear 71/ ' Depth eZ 3 z. �
Date of purchase or lease of land
Zoning District for premises: ,"E 1f7r ti >i✓ i c"` L '�°
Does proposed use violate any zoning ordinance or law? WNo ( )Yes v
If yes, explain on separate paper. --
Trailer Information:
� Cl(�fEr✓yiai✓-
Length 7 Width / Z Height S 12�41, RT'
Registration No. N/,q Serial No. ti,A
Method of Sewerage disposal A E 5 5 Pa©Z.
Source of Water Supply
Source of Electricity
IMPO.R.TANI'
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
State of New York
County of Suffolk
being di4y sworn, deposes
and says that that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith.
4k, ignature)
Sm to before me this J=dayof 7
2 6V
`721• 2I
(Notary Public)
LEDA M.MONCAYO
NOWV No.27t to of New Yori
Candi�IExpirues� ou�ajtY-OS'
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ELIZABETH A.NEVILLE " �'* ' Town Hall,53095 Main Road
' � �, ..
TOWN CLERK „ .° P.O. Box 1179
REGISTRAR OF VITAL STATISTICS <'C.� *" Southold, New York 11971
MARRIAGE OFFICER c �t® ��j k, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER - Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD
FAX TRANSMITTAL
To: Joe Petrauskas �Z- 3J-4. 7
From: Linda J. Cooper,Deputy Town Clerk
Dated: September 8,2004
Re: House Trailer application
Number of Pages (including cover): -3
If total transmittal is not received,please call 631-765-1800.
COMMENTS:
Here is the application that was on file in this office.
o�suFF01/r o
ELIZABETH A.NEVILLE , Town Hall, 53095 Main Road
TOWN CLERK ti Z P.O.Box 1179
REGISTRAR OF VITAL STATISTICS O Southold, New York 11971
MARRIAGE OFFICER 'y • � Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER l �a Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Organization Name: Permit Number: 127-3/13/04
Name: Petrauskas,Joseph W
Address: P.o. Box 295
Mattituck,NY 11952
City ST Zip:
* *RFNEWAL NOTICE
This is to advise you that your Trailer permit will expire on 09/13/2004
Enclosed is a trailer permit application. Complete the application,have your signature notarized and return it to this
office with the required fee of$100.00 as soon as possible. Please make your check or money order payable to
the"Southold Town Clerk".
Ifyour application and fee are not received on or before 9/13/04 you Permit will be revoked and you Will be
required to remove the trailer from the premises. Thank you for your cooperation.
Very truly yours,
d4a"a .
Elizabeth A. Neville
Southold Town Clerk
Enclosure
•
ELIZABETH A.NEVILLE � Town Hall, 53095 Main Road
TOWN CLERK P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER •f► �`� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �o( .�� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127-3/13/04 Date:06/16/2004
Issued to: Petrauskas, Joseph W
Address: P.o. Box 295
Mattituck,NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St.,Mattituck
SCTM#: 140-2-37
Pursuant to application dated 03/13/2004. Expiration Date: 09/13/2004
This renewal permit is granted for a six(6)month period.
13' eth A.Neville
Southold Town Clerk
Town Of Southold .
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 06/16/04 Receipt#: 0
Transaction(s): Subtotal
1 House Trailer Permit $100.00
Check#: 0729 Total Paid: $100.00
Name: Petrauskas, Joseph W
P.o. Box 295
Mattituck, NY 11952
Clerk ID: JOYCEW Intemal ID:96040
� F01.t
ELIZABETH A.NEVILLE � Town Hall,53095 Main Road
TOWN CLERK Z P.O. Bog 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER ` Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �9�1 JKI • Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127-9/03 Date:06/16/2004
Issued to: Petrauskas, Joseph W
Address: Ro. Box 295
Mattiluck,NY 11952
A pemi is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St.,Mattiruck
SCTM#: 140-2-37
Pursuant to application dated 09/13/2003. Expiration Date: 03/13/2004
This renewal permit is granted for a six(6)month period.
E79 eth A.Neville
Southold Town Clerk
• Town Of Southold .
P.O Box 1179
Southold, NY 11971
* * * RECEIPT
Date: 06/16/04 Receipt#: 0
Transaction(s): Subtotal
1 House Trailer Permit $100.00
Check#: 0729 Total Paid: $100.00
Name: Petrauskas, Joseph W
P.o. Box 295
Mattituck, NY 11952
Clerk ID: JOYCEW Intemal ID:96034
o�$�F 91't�o
ELIZABETH A.NEVILLE �� � Town Hall, 53095 Main Road
TOWN CLERK � Z P.O.Box 1179
REGISTRAR,OF VITAL STATISTICS � Southold,New York 11971
MARRIAGE OFFICER .f� O!� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �01JKI Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TRAILER PERMIT
Permit Number: 127 Date:06/16/2004
Issued to: Petrauskas, Joseph W
Address: P.o. Box 295
Mattituck,NY 11952
A permit is hereby issued to locate a single trailer, as follows:
License No.:
Serial No.:
Located at: 490 Hill St.,Mattituck
SCTM#: 140-2-37
Pursuant to application dated 03/13/2003. Expiration Date: 09/13/2003
This renewal pemmit is granted for a six(6)month period.
E' SpthZNZ�vffle
Southold Town Clerk
• Town Of Southold •
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 06/16/04 Receipt#: 0
Transaction(s): Subtotal
1 House Trailer Permit $100.00
Check#: 0729 Total Paid: $100.00
Name: Petrauskas,Joseph W
P.o. Box 295
Mattituck, NY 11952
Clerk ID: JOYCEW Intemal ID:96033
FO(�-BOG
ELIZABETH A.NEVILLE /`� y Town Hall, 53095 Main Road
TOWN CLERK ti P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 0-0 Southold, New York 11971
MARRIAGE OFFICER y Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �Ol �a� Telephone (631) 765-1800
FREEDOM OF ftQU AM OFFICER southoldtown.northfork.net
JUN 16 X04 OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Cl�rAPPLICATION
SMILE AUTOMOBILE TRAILER OR HOUSE CAR
Fee: $100 (for maximum of six (6) months) Must be submitted with application.
Please check one:
New Application ( j Renewaix) Permit No.
Received Date:
Issue Date: Expiration Date:
Name of Applicant: JOSEPH W PETRAUSKAS
Mailing Address: PO BOX 295
MATTITUCK, NY 11952
Telephone No. -6*3. ? -F
Applicant is:�60wner ( )Lessee ( )Agent for Owner ( )Agent for Lessee
Name of Owner of Premises S(N M G
If owner is corporate, signature and title of duly authorized officer:
Number of Occupants & Names:
MailingAddress_ `
Telephone No.:
Employer of Occupanttiu��
(Name) (Address) (Telephone Number)
Property Information
Street address of land on which trailer will be located:
` IO i� ,5�7- ,,69ATTiTKcx', .41 -
SCTM#: IL16 - -37
Existing use and occupancy of premises and intended use and occupancy of proposed trailer:
1. Existing use and occupancy
2. Intended use and occupancy
3. Period of time trailer is to be located on premises:
r
71.341'
Lot Size: Front/moo Rear . Depth
Date of purchase or lease of land A14 GIOX 1A it I Jk �~
Zoning District for premises: igh4
Does proposed use violate any zoning ordinance
If yes, explain on separate paper.
Trailer Information:
Length �® Width /2' Height 07
Registration No. Serial No.
Method of Sewerage disposal a4vr;'�-
Source of Water Supply
Source of Electricity
IMPORTANT
Copy of survey showing location of existing buildings and existing/proposed trailer must be
attached to this application.
State of New York
County of Suffolk
being duly sworn, deposes
and says diat that (s)he is the applicant named above and (s) he is authorized to make and
file this application; and that all statements contained in this application are true to the
best of(her) his knowledge and belief; and that the trailer will be located in the manner set
forth in the application filed herewith.
Y- - (Signature)
Sworn to before me this1 day
2fo
C-
(Notary Public)
LEDA M.MONCAVO
NoWy hobl Suft?6��
QwWW M Suffolk Cow*j
CommWWw Expires/d-�i✓Q
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ELIZABETH A.NEVILLE G'y Town Hall,53095 Main Road
TOWN CLERK H P.O.BOX 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER y�Ql �� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 17,2004
Trailer Permit No. 127
Joseph Petrauskas
Post Office Box 295
Mattituck,New York 11952
Dear Mr. Petrauskas:
The Code Committee of the Town Board is in the process of reviewing trailer permit
applications. Your trailer permit will be renewed upon completion of the enclosed application
form and appropriate fees due. Please note the additional information asked for on the form
regarding the occupants of the trailer. A renewal was due on March 13, 2003, September 13,
2003 and March 13, 2004 at a fee of$100.00 each. Therefore a check in the amount of$300.00
is due at this time. If you have any questions, please do not hesitate to call me at 765-1800.
Thank you.
Very truly yours,
Elizabeth A. Neville
Southold Town Clerk
Enclosure
O�QSVFF���►C Town Hall, 53095 Route 25
P.O. Box 1179
o= Southold, New York 11971-0959
EDWARD FORRESTER = Telephone (631) 765-1939
DIRECTOR OF CODE ENFORCEMENT �y • Facsimile (631) 765-1823
e-mail:
��l �►aO ed.forrester@town.southold.ny.us
TOWN OF SOUTHOLD
RECEIVED
MEMORANDUM
TO: Elizabeth Neville, Town Clerk Southold town Clea
FROM: Ed Forrester, Director of Code Enforcement
DATE: March 25, 2004
RE: Trailer Permit 127, Joseph Petrauskas
Please be advised that the applicant is seeking to renew an existing permit for a
trailer used as a private dwelling.
f
ELIZABETH A. NEVILLE �� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS 0-0 Southold, New York 11971
MARRIAGE OFFICERFax(631) 765-6145
RECORDS MANAGEMENT OFFICER y�Q( .�� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Permit No. 51 —Ange &Barbara Bourisquot, Pvt Rd. off Main Rd., Mattituck
Permit No. 107—Mary Ciupryk, 390 Hill St., Mattituck
Permit No. 111 —Eugene &Alphenic Martin, w/s Tuthill Rd., Cutchogue
Permit No. 129—Bruce M. Vitale, 7280 Sound Ave., Mattituck
Permit No. 1211--Joseph Petrauskas, 490 Hill St., Mattituck
Permit No. 149—Vicent Rossi & Christine Larsen, 1275 Cedar Beach Rd.,
Southold
Permit No. 138 —Donald &Jeanne Grim, 11910 Oregon Rd., Cutchogue
Permit No. 164—Donald Grim, Cox La., & CR 48, Cutchogue
Permit No. 167—Timothy&Margaret Hollowell, 1280 Smith Dr., Southold
Permit No. 159—Laurel Links Country Club, 6400 Main Rd., Laurel
Permit No. 166—Efeyenia Matsis, 435 Inlet Dr., Mattituck
Permit No. 78 - Gian Mangieri, Pvt. Rd. off Main Rd., Laurel
Permit No. 168 —Walter Teresko, 1285 New Suffolk Rd., Cutchogue
Permit No. 148—Roy& Joanne Schelin, 8475 Cox La., Cutchogue
Permit No. 165 —Juan Secaida, 630 Wiggins St., Greenport
�FfO�
ELIZABETH A.NEVILLE h Town Hall, 53095 Main Road
TOWN CLERK = P.O.Box.1179
REGISTRAR OF VITAL STATISTICSSouthold, New York 11971
MARRIAGE OFFICER y O�� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ��,( .�� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Ed Forrester, Code Enforcement
From: Elizabeth A. Neville, Town Clerk
Date: March 2, 2004
Re: Trailer Permit Renewals
The Town Board would like all trailer permits to be inspected before they are
renewed. Please include the name of the owner and the present occupant.
Permit No. 157—Corazzini Asphalt, Inc., 6245 Cox La., Cchogue
Permit No. 112—Flora Nurseries, 6900 Wickham Ave., Mattituck
Permit No. 95 -Martin Sidor, Oregon Rd., Mattituck
Permit No. 107—Jacqueline Moeller, C.R. 48, Southold
Permit No. 115 —Northeast Nurseries, C.R. 48, Cutchogue
Permit No. 97 -Frank McBride, Oregon Rd., Cutchogue
Permit No. 64 -Zdzislaw Mikolajczyk, John's Rd. off Main Rd., Mattituck
Permit No. 41 —John C. Tuthill, Elijah's La.,Mattituck
Permit No. 133 —Thomas Wowak,Main Rd., Laurel
Permit No. 156—Fine Care Landscaping, 280 Bridge La., Cutchogue
�► O
ELIZABETH A.NEVILLE � Gy Town Hall,53095 Main Road
TOWN CLERK y P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER y'flpl �aO! Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Mike Verity, Building Department
From: Betty Neville
Date: April 25, 2003
Re: - Trailer Permit Renewals No. 125 (Mary Ciupryk) and Permit No. 127
(Joseph Petrauskas)
Enclosed is a copy of my e-mail to you dated January 31, 2003. I have never
received a written answer from you. As per the Town Board, All trailers are to be
inspected before their renewal. Also, I suggest that on the form you will be
making up that you include the owner's name and the name of the occupant of the
trailer.
Page 1 of 1
Neville, Elizabeth
From: Neville, Elizabeth
Sent: Friday, January 31, 2003 1:38 PM
To: Verity, Mike
Subject: Trailer Permit for 390 Hill St.,
Mike:
This trailer was recently sold by Mary Ciupryk to David& Barbara Verity. They didn't check with the Town to my
knowledge. Mr. Ciupryk showed them his permit and the Verity's purchased it on that basis without knowing that
the permit becomes void when a change in ownership occurs. This trailer has been rented out for the past 10
years, the Ciupryk's did not live in it themselves. The Verity's also plan to rent it out. I am afraid they are going
to have a problem getting a trailer permit for it. They want me to bring it before the Town Board this Tuesday, Feb.
4th. They say it is on a foundation and has a basem
amp
There is also another trailer permit at 490 Hill Street, Mattituck owned by Joseph Petrauskas. The above Ciupryk
was at one time owned by Joseph and Mary Petrauskas who is now Mary Ciupryk. Joe and Mary divorced and
she married Andrew Ciupryk. So, there are really two situations to remedy. Joe Petrauskas's permit for 490 Hill
Street, Mattituck will expire on March 13, 2003 at which time it will also become an issue.
As you know, the Town Board has been reviewing trailer permits as they come for renewal. So, some of these
problem ones are going to be surfacing on a monthly basis from now on.
I will send down all the documentation on this together with a copy of this e-mail.
Thank you,
Betty Neville
1/31/2003
��SUFFO(,�c
O
ELIZABETH A. NEVILLE �.�� Gy� Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
CIO
REGISTRAR.OF VITAL STATISTICS 0-- � Southold, New York 11971
MARRIAGE OFFICER !� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �Q! ��0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 27, 2002
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 127 Date September 27, 2002
issued to Joseph Petrauskas
Address P.O. Box 295
Mattituck, NY 11952
A renewal permit is hereby issued for the location of a single
trailer/harac omr at 490 Hill Street, Mattituck, NY
pursuant to application dated September 13, 2002
This renewal permit is granted for a six (6) month period.
Expiration date March 13, 2003
Elizabeth A. Neville
Southold Town Clerk
o�OS�FFO��cQG
ELIZABETH A. NEVILLE _� 'y� Town Hall, 53095 Main Road
TOWN CLERK H P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER ,L Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Fax
���� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 18, 2002
Joseph W. Petrauskas
P.O. Box 295
Mattituck, NY 11952
r
Re : Trailer Permit Renewal No. 127
Dear Mr. Petrauskas:
This is to advise you that your Trailer Permit will expire on
September 13, 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 September 28, 2002,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
Cq44"- a. 7nm�-
01 1 -
Elizabeth A. Neville
Southold Town Clerk
Enclosure
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 13, 2002
R E N E W A L
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............agent
..................................................................
Name of Owner of premises ..............Joseph W. Petrauskas
........ ..............................................................................................
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 ...................Mituck, New York
att...........................................
Streetand 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 ..........SJ.!lg).�.. �!t7l.�y...Jr� 14ience.
c. Period of time trailer is to be located on remises indefinitely
.............itel...................................
p
3. Fee ....V�00..0.... .......................
0 ... (To be paid on filing application)
.
4. Dimensions-of trailer, length ..........51...............width ......1.x.'..10,','.,,,,,,,,, . height 7'9”
Extension length 21' Width 11'7" height 7'9" ""
RegistrationNumber ........................................ .Serial Number ............................................................
A
5. Size of lot: Front ...........100,...........................Rear ................................ Depth ....87�.. ...232 .........
6. Date of purchase or lease of land ...........Marry„42,,,1974
7. Zone or use district in which premises are situated ......,Ag.riculture.... . .........................................................
8. Does proposed use violate any zoning low, ordinance or regulation? .......no
9. a. Method of Sewerage disposal ...... cesspool
........................................................................................
............
b. Source of Water Supply ........................YVAl1..................................................................................
c. Source of Electricity ................................1.•.i.ll~R.................................................................................
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 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 I
COUNTY OF SUFFOLK )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 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 t,p before me this ...........k? �............ day of
�.
........................................... .. ............ �..- .., :.......
(Signature)
.. ........... . ... .
(Notary Publi
Molry ilMibN4,s>slLEDA Lt Low
of NAyoiw1�
/D��l-OS✓
0
FO(,/f(cOG
ELIZABETH A. NEVILLE _ y� Town Hall, 53095 Main Road
TOWN CLERK H P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Iv' Southold, New York 11971
MARRIAGE OFFICER OA Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �Q! ��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
.OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SINGLE TRAILER OR HOUSECAR
LOCATION RENEWAL PERMIT
Permit No. 127 Date March 19, 2002
Issued to Joseph W. Petrauskas
Address P.O. Box 295
Mattituck, NY 11952
A renewal permit is hereby issued for the location of a single
trailer/ha L%3cexx at 490 Hill Street, Mattituck
pursuant to application dated March 13, 2002
This renewal permit is granted for a six (6) month period.
Expiration date September 13, 2002.
z lu 4r
Elizabeth A. Neville
Southold Town Clerk
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE Aivw
Town Hall, 53095 Main Road
P.O. Box 1179 MAR 1 u 2002
Southold, New York 11971 e I IS/�o
(516) 765-1801 ���1 T to
PERMIT NO. 127
EXPIRATION DATE: March 13, 2002
R E N E W A L
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............agent
......................................................................
Name of Owner of premises .............. W: Petrauskas
................ ...................................................................................
If applicant is corporate, signature of duly authorized officer
............................ .......................................................
(Name and title o..f corporate officer)
I. Location of land on which proposed trailer will be located ........... New York
.............................:...............................
Streetand 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 wca
....... as..........lo......ted.......on premises when purchased.........................................
b. Intended use and occupancy ..........SJ.ngl.�.. �rl.�y...1� i,4len�e.
...........................
c. Period of time trailer is to be located on premises ................
.................................
3. Fee .....VAQ.:00.......................... (To be paid on filing application)
4. Dimensions of trailer, length ...........5�'.............width height
>>...��...... �.......................
Extension length 21' Width 11'7” height 7'9"
Registration Number ........................................ .Serial Number
............................................................
71'
5. Size of lot: Front ..........100'......•.....................Rear ................................ Depth ....8........232'
6. Date of purchase or lease of land ...........March..2 1974
7. Zone or use district in which premises are situated ,.,,,,,Agr.iculture. . .
.... . ....... ..............................................
8. Does proposed use violate any zoning law, ordinance or regulation? .......no
9. a. Method of Sewerage disposal ..................cesspool..........................................................................
b. Source of Water Supply ........................YID.� ...............................................................................
c. Source of Electricity ................................Irl.IGR................................................................................
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 all buildings and property lines.
ON FILE IN TOWN CLERK'S OFFICE.
If any changes have occurred since your last renewal, please
indicate, on a separate sheet of paper, the exact changes.
STATE OF NEW YORK
COUNTY OF SUFFOLK J ss.
Jase�.. W. Petrauskas being duly sworn, deposes and says that
he is the applicant named above. He is theagent
..................... ...............................:...........................................
(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
....... ................... .. ......:.GcJ. . ................. .. ................
(Signature)
(Notory P lic) 0
LEDA M.MONCAYO
Notary Public.State of New Yorlr
No.2748126
Qualified in Suffolk Countys
Commission E*res,o_21-o
rc0
ELIZABETH A. NEVILLE = Gy� Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
C4 Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER ?i �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �Q! �a� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 14, 2002
Joseph W. Petrauskas
P.O. Box 295
Mattituck, NY 11952
Re: Trailer Permit Reneal No. 127
Dear Mr. Petrauskas:
This is to advise you that your trailer permit expired on March 13, 2002.
If your application and $100.00 fee are not received on or before March 20, 2002,
your special permit will be revoked and your trailer will have to be removed from
the premises.
Very truly yours,
Eliza eth A. Neville
Town Clerk
o�oSUFFot,��QG
ELIZABETH A. NEVILLE �� 'y� Town Hall, 53095 Main Road
TOWN CLERK CD y P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �y • �� Southold, New York 11971
MARRIAGE OFFICER ,L Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER "'/Ql �a� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
February 11 2002
Joseph W. Petrauskas
P.O. Box 295
Mattituck. NY 11952
Y
Re : Trailer Permit Renewal No. 127
Dear Mr. Petrauskas:
This is to advise you that your Trailer Permit will expire on
March 13, 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 March 13, 2002,
your Permit will be revoked and you will be required to remove the trailer
from the premises. Thank you for your cooperation.
Very truly yours,
X.
aA a 04 2
Elizabeth A. Neville
Southold Town Clerk
Enclosure
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Application No. ....................................
Approved .................
�/1�...., 19.��.a..Permit No. ................
RECEIVED
MAR 2 1990
APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR,
OUTSIDE OF TOURIST CAMP.
Date ...MAK.Qh......I.............. 19-9..Q..
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 Eipproval 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. R
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 Lows,
Ordinances or Regulations. The applicant agrees to corny t I a i laws, ordinances and
regulations. n �
( ign ture of applica 't) ....
P Box 295 , Matt' uck, New York 11952
(Address)......................................................................
State whether applicant is owner, lessee or agent.....
......... .. ................................................................
Name of Owner of premises ............. Joseph 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 1000 - 1. ... ...
40 - 02 - 37
. .... .. ..............................
Street and number .........49.0. Hill. Streetr.�Mattituck, New York. 11952
................... .. . .. .. .
2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer:
a. Existing use and occupancyVacant trailer wh ,dh was located on premises when
................ .........................................................................15U'ftliased.
b. Intended use and occupancy ....S.a,Il.1Q...9AIX.11Y...W.gP.ideuce...............................................
c. Period of time trailer is to be located on premises .... ndefinite
. ...lX
.... .... .. .....................................
3. Fee ............................................ (To be paid on filing application)
4. Dimensions of trailer, length ........57..'..............width 1,1,',10„1................. height ...�.�.9"................
Extension lenth 21 ' Width 11 ' 7" height 7 ' 9”
RegistrationNumber ........................................ .Serial Number ............................................................
top is+use~V
""too SND"",sl1tA".00
....,,�tf,4'M*d owiw r i m*T
~_ ^
~
'
5. Size of lot: Front ............ Rear 7l 187 ao'� 232
__~,,,_____ ,,^,.^,,__~_—~. Depth ................................
6` Dote of Purchase or lease of kznd —.. —22.x—l9.74.--.—.__._,_____.___---__
7- Zone or use district in which premises one situated ..............
"A"---._,_—_---------
@. Does prupoaed 'use violate any zoning !ow, ordinance or regulation? ......No
9. o. Method of Sewerage disposal .....................Ce�o�o�I ..._._,___._--_____.
b' Source of Water Sup—ply ...........................YeIl____.__.,~.___._________.____
c Source of Electricity .................................U.I.Q0 ----'^..~-..--...-----.---.—..---
PLOT DIAGRAM
,
Locate clearlyand distinctly
dimen-
sions from � Give street and o/oc� numbers ordeschpUon according to deed on6 --' `
.vzn`ev and indicate whether interior or corner lot. Indicate clearly location of ose6 ' i| show street
/ses showing distances from all buildings and property lines. proP �ro e' on p'ern-
See azzzzexcecl Plot Diagram
STATE '
'
'
`
'
'
`
^
OF NEW YORK
COUNTY OF SUFFOLK =s'
J. I{e\/io 88oI'amJbIio
__~_._._._.______.__.�.............................................................. being duly sworn, deposes and says that
he is the applicant named above He is the --...c����ot.-..----__._____^.__,_..~_,~__..,.,_..
_
(owner or lessee or agent)
of said owner or owners, and is duly authorized to make and file this |icatand that all
contained /n this application are true tothe best ofhis knowledge '— --'~' and �� �e e o '
be located in the manner set forth in the application filed herewith. trailer will
-
Sworn to before noa this ............ ----. 6ov of
^ '
Mar-oh Jg �{} —
K Mc
\ / ` ..... ---__'-- ........ ....--.
(Notary Public)1161111"AL TOMM
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