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HomeMy WebLinkAboutTeresko, Walter SUF FOC,-�®� ELIZABETH A. NEVILLE,MMC may► ,� Town Hall,53095 Main Road TOWN CLERKa P.O.Box 1179 crr Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p ® Fax(631)765-6145 MARRIAGE OFFICERO� � Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.soutlioldtownny.gov FREEDOM OF INFORMATION OFFICER RECEIVED OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD OCT 2 6 2016 APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Southold Town Clerk F es: $250.00 (for maximum of six,(6) months) Must be submitted with application. _$100.00 (for maximum of 6 months) for, trailer on land used in agricultural production. (see attached, proof may be required) Fee must be submitted with application. Please check one: i fJ New Application ( ) Renewal Permit No. I ?� Received Date: V2,5-h Issue Date: Expiration Date: Name of Applicant: Mailing Address: 1 2 �,g W$W �kff'(111C ltd, Telephone No. &3 ) ) 13T 23Zr-i Applicant is: (X)Owner ( )Lessee p( )A(gent for Owner ( )Agent for Lessee Name of Owner of Premises otl k WISOA vja lfci/ -r-wesfLe If owner is corporate, signature and title of duly autho ized officer: Number of Occupants &Names: A t� MailingAddress UYZI 0 _� (' (AjCk0r441 NY 11q'35 'Telephone No.: 1) -13W Employer of Occupant �� Wi S `•� `� wok 0 Ok�� G (Name) ( ddress) (Telephone Number) Property Information Street address of land on whichtrail jr w' 1 be to aced: r �� 171q!5 M 5� Ic- UV k I r c 3A I(I :�j SCTM #: Permit will not be issued if t1ye SCUM# is not provided ��r ��Y-,�i_ r c l ,, -•'.r - t..mCWc�.x�_'i�Y�Y=�+ r I 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 LFqCHD,, Rear Depth Date of purchase or lease of land Zoning District for premises: oes proposed use violate any zoning ordinance or law? ( )No ( )Yes If yes, explain on separate paper. Trailer Information: Length q Z i Width _ Height Registration No. S r'al No. Method of Sewerage disposal Source of Water Supply WA Source of Electricity tj J'(jo IMPORTANT Copy of survey showing location of existing buildinF_s and existing/proposed trailer must be attached to this application. State of New York County of Suffolk being duly sworn, deposes 6�jw and says that that (s)he is the applic nt 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'�e located in the manner set forth in the application filed herewith. waga � `0**A 4 (Signature) LSworn o before-me this Kgg day of �G1 12 ( LYNDA M.RUDDER Notary Public,state of New York 1� No.01 RU6020932 Qualified in Suffolk County tart' ublic) Commission Expires March 8,20AL I tLYCz 1 W N v N A � N I F d d m I 'co" �H - I N Q vi,S•5 d I ,S�r1 3.1 s 3 ,c,•d2 N NNtlH (7 1 tii .2 01 O p I 6 ,H z in L in ,Y'LI (U Cl) t - N o �S33g z 4 Ld 1 ! z fJJ �_ (U{7 y� td I W OG W m i•. � Q, 4� ' • M a d p ,tor _ - �'"- a osz /0-to-60i 0001 -•\ - - ,_1' � Cil pbr �+ w U C �o t c, � 3 W� Noyl SJNIt LD"I 00'% D$� 1i o4r sty \ - -- - - -- �` N 9NIISIX3 Ld z, k o9 ' u1 Nr �1a � 1 W im ,E)91 4 p 'Z �1 1� N'M Vs a� N wl N o p 1 — 'dror, $ y. 00'�L M 00'�2Z 3 �o nn.f18 N 1 ci o�®�yFFOL�cOG ELIZABETH A.NEVILLE,MMC may. y Town Hall,53095 Main Road TOWN CLERK o � P.O.Box 1179 C Z 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: 168 Date: 10/27/2016 Issued to: Teresko, Walter Address: 1285 New Suffolk Road Cutchogue,NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 i Pursuant to application dated 10/27/2016. Expiration Date: 04/27/2017 This renewal permit is granted for a six (6y month period. Elizabeth`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. Rudder, Lynda From: Doherty,Peter Sent: Thursday, October 27, 2016 12:42 PM To: Rudder, Lynda Subject: RE:Teresko Trailer ok -----Original Message----- From: Rudder, Lynda Sent: Thursday, October 27, 2016 8:12 AM To: Buckner, Nicole; Bunch, Connie; Doherty,Peter; Duffy, Bill; Hagan, Damon; Neville, Elizabeth; Silleck, Mary;Verity, Mike Subject:Teresko Trailer Please perform an inspection and advise of any violations. Note: Permit is still in Teresko's name, however he has passed away quite some time ago. 11111111 IIII IIIII IIIII 11111 11111(IIII(IIII IIIII IIII IIII i 111111 Ilil)IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 05/21/2013 Number of Pages: 4 At: 01:20:57 PM Receipt Number : 13-0060669 TRANSFER TAX NUMBER: 12-23185 LIBER: D00012730 PAGE: 412 District: Section: Block: Lot: 1000 109.00 07.00 007.005' EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $125.00 NO TP-584 $5.00 NO Notation $0.00 NO Cert.Coplas $5.00 NO RPT $60.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $260.00 TRANSFER TAX NUMBER: 12-23185 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ❑1 2 Number of pages 2013 Mayy01:RECORDED101. 20:57 PM JUDITH R. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00012730 Social SecurityNumbers P 412 Din 12-23185 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt 1. Basic Tax _ Handling 20, 00 2. Additional Tax TP-584 Sub Total _ Notation SpecJAssit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX _ q�1 Dual Town Dual County_ R.P.T.S.A. [�V Held for Appointment Comm.of Ed. . 5. 00 Transfer Tax —0— ' • Mansion Tax Affidavit ��' The property covered by'this mortgage is entified Cop or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other (� Grand Total V If NO,see app opriate tax clause on page of is i trume t. ZE 4 Dist,loon S 13013496 1000 10900 0700 007005 i 5 Community Pr se ation nd Real Property R SMI A I�IIIIII�I�IIIIIIII�III'III1111Jill llllll1111111 Consideration Amount$ -0- Tax Service 21-MAY-1 ` u Agency CPF Tax Due $ -0- Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Wickham Bressler & Geasa, P.C. TD P.O. Box 1424 Mattituck, NY 11952 TD TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Compan-y Information 310 Center Drive, Riverhead, NY 11901 Name Fidelity www.suffolkcountyny.gov/clerk Title# 203034-27 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Bargain & Sale Deed with Covenant made by: (SPECIFY TYPE OF INSTRUMENT) Walter Teresko The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Walter Teresko, as Trustee of the Walter In the VILLAGE Teresko Trust dated December 20, 2012 or HAMLET of Cutchogue BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. u-mw lmoakk (over) I ' i Standard N,Y,B.T.U.Form 6002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the �t� of December,2012 BETWEEN I WALTER TERESKO,residing at 1285 New Suffolk Road, Cutchogue, New York 11935, party of the first part,and I I WALTER TERESKO,as Trustee of the Walter Teresko Trust dated December 20,2012,residing at j 1285 New Suffolk Road,Cutchogue, New York 11935, party of the second part, i ! WITNESSETH,that the party of the first part,in consideration of Ten and 001100—($10.00)--Dollars, and other good and valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, i All that certain plot,piece or parcel of land, situate, lying and being at Cutchogue, In the Town of Southold, County of Suffolk and State of New York,being more particularly described in Schedule"A"attached hereto and made a part hereof. I I I - , I _ SEE SCHEDULE "A" ATTACHED HERETO AND MADE A PART HEREOF i I i i I I i BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deeded dated December 19, 1978 and recorded in the office of the Clerk of the County of Suffolk on December 27, 1978 in Liber 8555 Page 597 I - i i . i TOGETHER with all right,title and Interest, if any,of the party of the first part In and to any streets and roads abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises. TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. i AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and wilt hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose.The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this'deed the day and year first above written. IN PRESENCE OF: f' Walter Teresko SCHEDULE"A" ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being at Cutchogue,Town of Southold,Suffolk County,N.Y.,bounded and described as follows: BEGINNING at a concrete monument set on the easterly side or line of New Suffolk Road at the northwesterly corner of land now or formerly of Beebe;running thence along said easterly line of New Suffolk Road,North 09 degrees 53 minutes 20 seconds West 37 feet to an iron pipe and land now or formerly of McGrath;thence along said land the following four(4)courses and distances as follows: 1. North 80 degrees 06 minutes 40 seconds East 150 feet to an iron pipe;thence 2. North 09 degrees 53 minutes 20 seconds West 28.47 feet to an iron pipe;thence 3. North 80 degrees 06 minutes 40 seconds East 75 feet,thence 4. North 09 degrees 53 minutes 20 seconds West 71.53 feet to other land now or formerly of McGrath; Thence along said other land now or formerly of McGrath,North 80 degrees 06 minutes 40 seconds East 473.86 to land now or formerly of Wickham's Fruit Farm; Thence along said land of Wickham's Fruit Farm South 04 degrees 01 minutes 30 seconds West,355.61 feet to the northeasterly comer of land formerly of Julius A.Tuthill Estate; Thence along land formerly of Julius A.Tuthill Estate South 80 degrees 43 minutes 30 seconds West 413.39 feet to an iron pipe at land now or formerly of Beebe; Thence along said last mentioned land North 09 degrees 53 minutes 20 seconds West 200 feet to an iron pipe; Thence further along said land and land now or formerly of Beebe South 81 degrees 11 minutes 10 seconds West 200 feet to the point or place of BEGINNING. Subject to a right of way in favor of SCTM#1000-109.00-07.00-007.002. BEING AND INTENDED TO BE the same premises conveyed as Parcel II of deed dated 2/9/55 and recorded in Liber 3851 page 133 and by deed dated 2/24/67 and recorded in Liber 6125 page 345. Together with a life estate in favor of Walter Teresko in the following described property: Beginning at an iron pipe at an interior point with is North 80 degrees 06 minutes 40 seconds East, 150.00 feet from the easterly side of New Suffolk Road at the southwesterly comer of land of Rickabaugh,formerly of William Harrison Case,and from said point of beginning running thence along lands of Rickabaugh,formerly of William Harrison Case,and along land of McGrath,North 80 degrees 06 minutes 40 seconds East,75.00 feet to a point and the above described property of Walter Teresko; Running thence southeasterly along said lands on a line parallel to said line of New Suffolk Road,South 09 degrees 53 minutes 20 seconds East 71.53 feet to land now or formerly of McGrath; Thence along said lands South 80 degrees 06 minutes 40 seconds West,75.00 feet; Thence northwesterly along said lands North 9 degrees 53 minutes 20 seconds West 71.53 feet to the point or place of BEGINNING. rrlteresko/scharevised BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE State of New York,County of Suffolk,ss: State of New York,County of ss: rr�� On the%++ay of December, in the year 2012, On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared WALTER TERESKO personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the Individual(s)whose name(s) Is satisfactory evidence to be the individual(s)whose name(s) Is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/the executed the same in his/herltheir me that he/she/they executed the same in his/her/their capacity(ies), and at by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the Instrument,the ind idual(s),or the person upon behalf of which Instrument,the Individual(s),or the person upon behalf of which the individual(s)act.'d,executed the Inst men, the individual(s)acted,executed the Instrument (signature and a of individual t `g acknowledgment) (signature and office of Individual taking acknowledgment) Notary Public DONNA McGAHAN Notary Public Notary Public,State of New York No, 01MG4851459 Qualified in Suffolk County ZU/y Commission Expires Aug. 181 QSM TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of County of ss: On the day of ,in the year before me,the undersigned,personally appeared - personally known to me or proved to me on the basis of satisfactory evidence to be the Individual(s)whose name(s) Is (are) subscribed to the within instrument and acknowledged to me that helshe/they executed the same in his/her/their capacity(ies),and that by hislher/their signatures) an the instrument,the individual(s), or the person upon behalf of which the individual(s) acted,' executed the Instrument,and that such individual made such appearance before the undersigned in the in (insert the City or other political subdivision) (and Insert the State or Country or other place the acknowledgment was taken) (signature and office of Individual taking acknowledgement) Notary Public BARGAIN AND SALE DEED SECTION WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK Title No. LOT COUNTY OR TOWN WALTER TERESKO TO WALTER TERESKO,as Trustee of the Walter Teresko Trust dated Recorded at Request of December 20, 2012 COMMONWEALTH LAND TITLE INSURANCE COMPANY RETURN BY MAIL T0: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by Wickham, Bressler & Geasa, P.C. P.O. Box 1424 Commonwealth Mattituck, New York 11952 COVVONWEALTH LAND TITI E INSURANCE COMPANY a PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS:hltpJAvNW.orps.stale.ny u6 or PHONE(518)474-6450 FOR COUNTY USE ONLY LL REAL PROPERTY TRANSFER REPORT C,SYIfIS Cod. 5 �/ � STATE OF NEW YORK CZ.Data Deed Recorded t�ccpn. STATE BOARD OF REAL PROPERTY SERVICES •aY �� oRP - 5217 C3.Book �' •efa5 d RP astr R-scar PROPERTY INFORMATION I I.Property I /7$� Location .TWE Nu ER 9YIeFr WUYE / trl �/ � ' I , ;� rtsh �7'lt- of I ,ntu*P�o :atx�E ortv ere rowx �.BYyar • YC.br��7 -7;;/ I Fla- NAME Name 1.04TNAMelcoseANY _ xAMa: twsT NANEI PANT 7.Tax Indicate wham future Tax Bills aro to be sent I I Billing If other than buyer address M bottom of fortal I tAsr nAigh I COMPANY pss*xAMc Address L:"TE DP L'IXN aReFI NVMBeq ANe 7OEM NAME CRY a TPAN IOnN!PeA Of a percvq 12harA a they apply: ❑ 4 Indicate the number of Anessmem ' /' p of Parcels OR ❑ Pan of 0 Parcel Roil percale Vanslerrsd on the deed L -- -/� 4A.Planning Board with Sul�vidal Aldhmay Eds4 ❑ as,Suhd{vislon App evsl was Required forTrcnsfor B.Dad x I I OR I 4C.paled Approved ror Subdivision with Map Provided ❑ Property Porn tEr l a x .wFs 1 -�Sl�o I Det S.Stylar r rxAMc NameULSust WASE c Elt&f Ne rNAME/COMPANY C describes rho use of the property at the tiro•at telaCheck tlra bones below a[hey eWlln ❑ 7,Chock the hoer below which most accurately describes ownership Type Is Conclamfnmm Agricultural 1 Community Sarvlca A New Construction en Vacant Lend ❑ A One Family Residomlol E 0 Located within an Agricultural District El It 2 or S Family Resldanoel F Commercial ] Indusirlal 1lIA Property C RoMldant{al Vacant Und G Apanmem Public Service 108.Buyer arrived a disclosure notice lre lca[Ing ❑ D Non-RaeldentislVaant Land 11 EntertainmentIAmusement L Forest that the property is in an Agricultural District 15.Cod Ona or mare 9u&e ON AMOns ss 41`9 m bte to Vem1aR d SALE INFORMATION 1 A Sala Betvracn Ralairwa or Fanner Relatives 11.Site Contrail Date 00ir B Sale Batrveen Ralarod Companies or Partners In Business C one of the Buyers res also o Sellar 1 12— zO 00174, D Buyer or SOHO'Is Government Agency or Lending Institution 12.Deter o1 Bale/Trensfas y� DOW Typo not Warranty or Bargain and Sete ISpocily IIBIOwl Month War P Sale or FrocliLouonoi or lethan Foo Interest ISPadN'BaiOwl O Significant Change in Property Belwean Taxable Status and Sale Dates 13.Full Sale Price 1 Selo of gusinees is Included In Sale Price ! ! • 1 Other Unusual Fe is Affacting Sale Price lSptify aBelowl (Full Sale Price is the total amount pard for the properly Including parsonel Property. ` Thla payment may Ila In the term of ash,other property or goadsr or the essumpdan Of J No s mortgages or other obligations 1 Please round to rho adaraal whole dollar emounL 14.indicate 00 value of Pf"N'"I 0 B property Included In the sale • ASSESSMENT INFORMATION-Data should reflect the latest Final Assassment Poll and Tex Bill 16,year Of Assessmord Rog from N�1 17,Total Asassad Vah+e lot Oil l nears N"eularl Which Information Wren to.proper"Class LA/—ja-J—J 19.school District Name 20.Tea Mop Idom[WOI/RON idemmlerlsl IR more than four,enrich&beat with additional Identl604e11 roes I CEBTIFICATIDN and bdltn and I under tend that the mukloll 1 ctrtLN thud 1111 of the items of Inin Wen emend an this DPm are true and moron nn lite hest hr[rrq krnhsledgv of arLt ulltful folie WiWemsn[of mrlertd foci ber rht wi6 suhjM me h e lice phmtivhatt a the penal Lex Mdativc to the making cud by or faha IrouurnrOIL BUYER'S ATTORNEY BUYER — PAIN /// utr NM1NE nnst Ja BUYEq aONnallE _, 'o 3 Z 8-S3S3 ARwf:aa& It1ir11aNE NYNeG Mar- ......x1WEIAFTEWSAIn NEW YORK STATE fRLER COPY * * * RECEIPT * * * Date: 10/27/16 Receipt#: 214098 Quantity Transactions Reference Subtotal 1 House Trailer Permit 168 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#3163 $250.00 Teresko, Walter Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Teresko, Walter 1285 New Suffolk Road Cutchogue, NY 11935 Clerk ID: LYNDAR Internal ID. 168 ELIZABETH A. NEVILLE,MMC �� r/y Town Hall,53095 Main Road TOWN CLERKo P.O.Box 1179 W Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p ® .� Fax(631)765-6145 MARRIAGE OFFICER y� ® Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �j �►°� FREEDOM OF INFORMATION OFFICER www southoldtownny.gov RECEIVED OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD OCT Z 6 2016 APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR _ Southold Town Clerk F es: $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 al4ricultural production. (see attached, proof may be required) Fee must be submitted with application. Please check one: i New Application ( ) Renewal Permit No. I Received Date: 2.S Issue Date: Expiration Date: Name of Applicant: Mailing Address: Telephone No. (6-31) 13T- 2 32J!�j Applicant is: (Owner ( )Lessee I_( )Agent�fAo�r Owner ( )Agent for Lessee Name of Owner of Premises D'fab 6 v,� If owner is corporate, signature and title of duly autho ized officer: Number of Occupants & Names: 6 6I� 111, Q MailingAddress o Telephone No.: 1:Y 34J 02A Employer of Occupant kbtyAk Wl b� ' � &95 N UCk � a , (Name) ( ddress) (Telephone Number) Property Information Street address of land on which trSa�il rwv be to ated: 17,25 M� fAA 9tl"k+ C SCTM #: o s� t ermif°Wil{Pnot'be�ig§tied:ifittit SCTM# is not provided S J1 y171 i:F 29'j yx�j aoiv'niri moa 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'piurchase or lease of land Zoning District for premises: oes;pr`opol,erd use violate any zoning ordinance or law? ( )No ( )Yes If yes, explain on separate paper. Trailer Information: =4' 1 Lerigth' Z Width Height Registration No. S rial No. Method of Sewerage disposal tasxO Source of Water Supply Source of Electricity cl '(,0 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 applicht 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 wilf�e located in the manner set forth in the application filed herewith. hble� .0 `Q 66 4 (Signature) LSworn o before-me this day of 00 , 2 LYNDA M.RUDDER Notary public,State of NewYork No.01 RU6020932 Qualified in Suffolk County jta7ry;ublic) Commission Expires March 8,ZOL„� 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: oes proposd use violate any zoning ordinance or law? ( )No ( )Yes If yes, explain on separate paper. Trailer Information: /q / 'Length` q Z I Width Height Registration No. S rial No. Method of Sewerage disposal t) Source of Water Supply W:'% 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 —5A t�" .� �04v being duly sworn, deposes and says that that (s)he is the applicUnt 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 wilAe located in the manner set forth in the application filed herewith. Q �� (Signature) LSworn fo before-me this day of VCiI ,2 LYNDA M. RUDDER Notary Public,State of New York No.01 RU6020932 Qualified in Suffolk County tart' ublic) Commission Expires March 8.201U, TO,Po $ I CrN i ` 7 96,9' 1 PLASTIG GREENHOUSE M _ o M 96,9' 92 GR6EENHQUSE D PLASTIC TIC GREENHGUSE I �u PLAS , 96,7' - '.,_�.95': Z , GREENHOUSE p n 5 PL'ASTIG w1�E F E x TIC_& USE - _ COQ GREENHQU N 9 s' _. 7�s . 67,6' -' " 55' m PLASZIC,:85�ENHp�SE v, Jos.?,REENHOUS m 21.2' ::------'_"�-- o {f g, pLA"STiC 17r7' WOOD 82 0' m 501'. . I & GGNCRETE'`GREE-NHdUS & E'HOME iii PLASTIC lD22.1' lo`X z '--,, o b 502' S E Q9 53 19.1: FR: BARN zw l' zo,00 w _ 24 '00 A-C nu. 71,53' �''' — N 09°53` "p� W _18-1 c� a �b LIN, ' 11 �q�I�G DZS i R - r [`J D a1g,g'Fo m R'-40 o 'N � :v;•, `, S Q'g�53�20 � x32:3' G v � . nt . ~� R•` B LD 0 p W pR©P,E3SD t' 'FE_ �Ci t LiJ so ELIZABETH A.NEVILLE '` �! 'j ® 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 �C®Usoutholdtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fee: $100 (for maximum of six(6) months) Must be submitted with application. Please check one: New Application ( ) Renewal S Permit No. Received Date: Issue Date: } Expiration Date: Name of Applicant: A: Mailing Address: V Telephone No. — Z Z— Applicant is:$(<Wner ( )Lessee ( )Agent for Owner ( )Ag for Lessee Name of Owner of Premises / /�..Q/I ;.2/�_(1 S4 r) If owner is corporate, signature and title of duly authorized officer: Number of Occupants & ames: - � C,U MailingAddress l 0U V 0/ Telephone No.: — 2 Employer of Occupant (Name (Address) (Telephone Number) Property Information Street address of land on which trailer wil be located: tr .amu A h0 �- SCTM#: Existing use and occupancy of premises and intended use and o cupadcy proposed trailer: 1. Existing use and occupancy 2. Intended use and occupancy 3. Period of time trailer is to be located on ppe A) Ajo >J f-. 4 Lot Size: Front o-t ' ear Depth Date of purchase or lease of land / 9, Zoning District for premises: Does proposed use violate any zoning dinance or law? o ( )Yes If yes, explain on separate paper. ,Trailer Information: Length 2 Width c_ Height Registration No. ISerial Nq. 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 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 beforejme this - day'of 2 o ?. Chem Notary Publicryl,StaSiteons Of New York (Notary Public) No.31-4970341 Qualified In Suffolk County Commission Expires February 4,20& g%3FFOL��o ELIZABETH A.NEVILLE,MMC �yQ �/� Town Hall,53095 Main Road TOWN CLERK � P.O. Box 1179 H Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ® Fax(631)765-6145 MARRIAGE OFFICER �'� �Q�' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®1 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 DATED: April 26,2016 RE: Trailer Renewal Walter Teresko (Deborah A. Wisowaty) 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: Walter Teresko (Deborah A. Wisowaty) Trailer Address: 1285 New Suffolk Road, Cutchogue Thank you. . Foc,��o ELIZABETH A.NEVILLE,MMC �y� i�y Town Hall,53095 Main Road TOWN CLERK P0.Box 1179 N = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p • .� Fax(631)765-6145 MARRIAGE OFFICER 'j'� aQN'`. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER Ol '�► 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 DATED: April 11, 2016 RE: Trailer Renewal Walter Teresko (Deborah A. Wisowaty) 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: Walter Teresko (Deborah A. Wisowaty) Trailer Address: 1285 New Suffolk Road, Cutchogue Thank you. ELIZABETH A. NEVILLE,MMC �y� �j, Town Hall,53095 Main Road TOWN CLERK � J-! PO.Box 1179 CA Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p - Fax(631)765-6145 MARRIAGE OFFICERy �' 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: 168 Date: 04/08/2016 Issued to: Teresko, Walter Address: 1285 New Suffolk Road Cutchogue,NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 04/08/20-16.:Expiration Date: 10/05/2016 This renewal permit is granted for a six(G)inonth:period. Elizabeth A. Neville Southold Town Clerk SUFF01 -ea ELIZABETH A. NEVILLE,'MMC �� l/y Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 0 C13 = Southold, New York 11971 REGISTRAR OF VITAL STATISTICS p ® .F Fax(631)765-6145 MARRIAGE OFFICER y RECORDS MANAGEMENT OFFICER ��•( �`�� Telephone(631)765 1800 FREEDOM OF INFORMATION OFFICER - www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR $250.00 (for maximum of six (6) months) Must be.submitted with application. $100.00 (for maximum of 6 months) for trailer on land used in agricultural production. (see attached,.proof may be required) Fee must be submitted with application. Please check one: New Application ( ) Renewal Permit No. Received Date: Mw'l- �� �-U►S Issue Date: Expiration Date: Name of Applicant: Mailing Address: (— d F5 00 0 Telephone No. 3 3Z, Applicant is: ( )Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises W CL, If owner is corporate, signature and title of duly authorized officer: Number of Occupants I& Name,$: D6.4fl MailingAddress l 'Q,tJ s Telephone No.: Employer of Occupant. (Name)' (Address) (Telephone Number) Property Information J Street address of Id on which trailer wile tate r1-T'S Ni l SCTM #: Permit-will-riot'b'e issued if the SCTM# is not provided 11411:10Y V',r,,,1 ",. 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 ordi nce or law? ( )No ( )Yes If yes, explain on separate pape . Trailer Information;• Length7�1 >h Height Registration No. Serial No. Method of Sewerage disposal, - Source of Water Sup• ly 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 - Y � „ being,duly sworn, deposes and says that-tha. (s)he is`the applicant name'J 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 tr iler will be located in the manner set forth:in the application filed herewith. D�" Q„ ,l'1 -{. (Signature) �/" Sworn to_b fore.me this r.day, of CAROL HYDELL (Notary Public NOTARY PUBLIC•STATE OF NEW YORK NO 01HY6199695 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES 06/30126 r o��g�FFOLK��G . ELIZABETH A.NEVILLE,MMC �� �. ��. Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 i CCO2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 15 ® Fax(631)765-6145 MARRIAGE OFFICER �� Cr' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICERDr �vy,��' www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER rr` t4 —iams OFFICE OF THE TOWN CLERK it"TOWN OF SOUTHOLD • I FJ TRAILER PERMIT 100L %rA+o ' Permit Number: 168 Date: 10/05/2015 . Issued to: Teresko, Walter Address: 1285 New Suffolk Road Cutchogue,NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 10/05/2015. Expiration Date: 04/05/2016 This renewal permit is granted for a six (6) month period. Elizabeth A. Neville Southold Town Clerk o��gUFFO�,��o ELIZABETH A. NEVILLE,MMC �� r/y Town Hall,53095 Main Road TOWN CLERKo PO. Box 1179 y a Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS p ® Fax(631)765-6145 MARRIAGE OFFICER y0� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �l `1►a www.southoldtow-nny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Fe s• b $250.00 (for maximum of six (6) months) Must be submitted with application. _$100.00 (for maximum of 6 month's) for trailer on land used in agricultural production. (see attached, proof may be required) Fee must be submitted with application. Please check one: 11 New Application ( ) Renewal d Permit No. i Received Date: 1 0 1 1 ,5 Issue Date: Expiration Date: Name of Applicant: Mailing Address: 2 E 5N -6W \)Lt ' L Telephone No. L-3. 7 3, Applicant is: ( )Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises NVQ(�,'� jQOf&6 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 n whieb trailerAW ill t 1Q ae • r SCTM t:.ro^^�ustro.e Perin'it'rwill"no't fie issue �it6he 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 Copy of survey showing location of existinp. buildings and existing/proposed trailer must be attached to this application. State of New York County of Suffolk b4;- ibeing d 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 orated in the manner set forth in the application filed here ith. un�k- Am44 (Signature) S orn t before me this %6 day of 2 LYNDA M.RUDDER Notary Public, State of New York 'No.0IRU6020932 m Qualified In Suffolk County (Notary Public) Commission Expires March 8.201 ".4 ELIZABETH A.NEVILLE,MMC ��• r/,y Town Hall,53095 Main Road TOWN CLERK ® P.O.Box 1179 a Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O ® 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 APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR Feks. V $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 ( )jRenewal ( Permit No. Received Date: I d 1 ( b 1-015 Issue Date: Expiration Date: Name of Applicant: fm Fq Mailing Address: 12, 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: aV � �U J l�1✓J�t MailingAddress I (, Telephone No.: r Employer of Occupant (Name) (Address) (Telephone Number) Property Information Street address of land on w ichWtrainVII e to dyq : Ck�Cy 3.S 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 premise Lot Size: Front Rear Depth Date of purchase or lease of land / Zoning District for premises: Does proposed use violate any zoning ord' ance or law? ( )No ( )Yes If yes, explain on separate pe . Trailer Information: - Length Widt Height Registration No. Serial No. Method of Sewerage dispos Source of Water Supply Source of Electricity IMPORTANT Copy of survey showing location of existing buildings and existiny/proposed trailer must be attached to this application. State of New York County of Suffolk _ im� 0 1 aL k V v being duly sworn, deposes and says that that (s)he is the applicant n med 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 belocated 'n the manner set forth in the application filed herewith. w ,QII��.��n,` (Signature) S orn to fore me this day of 20/ otary Public oSU , a_ lC� 225.00' N << . $0!(16'.40' W -i o S 50.00' L y�'o o 1� 0 1 6 \ fq, �RlSCQO �R� W�N 011 X{ 1_- V �. 6.a' 1 p� `• EXISTING 'SQ Q6 0' LOT, LINES W R i 14'.2'' 2z x 34.01 09-07"0. G t 25.2ool� ' !1: . 23°"' X7.3' 10,x' BARN fl 60.00 OD rj c rID 3 ,v ip a, i 17.4 BARN ro t -?2 5` 5-1T .11.5` 1 p55'tn I H 14.5 - 13.7' in r a ., N ok - ci, �M u0, u` c` • ; Z'' fA %1 '-BEEBE o m c1 C3 413.39' Cm 1 ELIZABETH A.NEVILLE,MMCF® Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 coo 2E Southold,New York 11971 REGISTRAR OF VITAL STATISTICS IS ® Fax(631)765-6145 MARRIAGE OFFICER �' . ��" Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �0.� '�' '� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 03/16/2015 Issued to: Teresko, Walter Address: 1285 New Suffolk Road Cutchogue,NY 11935 A permit is hereby issued to locate a single trailer,as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 03/16/2015. Expiration Date: 09/28/2015 This renewal permit is granted for a six(6)month period. Q Eliz eth A.Neville Southold Town Clerk Hydell, Carol From: Doherty,Peter Sent: Wednesday, September 24, 201412:16 PM To: Hydell, Carol Subject: RE:trailer permit for teresko It is there From: Hydell, Carol _� .. .,. .�,..�..�.�..�. �,._._..__�.,_... �._M�...� �..�.... ,.�_.�.._.. ...a,�.w..�.�..�..�..a.4 Sent: Tuesday, September 16, 2014 2:56 PM To: Verity, Mike; Doherty,Peter Subject: trailer permit for teresko Hi Pete: Please let me know if the trailer is OK. Thanks, Carol i ��®g�FFO(��® ELIZABETH A.NEVILLE,MMC �� Town Hall,53095 Main Road TOWN CLERK ® P.O.Box 1179 Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ® Fax(631)765-6145 MARRIAGE OFFICER o Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www southoldtownnygov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION SINGLE AUTOMOBILE TRAILER OR HOUSE CAR F�_$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. b Received Date: c O7` Issue Date: Expiration Date: r3^Z'6-7o t _ _-_________ _ 1 Name of Applicant: �-- Mailing Address: (, Telephone No. Applicant is: (Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises 0A/tX e4Z 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: �- d e o SCTM Permit will nob be�isstedif th SCTM# is not provided' Etnuc�filo°)i,2 rn h�,filqut� ' x,,;,45,a�ta�Gid1:.o1Egx�no'?F�rttrtff.`,� c 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. 7-7—.c 64 p Serial No. ®&r 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. V'e w a State of Ne 'x o/ County of Suffolk being duly sworn, deposes and says that that (s)he is the applichht 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. (J P (Signature) Sw rn tp before me this day of ,2 ® � LYNDA M.RUDDER Notary Public,State of New York No.01 RU6020932 4(No Public) Qualified in Suffolk Countf Commission Expires March 8.2Q 1 x * * * RECEIPT * * * Date: 09/12/14 Receipt#: 177634 Quantity Transactions Reference Subtotal 1 House Trailer Permit 168 $25000 Total Paid: $25000 Notes: Payment Type Amount Paid By CK# $25000 Teresko, Walter Name: Teresko, Walter 1285 New Suffolk Road Cutchogue, NY 11935 Clerk ID: BONNIED Internal ID. 168 ' �ga1FF0[,r ELIZABETH A.NEVnJ E,MMC ��� Zbwn Hall,53095 Main Road TORN CLERK P.O.Box 1179 = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p .� Fax(631)765-6145 . MARRIAGE OFFICEROl �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: 168 Date: 03/14/2014 Issued to: Teresko, Walter Address: 1285 New Suffolk Road Cutchogue,NY 11935 A permit is hereby issued to locate a single trailer,as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd.,Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 03/14/2014. Expiration Date: 09/26/2014 This renewal permit is granted for a six(6)month period. Elizabeth A.Neville Southold Town Clerk ELIZABETH A.NEVILLE,MMC �•�� �l/y Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 Go Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 5 Fax(631)765-6145 MARRIAGE OFFICER At fit' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �j `�►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 required) Fee must be submitted with application. Please check one: New Application ( ) Renewal ( ) Permit No. Received Date: Issue Date: Expiration Date: Name of Applicant:��L�.e� %Q lG� � � �� -7Kof f Mailing Address: Telephone No. 2.9 Applicant is: (Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises --7el lGo 7-/ AS If owner is corporate, signature and title of duly authorized officer: Number of Occupants C & Names: - 15 D,r�/,Q• MailingAddress Telephone No.: Employer of Occupant ��✓�- (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: 2-k r Nest/ via l2U C- r r` S�'� 'y L9 i I �/ SCTM #: /'o 0t2--?4P?- 7- -7 Permit will not be issued if the SCTM# is not provided Existing use and occupancy of premises and intended use d occupancy of propq�sed ailer: 1. Existing use and occupancy / /1,di � �* /�Jcy�ry(-?c-4,10- 2. Intended use and occupancy 3. Period of time trailer is to be located on premise Lot Size: Front e-5 Rear Depth Date of purchase or lease of land Zoning District for premises: Does proposed use violate any zoning ordinance or law? MNo ( )Yes If yes, explain on separate paper. Trailer Information: Length /�'Vidth Height a 40e 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 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; anda the t ailer w'll be located in the manner set forth in the application filed herewith. ( nature) Sworn to b ore me this I ��day of 2 i&tA , L I a� (Notary Pu jC CAROL HYDELL '410TARY PUBLIC-STATE OF NEWYORK NO.D11-1Y6189695 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES 06130/20_ , o�s�FFot,�oo Town Hall,53095 Main Road ELIZABETH A.NEVILLE,MNCi.'1' � P.O.Box 1179 TOWN CLERKH Z Southold,New York 11971 ' REGISTRAR OF VITAL STATISTICS Oy O�'� Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)76 5-1800 145 RECORDS MANAGEMENT OFFICER �! �a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 09/16/2013 Issued to: Teresko, Walter Address: P O Box 293 Cutchogue,NY 11935 A permit is hereby issued to locate a single trailer,as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 09/16/2013. Expiration Date: 03/26/2014 This renewal permit is granted for a six(6) month period. Elizabeth A.Neville Southold Town Clerk o�oS3fF0 -oo ELIZABETH A. NEVILLE,MMC �� r/y Town Hall,53095 Main Road TOWN CLERK o P.O.Box 1179 CA Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 5 • �� 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 ( ) Renewal ( ) Permit No. J b Received Date: Issue Date: Expiration Date: j Name of Applicant: WCLLtFA_ leV2 -reU©r�_ J S Mailing Address: Y- � cY 1l % Telephone No. _G�3 `l - -2 Applicant is: �ner ( )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 /2957 N19u I Telephone No.: Employer of Occupant Property Information (Name) (Address) (Telephone Number) Street address of land on which trailer mill betivri/ A,' SCTM#: _ _ Existing use and occupancy of premise and i tended a and occupancy of proposed trailer: 1. Existing use and occupancy �� a-. LC t 2. Intended use and occupancy �' y, _ 3. Period of time trailer is to bye located on pr 'ses: Lot Size: Front 7:3 CW* ORear 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 Inform tion: Length S idth 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 being duly sworn, deposes and says that that (ifhe 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 filed herewith. (S' nature) Swobefore me this �� day of ZOO 66[ary Public) DONNA McGAHAN Notary Public,State of New York No. 01 MC4851459 Qualified in Suffolk County Commission Expires Aug. 18,MOW ,( r y1s; III i, {*1 ' t LI 31 #�!^ Iu ' N IWO w y ": sic ONINO cz ' I +, .0 ,£ •64 -- rn _._, w J-V r M2£5,60 N �fl0.002 ,4o`0z o� NO rst 3 .p3,Es•6� S r_ 7601 ea z m 3W low Snpt�l3331 -- © 01I Jsvwt Qbo a ,t'OI o •� � � � •�� � l__— x 33� 3�� x Ip ev WOW ' .9' a w 3sr4w o 6'96 ` I 1 I t i i r � i v i o I I l A W / W r S 04°01130" W / 1 o�oSUFFoc�-oo ELIZABETH A.NEVILLE,MMC �� G,f, Town Hall, 53095 Main Road TOWN CLERK p P.O.Box 1179 y Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS - Fax(631)765-6145 MARRIAGE OFFICERy RECORDS MANAGEMENT OFFICER Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 03/13/2013 Issued to: Teresko, Walter Address: P O Box 293 Cutchogue, NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 03/13/2013. Expiration Date: 09/26/2013 This renewal permit is granted for a six (6)month period. Eli abeth A. Neville Southold Town Clerk ELIZABETH A. NEVILLE,MMC �� C�l/1, Town Hall,53095 Main Road TOWN CLERK p P.O.Box 1179 y Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O Fax(631)765-6145 MARRIAGE OFFICERy RECORDS MANAGEMENT OFFICER ��l .�`�� Telephone 765-1800 FREEDOM OF INFORMATION OFFICER www.southoldtldtownny.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 ('+� Permit No. I Received Date: I1 .T� Issue Date: Expiration Date: Name of Applicant: C1 �(ti, V e Mailing Address: Telephone No. _d' Applicant is: (46wner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of PremisesTlc(; 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 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 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 13 day of P �2 . (Notary Public) Q��gUf F0(,tc0 ELIZABETH A.NEVILLE,MMC �� G.y Town Hall,53095 Main Road TOWN CLERKp P.O.Box 1179 COD Z Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS O Fax(631)765-6145 MARRIAGE OFFICERO! �aQ� Telephone(631)765-1800 RECORDS OF MANAGEMENT OFFICER southoldtown.northfork.net FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 11/30/2012 Issued to: Teresko, Walter Address: P O Box 293 Cutchogue,NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 11/29/2012. Expiration Date: 03/26/2013 This renewal permit is granted for a six (6) month period. Elizabeth A. Neville Southold Town Clerk V SOF SO!/Ty ELIZABETH A.NEVILLE ��� �l0 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 OFFICER �li`Cou T1 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. toe) Received Date: 36DAC( jr Issue Date: Expiration Date: q1 -�- Name of Applicant: Mailing Address: Telephone No. Applicant is: (J Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises1l-W T`'(A-e? f14 r�-Q ft If owner is corporate, signature and title of duly authorized officer: Number of Occupants y & Names: Aff-ey �U MailingAddress b Telephone No.: WV Employer of Occupant YyQlftU Teooeto (Name) (Address) (Telephone Number) Property Information Street address of land onvvhlch t ai 1 be locate Z d �G f 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 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 FOT' (Notary Public) o�oS�FFo[,�oo ELIZABETH A.NEVILLE,MMC may► l/y Town Hall,53095 Main Road TOWN CLERK p P.O.Box 1179 CA Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p Fax(631)765-6145 MARRIAGE OFFICER �' RECORDS OF MANAGEMENT OFFICER ��l .��� Telephone n.no 7 fork. 0 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 11/29/2012 Issued to: Teresko, Walter Address: P O Box 293 Cutchogue,NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 11/29/2012. Expiration Date: 03/26/2013 This renewal permit is granted for a six(6)month period. qi�44Q%�,,-ey� Elizabeth A. Neville Southold Town Clerk �oF s0�r ELIZABETH A.NEVILLE ��� 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 r Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ���COU Krv,� 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: td Zit I (-,?- Issue yIssue Date: Expiration Date: tZb Name of Applicant: Mailing Address: 12-63 New U L Telephone No. Applicant is: V)Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises W G i h), T'gye-36 If owner is corporate, signature and title of duly authorized officer: Number of Occupants & Na es: MailingAddress Z fw' d Telephone No.: Employer of Occupant (Name) (Address) (Telephone Number) Property Information Street address of land n which trailer will be loc�t�ed: 12 8f �' a L ' SCTM #: Existing use and occupancy of premises and intendeds nd occupa cy of proposed trailer: 1. Existing use and occupancy S'C CU� f�q i�eiV 2. Intended use and occupancy 3. Period of ti e� r 'h 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 existingjproposed trailer must be attached to this application. State of New York County of Suffolk being duty 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 / w (Signature) Sworn to before me this / day of , 2d (Notary Public) of FOL oo ELIZABETH A.NEVILLE,MMC �`Z` �f, Town Hall,53095 Main Road Tco P.O. Box 1179 OWN CLERK y Southold,New York 11971 REGISTRAR OF VITAL STATISTICS %J%-0 •� Fax(631)765-6145 MARRIAGE OFFICER 'f',� aQ�' Telephone(631)765-1800 RECORDS OF MANAGEMENT OFFICER �.� '�► southoldtown.northfork.net FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN:OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 03/12/2012 Issued to: Teresko, Walter Address: P. O. Box 963 Cutchogue,NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 03/12/2012. Expiration Date: 09/26/2012 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 Fax(631) 765-645 RECORDS MANAGEMENT OFFICER �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �liJ'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 O Renewal (� Permit No. 6 Received Date: Issue Date: N1CtycC Z , 201 Z Expiration Date: Name of Applicant: Q �V I "e V E 1'(, Mailing Address: " NfWU -6 d e 43� Telephone No. 31) 7 9 q 5- y Applicant is: (4Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises V �1 V Tt v e S'� — V!. r) 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 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 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) OF SO�jyol ELIZABETH A.NEVILLE,RMC, CMC h 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 l Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER COMM 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: lO�A( Issue Date: Expiration Date: Name of Applicant: ' 'Ligs ID Mailing Address: f� 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) (Te hone 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 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 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. - \ 1 (Signatulre\)// Sworn to before me84 i�l O(}'3 day of „x (Notary Public) p SO(/l 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 OFFICERl Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER DUM,�rC southoldtown.northfork.net j� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 03/22/2011 Issued to: Teresko, Walter Address: P. O. Box 963 Cutchogue, NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 02/26/2011. Expiration Date: 08/26/2011 This renewal permit is granted for a six (6) month period. Elizabeth A. Neville Southold Town Clerk f y ELIZABETH A.NEVILLEO��QF soyo1 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 �Ii�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: f} New Application ( ) Renewal (J4 Permit No. Received Date: 3 baA- ( ( Issue Date: Expiration Date: g d . ----------- Name of Applicant: Mailing Address: MEW Telephone No. Applicant is: (. Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises NO-W If owner is corporate, signature and title of duly authorized officer: Number of Occupants y & Names: W�i�ey TSVtS Lb r� MailingAddress >i b Telephone No.: Employer of Occupant Mif eke 1'wolf`(b (Name) (Address) (Telephone Number) Property Information Street address of land on which t ai 1 be locate 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 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) pF SO!/Tyol ELIZABETH A. NEVILLE, RMC, CMC '` O Town Hall, 53095 Main Road TOWN CLERK l�[ 1 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER • COQ Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERl Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �cOUNT`Isou thoIdtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 10/14/2010 i Issued to: Teresko, Walter Address: P. O. Box 963 Cutchogue, NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 08/26/2010. Expiration Date: 02/26/2011 This renewal permit is granted for a six (6) month period. Elizabeth A. Neville Southold Town Clerk R oF SO�jyo ELIZABETH A.NEVILLE,RMC,CMC �� l0 Town Hall,53095 Main Road TOWN CLERK #[ J�t P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER • �O Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Ol� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER COMM�,� 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: 8 New Application ( ) Renewal ( ) Permit No. V Received Date: O Issue Date: 21371V Expiration Date: ----------- A 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: �77, .C;'.. -over- 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 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. d '4 (Signature) Sworn to Wore me this day of 2 c� (Notary Public) CARNOTARY PUBLLIIC-STTA�TE OF NEW YORK NO.01HYS189M QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES OV=261-� ' OG SO(/ry0 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 • COQ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Tele hone(631) 765-1800 FREEDOM OF INFORMATION OFFICER I�C�Un 1�,� 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: -over- J 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. r rT. 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) o��oF so�ryol ELIZABETH A.NEVILLE,RMC,CMC '` O Town Hall, 53095 Main Road TOWN CLERK l l P.O. Box 1179 REGISTRAR OF VITAL STATISTICSSouthold, New York 11971 MARRIAGE OFFICER G �p� Fax (631) 765-6145 .c` RECORDS MANAGEMENT OFFICERV Telephone (631) 765-1800 C FREEDOM OF INFORMATION OFFICER OUNrI�, southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 03/23/2010 Issued to: Teresko, Walter Address: P. O. Box 963 Cutchogue,NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 02/26/2010. Expiration Date: 08/26/2010 This renewal permit is granted for a six (6) month period. Elizabeth A.Neville Southold Town Clerk ooF so�ryol ELIZABETH A.NEVILLE,RMC,CMC h 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 Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER OI�CO(I�I'1,� southo dtown 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: 1 / New Application O Renewal O 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: mov VM 10 i! T MI.lOO NY, 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 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. I W �t J` 4. (Signature) Sworn to before me this��- day of v (Notary Public) CAROL HYDELL NC,TARY PUBLIC TATE OF 1" NO.01 618"" OUALIFIED IN SUFFOLK CCUJMTY C."N MISSION EXPIRES 06/301204, pf SO(/TyD ELIZABETH A. NEVILLE,RMC, CMC Town Hall, 53095 Main Road • TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N Southold, New York 11971 MARRIAGE OFFICER �p� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERTelephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �00um,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 09/21/2009 Issued to: Teresko, Walter Address: P. O. Box 963 Cutchogue, NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 08/26/2009. Expiration Date: 02/26/2010 This renewal permit is granted for a six (6) month period. Elizaketh A. Neville Southold Town Clerk SO!/jyo ELIZABETH A.NEYILLE,RMC,CMC �� l0 Town Hall, 53095 Main Road 'DOWN CLERK l P.O. Box 1179 REGISTRAR OF VITAL STATISTICS CA Southold, New York 11971 MARRIAGE OFFICER • �O Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER UNTi,� 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: I f New Application ( ) Renewal ) Permit No. Ip Received Date: Ix Issue Date: Expiration Date: b4o C7 Name of Applicant: WC&gC 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 av 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 Rear Depth Date of purEhase 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 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. ( n� (Signature) Sworn to before me this day of , 2 (Notary Public) o��OF SO�r�ol ELIZABETH A.NEVILLE,RMC,CMC 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 OFFICER ,M Tele hone (631) 765-1800 FREEDOM OF INFORMATION OFFICER I�COU1�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 j�k Permit No. Received Date: Issue Date: Expiration Date: /a em 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 oc up ncy of proposed trailer: 1. Existing use and occupancy 2. Intended use and occupancy 3. Period of time trailer is to be toat d on pre ises: 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 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) Swo o efore me this 7day of 24 (Notary P U) Cheryl Simons Notary Public,State Of New York No.31-4970341 Qualified In Suffolk County Commission Expires February 4,20,� *oF sorry ELIZABETH A. NEVILLE � 0- 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 OFFICER �� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER IiYC+OU southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 10/01/2008 Issued to: Teresko, Walter Address: P. O. Box 963 Cutchwgue, NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 08/26/2008. Expiration Date: 02/26/2009 This renewal permit is granted for a six (6) month period. _ Q _ Effzabeth A. eville Southold Town Clerk SOF SO(/jy ELIZABETH A.NEVILLE ��� Ol0Town 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 �li�'COU01 � 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 (941 Permit No. / U Received Date: 3 a 1Z D a a X Issue Date: Expiration Date: Name of Applicant: Mailing Address: 6. Telephone No. 3 t 2 3 V q Applicant is: (PlOwner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises (/J If owner is corporate, signature and title of duly authorized officer: Number of Occupants & Names: MailingAddress Telephone No.: f� Employer of Occupant [AI Q 1 a $ �� -� r QI F Z 0 (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: QCj SCTM #: Existing use and occupancy of premises and intended use and o cupancy 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 (� 4L-Tp- ,R ', e,' P U 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. d (Signature) Sw rn to before me this day of ALAA 2008 � ,& (N htaryv Public) No. 1 1 1 Qualified in Commission Expires lune , ELIZABETH A. NEVILLE ��0f S0Ujy0l0 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 OFFICER �li�'COU '� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 03/24/2008 Issued to: Teresko, Walter Address: P. O. Box 963 Cutchogue, NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 02/26/2008. Expiration Date: 08/26/2008 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: 03/24/08 Receipt#: 14133 Transaction(s): Reference Subtotal 1 1 House Trailer Permit 168 $100.00 Cash Total Paid: $100.00 Name: Teresko, Walter P. O. Box 963 Cutchogue, NY 11935 Clerk ID: LYNDAB Internal ID: 168 pF S0 ELIZABETH A. NEVILLE ? �� l4 Town Hall, 53095 ,blain Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICSSouthold. Neve York 11971 MARRIAGE OFFICEK �'Sc- Fax 1631 765-6145 RECORDS FREEDOM OF INFORMATIONENT OFFICER �FFICER ��CDU� �� Telephone (631) 765-12iUU ` 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. l� Received Date: 31 aq p Issue Date: —35qloe Expiration Date: �o'?q 1,0 ----------- Name of Applicant: Mailing Address: Telephone No. Applicant is: ),Qwner ( )Lessee ( )Agent for Owner ( )Ag or Lessee Name of Owner of Premises If owner is corporate, signature and title of duly authorized officer: Number of Occupants & ames: MailingAddress U '-J - Telephone No.: Z Employer of Occupant (Nam (Address) (Telephone Number) Property Information Street address of land on which trailer wil be 1pcate r I 4- SCTM #: Existing use and occupancy of premises and intended use an4.0 cupadcy proposed trailer: 1. Existing use and occupancy 2. Intended use and occupancy 3. Period of time trailer is to be located on wer>r►is : V �, 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 0 A L-7 e �� e �� -o 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 kyr" day of 2 o o p . J,ACZ A/1 (Notary Public) KERRI A MCCARTHY NOTARY PUBLIC-STATE OF NEW YORK N0.01-MC6045508 QUALIFIED IN SUFFOLK COUNTY MY COMMISSION EXPIRES 07-31-2010 CUUV of survey showing location of existine buildinsrc ani ayiifi aLnr,,,,,,� a #r.a" ti 30, i I » M 80'43'30' E 364.5&-, S: 81'11 l0 W 20G.:.0' zo '3 N/0/F W. M. 0 I i' R ' t?R 3 '� BEEBE o (A .iLi r � for - ° n► � 4 N/0/F W. M. BEEBE j t S. 80043'30' -W. 413.39' M. L. WICKHAM SOF SO(/jy ELIZABETH A. NEVILLE �0� �l0 Town Hall, 53095 Mann 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 �" cou,M'� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 168 Name: Teresko, Walter Address: P. O. Box 963 Cutchogue,NY 11935 City ST Zip: * * EXPIRATION NOTICE This is to advise you that your Trailer permit has expired on 02/26/2008 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 by 3/27/2008 the Trailer Permit will be revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Verytruly yours Elizabeth A. Neville Southold Town Clerk Enclosure of sorry ELIZABETH A. NEVILLE ��� Ol0 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 OFFICER Oli�'COU�ny� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 168 Name: Teresko, Walter Address: P. O. Box 963 Cutchogue,NY 11935 City ST Zip: * * RENEWAL NOTICE This is to advise you that your Trailer permit will expire on 02/26/2008 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 3/27/2008 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 ELIZABETH A. NEVILLE '` 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 �IiYC+ Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER AUNTY+ 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: �0 ----------- Name of Applicant: 2 Mailing Address: Telephone No. Applicant is: = wner ( )Lessee ( )Agent for Owner ( )Ag or Lessee Name of Owner of Premises `-'�' !�I--�j S!C (�j If owner is corporate, signature and title of duly authorized officer: Number of Occupants I & ames: 1,4 L,q �ku � � MailingAddress U V I ' LJ, Telephone No.: — 2 Employer of Occupant (Name (Address) (Telephone Number) Property Information Street address of land on which trailer wil be 1 cate ze4 uj &"c/ > > SCTM #: Existing use and occupancy of premises and intended use and o cupancy proposed trailer: 1. Existing use and occupancy 2. Intended use and occupancy 3. Period of time trailer is to be on located pp-e is a o �/ 0 i Lot Size: Front 14 C'-- a- Depth Date of purchase or lease of land / 9 S'�S Zoning District for premises: Does proposed use violate any zoning dinance or law? o ( )Yes If yes, explain on separate paper. Trailer Information: Length -] 2 Width L_ Height Registration No. Serial Ng. Method of Sewerage disposal Source of Water Supply o6T 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 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. ,ll (Signature Sworn to beforejne this f7 day of ,2 �0 7 Cheryl Simons Notary Public,State Of New York (Notary Public) No.31-4970341 Qualified In Suffolk County Commission Expires February 4,20e�/. 7/O -- -7 • O��pF Sol/ryo� 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 OFFICERlyC Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OUNTi southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 168 Name: Teresko, Walter Address: P. 0. Box 963 Cutchogue,NY 11935 City ST Zip: * * RENEWAL NOTICE This is to advise you that your Trailer permit will expire on 08/26/2007 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 8/26/2007 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 � F so 0 ��0 Uly� ELIZABETH A. NEVILLE ,`O l0 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Q Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER � Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER CouN southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 09/07/2007 Issued to: Teresko, Walter Address: P. O. Box 963 Cutchogue, NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 08/26/2007. Expiration Date: 02/26/2008 This renewal permit is granted for a six (6) month period. Elizabeth A. Neville Southold Town Clerk razur� - ��pF SOUjy 0� Town Hall, 53095 Main Road ELIZABETH A. NEVILLE �� P.O. Box 1179 TOWN CLERK It Southold, New York 11971 N Q REGISTRAR OF VITAL STATISTICS Fax (631)765-6145G • MARRIAGE OFFICER ,cO �� Telephone (63.1) 765-1800 RECORDS MANAGEMENT OFFICER ,M southoldtown.northfdrk.net FREEDOM OF INFORMATION OFFICER COO, `+� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD x TO: Edward Forrester, Code Enforcement Officer FROM: Bonnie J. Doraski, Deputy Town Clerk DATE: January 26, 2007 RE: Trailer Renewal Please perform an inspection and advise if the trailer permit maybe renewed for the following: Applicant: Walter Teresko Trailer Address: 1285 New Suffolk Road, Cutchogue Thank you. of Soar ELIZABETH A. NEVILLE ,`Oy�lO Town Hall, 53095 Main Road TOWN CLERK 4 4 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS CA Southold, New York 11971 MARRIAGE OFFICER G Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �0� ^ate Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER 00 I,,� 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: 1�2(p (01 Issue Date: Expiration Date: 26107 Name of Applicant: Mailing Address: Telephone No. '' g Y— Applicant isl(-Awner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises W lr � r'-Ld a4 - I C� If owner is corporate, signature and title of duly authorized officer: Number of Occupants & Names: �J •f J-1 1, _ MailingAddress_ j p Telephone No.: -7 Employer of Occupant o)4,W 4 0-4 (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: J SCTM #: Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy L 2. Intended use and occupancy 3. Period of time trailer is to be located o remises: _ (,. Lot Size: Front �; „, .? Rear Depth Date of purchase or lease of land / `� Z Zoning District for premises: 4 c.'7-- Does proposed use violate any zoninj ordinance or law? )No ( )Yes If yes, explain on separate paper. Trailer Information: Length 7 Width Height Registration No. Serial Method of Sewerage disposal r 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. 1n �� State of New York County of Suffolk s� ]U,"I��i( e-'r- �� 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. f (Signature) Syvorn to before me this C4U day of W�i 24 ,2 ary Public)) MAISIE A.BRAUNSKILL:&�I�15p.J NOTARY PUBLIC State of Eewllb No.01 Bh4842920 Qualified in Suffolk County Commission Expires July 31.21_ *oF sorry ELIZABETH A.NEVILLE '` Ol0 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS is y Southold,New York 11971 MARRIAGE OFFICER '�` �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �IyCOU'M'� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER 111' southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 168 Name: Teresko, Walter Address: P. O. Box 963 Cutchogue,NY 11935 City ST Zip: * *RENEWAL NOTICE This is to advise you that your Trailer permit will expire on 02/26/2006 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 2/26/2006 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 ///k/o ,of SO!/ryo ELIZABETH A. NEVILLE ,`O l0 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 OFFICER � ,�a� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER CQU ,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 168 Name: Teresko, Walter Address: P. O. Box 963 Cutchogue,NY 11935 City ST Zip: * * RENEWAL NOTICE This is to advise you that your Trailer permit will expire on 02/26/2007 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 2/26/2007 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�Tyol ELIZABETH A.NEVILLE O 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 OFFICERl Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OWN southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 09/13/2006 Issued to: Teresko, Walter Address: P. O. Box 963 Cutchogue,NY 11935 1�permit is hereby issued to locate a single trailer, as follows: License No.: JT47630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 08/26/2006. Expiration Date: 02/26/2007 This renewal permit is granted for a six (6)month period. Elizabeth A. Neville Southold Town Clerk of Soar ELIZABETH A. NEVILLE Oy�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 FREEDOM OF INFORMATION OFRECORDS MANAGEMENT F ICER CER �OIyC Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Edward Forrester, Code Enforcement Officer FROM: Bonnie J. Doroski, Deputy Town Clerk DATE: July 25, 2006 RE: Trailer Renewal Please perform an inspection and advise if the trailer permit may be renewed for the following: Applicant: Walter Teresko Trailer Address: 1285 New Suffolk Road, Cutchogue Thank you. O�*pF SO�ryOl RECEIVE ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK 5O. Box 1179 REGISTRAR OF VITAL STATISTICS n Q Soithold, New.York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Ol� tq#fk 765-1800 FREEDOM OF INFORMATION OFFICER COUNTY,N tholdu h0'd T��'i�� e�n.northfork.net SO 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 RenewalA Permit No. _�— Received Date: Issue Date: Expiration Date: ----------- — Name of Applicant: Mailing Address: Telephone No. Applicant isK wner ( )Lessee ( )Agent for Ow r ( )Agent for Lessee Name of Owner of Premises If owner is corporate, signature and title of duly authorized officer: Number of Occul2ants & Nam s: MailingAddres Telephone No.: —"7 Employer of Occupant (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will a located: Jen!�� J SCTM#: Existing use and occupancy of premises and intended a and c panty of pr posed 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_-3-0 0 Rear l 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. T SeriaNo. 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 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 qday of 2 Oct L� r (L otary Public) KERRI A.MCCARTHY TARY PUBLIC-STATE OF NEW YORK NO.01-MC6045508 QUALIFIED IN SUFFOLK COUNTY MY COMMISSION EXPIRES 07-31-20 a/o 7/., of ar � oy�� so ELIZABETH A. NEVILLE '` 4 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 OIt Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �U�1,+ southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 168 Name: Teresko, Walter Address: P. O. Box 963 Cutchogue,NY 11935 City ST Zip: * * RENEWAL NOTICE This is to advise you that your Trailer permit will expire on 08/26/2006 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 8/26/2006 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, %a44a2�" Elizabeth A. Neville Southold Town Clerk Enclosure ' ♦ t o��oF so�ryol ELIZABETH A.NEVILLE O Town Hall, 53095 Main Road TOWN CLERK l 1 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER �O Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �l�`, ,nv Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER 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: Walter Teresko Trailer Address: 1285 New Suffolk Rd., Cutchogue Thank you. E �O��OF SO(/ryol ELIZABETH A.NEVILLE O Town Hall, 53095 Main Road TOWN CLERK J�[ l�[ P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G Southold, New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �lyTelephone (631) 765-1800 C FREEDOM OF INFORMATION OFFICER oU , 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 ( ) Renewat-k Permit No. Received Date: Issue Date: Expiration Date: Name of Applicant: )� 4 I t--g-4 7 %, Mailing Address: © U_C_.,. Telephone No. Applicant is: 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: (d A I -- `o MailingAddress 7 's f j Telephone No.: — Employer of Occupant (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer w' 1 b 1 cate L2 9 � 1 ,)I -1 SCTM#: Existing use and occupancy of premises and intended use d occupancy of proposed trailer: 1. Existing use and occupancy 2. Intended use and occupancy 3. Period of time trailer is to be ated on premises: i s • • ► "tee �i Lot Size: Front Rear Depth Date of purchase or lease of land 19 Zoning District for premises: Does proposed use violate any zoning ordinance or law? ( )No ( )Yes If yes, explain on separate paper. Trailer Information: Length :2 Width Height Registration No. Serial No. Method of Sewerage disposal t Source of Water Supply % Source of Electricity C 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 tq )-f-r- -7 Y-QS d being duly sworn, deposes and says that that (s)he is the applicant named above and (s) he is authorized to make and le 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 ,200 (No Public) DONNA McGAHAN Notary Public,State of New York No. 01 MC4851459 Qualified In Suffolk County Commission Expires Aug. 18,2006 i F So � ELIZABETH A.NEVILLE '` O Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 CA- Southold,New York 11971 REGISTRAR OF VITAL STATISTICS G Q MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �li�' Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER CoU +� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168 Date: 02/09/2006 Issued to: Teresko, Walter Address: P. O. Box 963 Cutchogue,NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT147630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 02/26/2006. Expiration Date: 08/26/2006 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: 02/09/06 Receipt#: 6237 Transaction(s): Reference Subtotal 1 1 House Trailer Permit 168 $100.00 Check#: 6237 Total Paid: $100.00 Name: Teresko, Walter P. O. Box 963 Cutchogue, NY 11935 Clerk ID: LINDAC Internal ID: 168 • OF SO!/ • ELIZABETH A.NEVILLE 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 OFFICER Ol� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER COMM� 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 23, 2005 Re: Trailer Renewal Please perform an inspection and advise if the trailer permit may be renewed for the following: Applicant: Walter Teresko Trailer Address: 1285 New Suffolk Rd., Cutchogue Thank you. o��,oF so�ryol ELIZABETH A. NEVILLE Q 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 FREEDOM OF INFORMATION OFFICER COMM,� 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.'A Permit No. 1(o --� Received Date: �> Issue Date: Expiration Date: —0 Name of Applicant: GlJl4- Mailing Address: P0 — /Q Telephone No. Applicant is,,<, Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises (,y /9-/ r t.4 T� -.e a If owner is corporate, signature and title of duly authorized officer: Number of Occupants _& Names: (4j - jl::� ,_r�C'a MailingAddress Soo 6 U a ✓J Telephone No.: Employer of Occupant -�s t�-41 (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: fcMSS x.)&60 sce r F0L-,< ki) a!rr tf60-I1i SCTM#: Existing use and occupancy of premises and intended use and occupancy of proposed trailer: 1. Existing use and occupancy 5 6 6Z-eW1 rY 2. Intended use and occupancy 3. Period of time trailer is to be located on premises: Inov Y61 .' 'Q OWSi,6( pdElCl Lot Size: Front Rear Depth Date of purchase or lease of land Z 96'5" Zoning District for premises: 1116'<1 Cu[, r4l C Does proposed use violate any zoning ordinance or law? ONo ( )Yes If yes, explain on separate paper. Trailer Information.- Length nformation:Length 1 Width / Height Registration No. Sell No. Method of Sewerage disposal F f� Source of Water Supplyf�f Source of Electricity IMPORTANT Copy of survey showing location of existing buildings and existin0proposed trailer must be attached to this application. State of New York County of Suffolk Wou f i4er l-a-e_s LL i-o 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 ner set forth in the application filed herewith. n (Signature) Sworq to before me this day of Ooh (Notary ublic) DONNA McQAHAN Notary Public,State of Now Y0* No. 01 MG4851459 Ouallified In Suffolk om► Asdres a ExpiAto County t8.9W o��pF SO!/ryol ELIZABETH A.NEVILLE Q Town Hall, 53095 Main Road TOWN CLERK W P.O. Box 1179 REGISTRAR OF VITAL STATISTICS i s ae Southold,New York 11971 MARRIAGE OFFICER :% �O� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER v`Li Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �7 Coin l Telephone OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 168-8/04 Name: Teresko,Walter Address: P.O. Box 963 Cutchogue,NY 11935 City ST Zip: * *RENEWAL NOTICE This is to advise you that your Trailer permit will expire on 08/26/2005 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/26/2005 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 . Town Of Southold P.O Box 1179 • Southold, NY 11971 * * * RECEIPT * * * Date: 08/23/05 Receipt#: 6060 Transaction(s): Reference Subtotal 1 1 House Trailer Permit 168 $100.00 Check#: 6060 Total Paid: $100.00 Name: Teresko, Walter P. O. Box 963 Cutchogue, NY 11935 Clerk ID: LINDAC Internal ID: 168 SO!/ly� ELIZABETH A.NEVILLE �� lA Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS N ac Southold, New York 11971 MARRIAGE OFFICERFax(631) 765-6145 RECORDS • �O FREEDOM OF NFORMA ION OFFICER AGEMENT OFFICER �� Comm�� s utho dtown northfork nTelephone(631) et OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit Number: 168-8/04 Date:03/16/2005 Issued to: Teresko, Walter Address: P. O. Box 963 Cutchogue,NY 11935 A permit is hereby issued to locate a single trailer, as follows: License No.: JT147630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 02/26/2005. Expiration Date: 08/26/2005 This renewal permit is granted for a six(6)month period. r ` E' eth A. Neville Southold Town Clerk S�EFO�,� • Southold Town Hall Annex 54375 Route 25, P.O. Box 1179 EDWARD FORRESTERo= Southold, New York 11971-0959 DIRECTOR OF CODE ENFORCEMENT ti Z Telephone (631) 765-1939 p Facsimile (631) 765-6639 e-mail: ed.forrester@town.southold.ny.us TOWN OF SOUTHOLD MEMORANDUM TO: Elizabeth Neville, Town Clerk FROM: Ed Forrester, Director of Code Enforcement DATE: March 14, 2005 RE: Trailer Permit Renewal #168, Teresko Please be advised the trailer on this property conforms to the conditions of the permit. No violations were observed at this time. • *QF SO(/ryo ELIZABETH A.NEVILLE O� l Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS CA Q ar Southold, New York 11971 MARRIAGE OFFICER � Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER y ��y 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: March 11, 2005 Re: Trailer Renewal Please perform an inspection and advise if the trailer permit may be renewed for the following: Applicant: Walter Teresko Trailer Address: 1285 New Suffolk Rd., Cutchogue Thank you. FF IrSU loco G ELIZABETH A.NEVILLE �� Town Hall, 53095 Main Road TOWN CLERK h 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 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 04 Permit No. Received Date: _�'� f Issue Date: Expiration Date: (l — O Name of Applicant: !.0 ft LT'C ,2 _ft'r� Mailing Address: f'U y X q 3 ' J (-h 09 U Telephone No. - 7,L/ -S ¢- Applicant is: (Owner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises (u I? L- T t 2 1 Lp_ t�_z j-K 6 If owner is corporate, signature and title of duly authorized officer: Number of Occupants _L_& Names: 1.. T c 2 /Z t-'X d MailingAddress H m -J, V Telephone No.: ,S R n -JL_ (1? Employer of Occupant u-) R -AA ,_ A A-I S/IcO9-- (Name) (Address) (Telephone Number) Property Information Street address of land on which trailer will be located: - C; J-).P 4 S Jf f-0 /x �c{ O 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 pmises: I A.) JL, Lot Size: Front Rear Dpth Date of purchase or lease of land 9 S Zoning District for premises: Does proposed use violate any zonind ordinance or law? (ANo ( )Yes If yes, explain on separate paper. Trailer Information: Length 7,I I Width / Height JA IL Registration No. Serial No. Method of Sewerage disposal Source of Water Supply u, Source of Electricity , A c� IMPORTANT Copy of survey showing location of existinla buildings and existinp-/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. (Signature) Sworn to be re me this day of 2 (Nota 1ic Notary PUb Bta 0 Nw%4 No.31-4970341 Qualified In Suffolk Coo* Commis:::o,ri Expires Febfvvy4j"-a7 Copy of survey hOwing location of existine buildings . . W F-' 80'43'30' f. 364.50' �Q'v s: s1.11•ro w-1200. 0' � �? 1�ai r N10/F W. M. BEEBE cor M o N10/F W. M. BEEBE _f j z S. 8c:'43'30' •M: 413.39' o- / uses 9 M. L. WICKHAM •Town Of Southold . P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/11/05 Receipt#: 5907 Transaction(s): Reference Subtotal 1 1 House Trailer Permit 168-8/04 $100.00 Check#: 5907 Total Paid: $100.00 Name: Teresko, Walter P. O. Box 963 Cutchogue, NY 11935 Clerk ID: LINDAC Internal ID: 168-8/04 UFFO�,��oG ELIZABETH A.NEVILLE �� Town Hall, 53095 Main Road TOWN CLERK e/� Z P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS O .� Southold, New York 11971 MARRIAGE OFFICER 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 Organization Name: Permit Number: 168-8/04 Name: Teresko,Walter Address: 1285 New Suffolk Rd. P.o. Box 963 City ST Zip: Cutchogue,NY 11935 * *RENEWAL NOTICE This is to advise you that your Trailer permit � �red n 02/26/2005 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 before3128/05 you Permit willbe revoked and you will be required to remove the trailer from the premises. Thank you for your cooperation. Very truly yours, e+xw a;—Y-�W& Elizabeth A. Neville Southold Town Clerk Enclosure • FFO 0 ELIZABETH A.NEVILLE � Town Hall, 53095 Main Road TOWN CLERK _ P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER .j► �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �01 ��o Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Pernut Number: 168-8/04 Date:07/23/2004 Issued to: Teresko, Walter Address: 1285 New Suffolk Rd. P.o. Box 963 Cutchogue,NY 11935 A pemft is hereby issued to locate a single trailer, as follows: License No.: JT147630 Serial No.: 06L67740 Located at: 1285 New Suffolk Rd., Cutchogue SCTM#: 109-7-7.3 Pursuant to application dated 08/26/2004. Expiration Date: 02/26/2005 This renewal pernrit is granted for a six(6)month period. E' eth A. Neville Southold Town Clerk Town Of Southold • P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/23/04 Receipt#: 0 Transaction(s): Subtotal 1 House Trailer Permit $100.00 Check#: 5696 Total Paid: $100.00 Name: Teresko,Walter 1285 New Suffolk Rd. P.o. Box 963 Cutchogue, NY 11935 Clerk ID: JOYCEW Intemal ID:98650 P • - o�oSufFot,��, 0 ELIZABETH A.NEVILLE �� Gy� Town Hall, 53095 Main Road TOWN CLERK �y = P.O. Box 1179 REGISTRAR OF VITAL STATISTICSSouthold, New York 11971 MARRIAGE OFFICER y ��� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �ol .�� 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 ,�+ppiication ( ) Renewal Permit No. (_ Received Date o2 O Y Issue Date: c2j= Expiration Date: „¢ Name of Applicant: J --r-:"' Mailing Address: r-' Telephone No. — 2 Applicant is: J)66wner ( )Lessee ( )Agent for Owner ( )Agent for Lessee Name of Owner of Premises U) :ra A If owner is corporate, signature and title of duly authorized officer: Number of Occupants & Names: MailingAddress G D K v Telephone No.: — /O O Employer of Occupant � 1} }�„��(A,J rkb ft- (Name) (Address) (Telephone Number)Cu f j,0�� Property Information Street address of land on which trailer will be located: 7' a S L) � - SCTM#: Existing use and occupancy of premises and intended use a I occupancy of,p oposed trailer: 1. Existing use and occupancy 2. Intended use and occupancy U 3. Period of time trailer is to be located on premises: i Lot Size: Front �,3 7 Rear 3 j ( Depth k6,e fA �p Date of purchase or lease of land �S a J Zoning District for premises: Does proposed use violate any zonin rdinance or law? K ( )Yes If yes, explain on separate paper. Trailer Information: I� Length 7a I Width / y Height / Registration No. Serial No. ® Ce CA-7 -7 4-0 Method of Sewerage disposal Source of Water Supply Source of Electricity IMPORTANT Copy of survey showing location of existing buil gsand _yj in 'n�� t; i � W �*t 364.50' '�_—-- 30'R.O.W. N.'80•a3'30' E. (� j W 1200. I!'iO" 3 i x'117 j N/0/F W. M. o � I BEEBE w ` LOT Q ti O Cb N/01F W. M. o BEEBE r^ 413.39' i z S 80.43'30" -W ises o ,� ).ice and i �, ulniF J. L. 8 M. L. WICKHAM .rue to the .te manner set forth in thetiv. _._. (Signature) SW o o beforF me this S� day of 2 O° (Notary(PAlic) gyp 91 ' Celli 1 fF0 SU I�C�G ELIZABETH A.NEVILLE y� 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 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Organization Name: Permit Number: 168 Name: Teresko,Walter Address: 1285 New Suffolk Rd. P.o. Box 963 City ST Zip: Cutchogue,NY 11935 * *RFNEWAL NOTICE* This is to advise you that your Trailer permit will expire on 08/26/2004 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". If your application and fee are not received on or before 8/26/04 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, lbeth CSG.A. Neville Southold Town Clerk Enclosure ffOt,��o ELIZABETH A.NEVILLE �� � Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS v' Southold, New York 11971 MARRIAGE Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER CERyO,� �aO! Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TRAILER PERMIT Permit No. 168 Date 4/27/04 Name: Walter Teresko Mailing Address: P.O. Box 963, Cutchogue, NY 11935 Your application for a trailer permit was reviewed by the Town Board on 4/27/04 and it was approved A permit is hereby issued to locate a trailer as follows: License No: — Mooes. J'rr y1 3C, Serial No: 0 6 L C,7 7 g o _ Located at: 1285 New Suffolk Rd., Cutchogue, NY 11935 SCTM# 109-7-7.3 ' Pursuant to the submitted application and the following conditions: Security Trailer-expires 8/26/04 Town Board,Town of Southold Town Clerk _ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNER NE ACR. `j a-r e -- 7 e-I-e�-R G f Y�+c k{�a s.� �.F f; � , �l a _- S W TYPE OF BUILDING �f� v� `sW c KHA . _/,fie-e�e f e ie- /ej-ej-&o RES.-tA 0 SEAS. I VL. FARM. COMM. CB. MISC. Mkt. Value - — - LAND IMP. TOTAL DATE REMARKS - --[ Pei- X33 Z, ewore EtC /200 0Q �- s_•� S`!1 :1-d: .` '�✓ ` //7 ( Ct d _-,•..-r ZoE-v - - S7,17 _ AGE BUILDING CONDITION Z I'D U-� . - �' ow In e-V-5 f-e- k" S¢ NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 f � ,ry v 7 :U Tillable 2 • Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD 3 f-f, lk pw.�v�-alk �y a, d, DEPTH J �► fool% BULKHEAD rota) y DOCK iCY� Int u O Town Hall, 53095 Route 25 �.l► �r/y P.O.Box 1179 o= Southold,New York 11971-0959 EDWARD FORRESTER Z Telephone(631) 765-1939 DIRECTOR OF CODE ENFORCEMENT 0 Facsimile (631) 765-1823 • 'F y p! e-mail: ed.forrester@town.southold.ny.us TOWN OF SOUTHOLD RECEIVED MEMORANDUM MAR 2 5 2004 Southold Town Clert TO: Elizabeth Neville, Town Clerk FROM: Ed Forrester, Director of Code Enforcement DATE: March 25, 2004 RE: Trailer Permit 168, Teres(o Please be advised that the applicant'is seeking to replace an old trailer with a j new one. He states that he intends to live in it. l ��S�FFO(,�c •' s 0 ELIZABETH A. NEVILLE ti�� Gy Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER ,t, !� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �Ql �a� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 168 4 Date Septemberj 2, 2003 Issued to Walter Teresko Address 1285 New Suffolk Rd. Cutchogue, NY 11935 sCT-'4- # / 000 - / 09 - 7- 7 o scc /o 0-X 0 1 -W'n.oi- S1-6dr✓I-sW&F tC,- / ifre k6 A renewalpermit is hereby issued for the location of a single trailer/ibmuzacer at 1285 New Suffolk Rd., Cutchogue, NY pursuant to application dated 8/6/03 This renewal permit is granted for a six (6) month period. Expiration date February 26, 2004 f EI abeth A. Neville Southold Town Clerk s (J • TO* OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ..................................... 19........Permit No. Yi APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date `{........ 19...U. Instructions a. This application must be completely filled in by typewriter or in ink an7submit-one copy to / the Town Clerk. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property and proposed location of troller must be drawn on the diagram which is part of this application. c. Upon approval of this application, the Town Board will issue a trailer permit to the applicant. Such permit shall be kept on the premises available for inspection. d. No trailer shall be occupied or used in whole or in part for any purpose whatever other than specified In permit. Application is hereby made to the Town Board for the, issuance of a Trailer Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York,and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all app able laws, ordinances and regulations. ,uj.... ....................................... (Signature of applicant) (Address) State whether applicant is owner, lessee or agent........., ................................................... Name of.Owner of premises ..... ..,lg,�y -Q.f(..... > .r- ..��r �............................................ Cf 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 Streetand number ................."-........................................:................................................................. 2. State existing use and occupancy of premises and interred use and occupancy of proposed trailer: a. Existing use and occupancy ...... .,�.f;' r... .... ....... ................................................... b. Intended use and occupancy ..... .l.�.L,1,�'.,... ......i ,�/?�;,,��(��.................. ........ c. Period of time trailer is to be located on premises ............tJ,.,,(„?,.,�,/,-,d,&,4J,, ........... l 3. Fee ........,/...d�Q...r..Q..S.f......... (To be paid on filing application) d. Dimensions of trailer, length ...............7...59.1....width .............LY........... height ........11................. Registration Number ......(,�.,IJ-t-114.&I.Aeriol Number .........�&,� 2.GI.r�G/,(r, ,,,,,,,,,,,,,, (-.1s Vic, L6T 5. Size of lot: Front .......�. 6. Date of purchase or lease .....................:.Rear ........;.........:............. Depth ..�:.................... of and....:. .Q�. ..,. :.......I:.:;:.... ..��p....7........................... 7.:,Zone or use district in which premises are situated ,.. . . - .......�40............... .... ?....... 8. Does proposed use violate any zoning law, ordinance or regulatib ? ...............A") ....................... 9. a. Method of Sewerage disposal ..........r,�,,� „ `. :....� ..`............ ............................................ b. Source of Water Supply .rQ / c. Source of Electricity ......................./....i.fA................................................................................ n 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 bll buildings and property lines. STATE OF NEW YORK 1 COUNTY OF SUFFOLK f ss. ................ •••••. ........................ being duly sworn, deposes and says that he is the applicant named above. He is the ................,.. (owner or lessee or agent) of said owner or owners,and is dulyauthorized 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 ......4:7:..!lS.'........... day of ,-} — (Signature) ..... ubl ........ ... ........... dory P�,rlr��) ; LINDA J.COOPER Notary Public,State of NOW York No.4822563,Suffolk County Term Expires December 31,ir8P-4)�� or r., °�s st•tt•ru� ... NI0/F W. M. BEEBE � I N Zj. Ao � • 2 14/0/F W. TERESKO N/O/F 2 . RICK U6H '3 N. 80006'40" E. 473.86' -03 gN.80.06'40"E. A TS.00 �, LOT c N.80• O' 2 EE h � N slyt•r0�E. w W _ 92.00' O RiN.80'43'30' E. 364,50', 10 S.1811170" W. 200.00, w W. -M, BEEBE rota I i , A l_1 o ° w4 ly N/0/F W. M. o LOT 2 CU 0 0 BEEBE o sr€RN r0#WS. A N ,S z S 80'43'30" 'W. 413.39' YOR m N/0/F J. L. 8 M. L. WICKHAM ti .,tea o . yiAL AT V/ S. 13EESE C) N 0 M. IF W. KO -L W. TERES ,qlolF e6' z 473. -06040" N. 80 N101F z (A LyW4E L. *0 CP IwCKASAUGH 10 a LOT Ti " CP. go .910.06.'40"E- 75-00� - IE i. N. N3 1 '�a 92.0c 0 SDO, 0 364-��-, N-80 1;5 ) N M90-43-30' CA 50, W. 200-C)O' 1011110 '91F W. LOT BEEBE 'F M- N101 '?E BEES 413.39' S. 80 43'30 4 S TEi?N To WNS IF WICKHAM N10 C4 TIONS Ir F TWYOR An :x WAL sy r.y vv A T-1 "W. TO Statement of Walter Teresko in support of Lot Line Change To: Southold Town Planning Board November 28, 2001 I am submitting a lot line change application for 1275 and 1285 New Suffolk Road, Cutchogue,New York, SCTM#1000-109-7-6 and 1000-109-7-7. I request permission to change the lot line between tax lots 6 and 7 to move a 71.53 foot x 75 foot parcel (the"Parcel") at the rear of tax lot 6 (Lot 2 on map)to tax lot 7 (Lot 1). This is to restore the New Suffolk Road residence parcel, Lot 2, to its original size, as the Parcel has historically been used as part of my greenhouse parcel, Lot 1. The Parcel to be moved contains my goat shed, animal pens, and garden, and is fenced off from the remainder of tax lot 6. It has always been considered by me as part of the greenhouse parcel, but the Tcwn added it to Lot 2 years ago by mistake. Lot 2 contains a residence which I have rented to Elizabeth McGrath for many years. Ms. McGrath recently purchased the property, subject to this lot line change application. Her consent to this application is attached. The parcel to be moved will be subject to a 20 foot right of way which will benefit my adjoining parcel, tax lot 5.2. That property was approved by action of the Town in 1978 and i�a separate lot under the Zoning Code. `2Vhile the application will result in a lot which is being reduced from a size which is already substandard, the resulting lot will be of a size similar to those along New Suffolk Road. Any further subdivision of the resulting Lot 1 will be the subject of Southold Town Planning Board approval. w `".a Walter Teresko Swo itbbefore me this Z November, 2001 Notary Public DONNA m. CHITUK NOTARY PUBLIC,State of New York Re/lotlnchg No.4351459,Suffolk County 11 rAl Expires August 18,,W Ti�vZ J1APPEALS BOARD MEMBERS �Q$11FF0(,�►cO Southold Town Hall Gerard P. Goehringei o 53095 Main Road Lydia A. Tortora W ,Z P.O. Box 1179 George Horning �,f, • �'� Southold,New York 11971-0959 Ruth D. Oliva ,Chairwoman '�Oj �aQ ZBA Fax(631)765-9064 tDEC a o Telephone(631)765-1809 http://southoldtown.northfork.net CvIEBOARD OF APPEALS 1 2003 TOWN OF SOUTHOLD Southold TowoINDINGS, DELIBERATIONS AND DETERMINATION PlanningBoarA MEETING OF DECEMBER 4,2003 Appl.No. 5429—WALTER TERESKO Property Location: 1077 New Suffolk Road,Cutchogue; CTM Parcel 109-7-7.2(formerly 5.2) SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Unlisted category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION• The applicant's property,referred to as CTM 5.2, is vacant with a land area of 1.4003 acres. Access to this property has been over the applicant's adjacent land referred to as CTM 109-7-7,using the existing 15 ft.wide and 30 ft. wide driveways extending from the east side of New Suffolk Road, in Cutchogue. BASIS OF APPEAL: After making application to the Building Department, tpe applicant was issued a determination that a new dwelling is not permitted for the reason that the/lot does not have direct access on a public street in accordance with Section 100-235A(1) of the Town Code and Section 280-A of New York Town Law. RELIEF REQUESTED: The Applicant is requesting construction standards for base improvements for the proposed access to a site north of the greenhouse operations, as shown on a survey map dated November 20, 2001, revised June 10, 2003, prepared by John T. Metzger, L.S. The survey map shows: (1) the location of a 30 ft. wide right-of-way easement, portions of which have a traveled,gravel base with a 15+-ft. width,extending from New Suffolk Road a distance of 175 feet, and (2) the location of the existing 15 ft. wide right-of-way easement extending directly to CTM 109-7-5.2. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on November 20, 2003, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Goehringer, seconded by Chairwoman Oliva,and duly carried,to 44 4 LAW OFFICES WICKHAM,BRESSLER,GORDON&GEASA,P.C. 13015 MAIN ROAD, P.O.BOX 1424 WILLIAM WICKHAM(06-02) MATTITUCK,LONG ISLAND ERIC J.BRESSLER NEW YORK 11952 275 BROAD HOLLOW ROAD ABIGAIL A.WICKHAM SUITE 111 LYNNE M.GORDON MELVILLE, NEW YORK 11747 JANET GEASA 631-298-8353 ---- TELEFAX NO.631-298-8565 631-249-9480 wwblaw@aol.com TELEFAX NO.631-249-9484 October 10, 2003 Attn: Mr. Mark TerryD E C E O V E Southold Town Planning Board Post Office Box 1179 OCT 1 0 2003 53095 Main Road Southold,New York 11971 Southold Town Planning Board Re: Property owned by Walter Teresko—New Suffolk Road SCTM# 1000-109-7-7.1 (f/k/a 7.0) Dear Mark: Enclosed are three printg of a map of Mr. Teresko's property. We would like to meet with the Board to discuss this proposed property division before proceeding any further. Please schedule this matter for the next available work session. Very t y yours, X//jj� 16- Abigail A. Wickham AAW/dm end 30/shdpbl S -Z6A P-012Cifr ar-a 2— C) �� L� '- frHt- Su APPEALS BOARD MEMBERS �g�FFO�,�►c h���. Q Southold Town Hal . PP� Gerard P. Goehringer, Chairman53095 Main Road Lydia A.Tortora P.O. Box 1179 Z George Horning � So , le 'ork1971-0959 Ruth D. OlivaFax 6,31)7165, 9064 Vincent Orlando 1 �► AL;t-ttpbri31)fte"-1$09 ://southoldtow t 10 k.net BOARD OF APPEALS p 2002 TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATISGUth(Ad TO'V" MEETING OF MAY 16, 2002 Piarnninp scar. Appl. No. 5071 —WALTER TERESKO and ELIZABETH McGRATH Location of Property: West Side of New Suffolk Road, Cutchogue (109-7-7, 6) Date of Public Hearing: May 16, 2002 BASIS OF APPEAL: Building Inspector's Notice of Disapproval dated January 10, 2002, concerning a proposed change in lot line between Lots identified as CTM 109-7-6 and 109-7-7, resulting in area variances for a reduction in the area, width and depth of a nonconforming parcel. RELIEF REQUESTED: Applicants request area variances under Section 100-30A.3 (Bulk Schedule) of the Zoning Code in a lot line change proposal which results in a lot of 15,000 sq. ft., width of 100 and depth of 170+- feet, instead of the code requirements of 40,000 sq. ft., 150 ft. in width, and 175 ft. of depth. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on March 21, 2002 and on May 2/2002, at which time written and oral evidence was presented. Based upon all testimony, docurnentation, personal inspection of the property and the area, and other evidence, the Zoning Board finds the following facts to be true: PROPERTY FACTS/DESCRIPTION: The house lot is presently 20,000 sq. ft. of land with 120 ft. of width along New Suffolk Road and with a depth of 150 feet. The rear lot has frontage of approximately 10 feet along new Suffolk Road, and a land area of 3.7634 acres. Each lot is improved and has Certificate(s) of Occupancy, for a dwelling on the smaller lot(CTM 6), and for a habitable trailer on the larger lot(CTM 7). (Please refer to Building Department records concerning these parcels made a part of this record.) REASONS FOR BOARD ACTION, DESCRIBED BELOW: In accordance with the review standards set forth in Town Law 267b-3 "area variances," the Board has considered the benefit to the applicant if the variance is granted, as weighed against the detriment to the health, safety and welfare of the neighborhood and community by such grant, and determines that: 1. Grant of the area variance will not be consistent with the character and surroundings in the neighborhood and will be detrimental to nearby properties. There are vacant (and others improved) in the area that are significantly larger than the proposed lot size by these changes (ref. 109-7-1, 4.3, 4.4, 5.1, 5.3, 9.3, 10.3, 10.4). The reduction in lot sizes will create an undesirable change in the neighborhood. 2. The benefit sought can be achieved by some method, feasible for the applicant to pursue other than an area variance. This parcel is 20,400+- sq. ft. in size which is more conforming than the 15,000 sq. ft. requested and in comparison to lots in the neighborhood. A grant of this parcel with 15,000 sq. ft. of area would not allow the size of the lot to be in conformity with the majority of the PLANNING BOARD MEMBF jO�OSVFF�(�C, P.O. Box 1179 BENNETT ORLOWSKI,JR. Gy Chairman j Town Hall, 53095 State Route 25 WILLIAM J.CREMERS y = Southold, New York 11971-0959 KENNETH L. EDWARDS Telephone(631) 765-1938 GEORGE RITCHIE LATHAM,JR. Gy O�� Fax(631) 765-3136 RICHARD CAGGIANO PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Zoning Board of Appeals From: Planning Board Date: May 1, 2002 Re: Lot Line Change for Teresko/McGrath SCTM# 109-7-6 The Planning Board has reviewed the proposed lot line change for Teresko/McGrath during the April 29, 2002 work-session. All concerns regarding the application have been met except the following: 1. If approved, this proposal reduce the current Lot 2 area of 20,365 square feet to 15,000 square feet/or .344 acres. The Planning Board is not in favor of creating non-conformin€'lots in any zoning districts except in context of a cluster subdivision. 2. The proposed right of way is being created over Lot 1 to serve SCTM# 109- 7-5.2. As a result, the 37' foot road frontage would be comprised of two parallel driveways and two "curb cuts"on Lot 1. Lot 2 has 100' of road frontage and two "curb cuts"currently exist. Consequently, 4 curb cuts would be established along 137' of road frontage. The Planning Board requests that the Lot 1 driveways be combined into one curb cut; a maintenance agreement will be required. In addition, the curve radius of the ROW must also be improved prior to any construction. It is the understanding of the Planning Board that these items will be addressed at a later date during any future application. Based upon Item 1 above, the Planning Board would like to go on record as opposed to the lot line change. Please advise this office of any findings the Zoning Board of Appeals makes on the application. LAW OFFICES WICKHAM, WICKHAM & BRESSLER, P.C. 10315 MAIN ROAD, P.O. BOX 1424 WILLIAM WICKHAM MATTITLICK, LONG ISLAND NEW YORK 11952 MELVILLE OFFICE ERIC J.BRESSLER 275 BROAD HOLLOW ROAD ABIGAIL A.WICKHAM SUITE I I I LYNNE M.GORDON 631-298-8353 MELVILLE, NEW YORK 11747 JANET GEASA TELEFAX NO. 631-298-8565 631-249-9480 TELEFAX NO.631-249-9484 March 25, 2002 Southold Town Planning Board Town of Southold Post Office Box 1179 53095 Main Road Southold,New York 11971 Re: Lot Line Change Application—Teresko/McGrath SCTM#s 1000-109-7-6 & 1000-109-7-7 ZBA Appeal No. 5071 Gentlemen: The Zoning Board of Appeals has asked us to schedule a work session with you to review your concerns on this application. They have recessed their hearing to April 30, 2002 pending our discussions and further input from your Board. I would appreciate an appointment on or after April 7, 2002 and will call Carol later this week to see what date is available. r Very truly yours, f AAW/dmc Abigail A. Wickham 30/shdtpb cc: Zoning Board of Appeals MAN 2 6 2002 Southold Town LAW OFFICES COO WICKHAM, WICKHAM & BRESSLER, P.C. 10315 MAIN ROAD, P.O. BOX 1424 MATTITUCK, LONG ISLAND WILLIAM WICKHAM NEW YORK 11952 MELVILLE OFFICE ERIC J.BRESSLER 275 BROAD HOLLOW ROAD ABIGAIL A.WICKHAM SUITE III LYNNE M.GORDON 631-298-8353 MELVILLE, NEW YORK 11747 JANET GEASA TELEFAX NO. 631-298-8565 631-249-9480 March 19, 2002 TELEFAX NO.631-249-9484 Town of Southold Zoning Board of Appeals 53095 Main Road Post Office Box 1179 i" L Southold,New York 11971 Re: Teresko,New Suffolk Road, Cutchogue,N.Y. MAK Z 2 2002 Appeal No. SCTM1000-109-7-6 Southold Town Ladies and Gentlemen: Planning Board This is in response to the Planning Board's comments dated March 15, 2002. 1. The reduction of Lot I will be added to Lot 2. At this point,there is no overall increase in density and no subdivision. If the rear parcel, Lot 1, is subdivided,the Planning Board will have jurisdiction. Lot 1 currently contains 163,933 sq. feet and is proposed to increase to 169,298 sq. ft. In an 80,000 sq. ft. minimum lot size zoning category,this increase will not give the owner an ability to increase the density of Lot I in the event of a future subdivision. 2. Tax Lot 5.2 was divided as a result of a ZBA decision dated September 26, 1978, Appeal No. 2481 and a deed from Case to Rickabaugh in 1981. I believe that it would now be considered a separate lot as a result of the merger provisions of the zoning code. We have provided for a right of way over this property to benefit tax lot 5.2, and if the Planning Board has any comments on this aspect of our plan,we would be receptive to their suggestions. I think the sharp bends should probably be softened by a wider turning radius at each comer. The actual layout of the right of way, however, should be dealt with on a 280a application at such time as a building permit is applied for on this lot, or on a subdivision of Lot 1. Neither is proposed at this time. I will advise Mr. Teresko that any language in a recorded document reflecting this right of way should permit some flexibility to conform to Town requirements. If you need further information, please advise. Very truly yours, AAW/dmc 1 1 end 30/shdzba cc: Southold Town Planning Board PLANNING BOARD MEMB OSUFF01 BENNETT ORLOWSKI,JR. �� l'OGy P.O. Box 1179 Chairman C Town Hall, 53095 State Route 25 WILLIAM J.CREMERS y Z Southold, New York 11971-0959 KENNETH L.EDWARDS Q Telephone (631) 765-1938 GEORGE RITCHIE LATHAM,JR. y �� Fax(631) 765-3136 RICHARD CAGGLANO PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Zoning Board of Appeals From: Planning Board Date: March 15, 2002 Re: Lot Line Change for Teresko/McGrath SCTM# 109-7-6 The Planning Board reviewed the proposed lot line change for Teresko/McGrath and the following concerns were identified: 1. If approved, this proposal will reduce the current Lot 2 area of 20,365 square feet to 15,000 square feet or .344 acres. The Planning Board is not in favor of creating non-conforming lots in any zoning districts except in context of a cluster subdivision. 2. The layout of the 20' right-of-way suggests that it would be used to access the land locked 5.2 acre parcel known as SCTM# 1000-109-7-5.2 to the north of Lot 1. The Planning Board has no record on file of the subdivision of the parcels known as 1000-109-7-5.1 or 1000-109-7-5.1. Therefore,this raises the question if the Town of Southold recognizes the parcels as single and separate lots. The Planning Board would like to reserve judgment until further information is provided in response to the questions above. Please advise this office of any findings the Zoning Board of Appeals makes on the application. � R O�QSVFFO��'C� Town Hall, 53095 Route 25 �� Gy P.O. Box 1179 o= Southold, New York 11971-0959 EDWARD FORRESTER = Telephone(631) 765-1939 DIRECTOR OF CODE ENFORCEMENT • Facsimile(631) 765-1823 e-mail: ed.forrester@town.southold.ny.us TOWN OF SOUTHOLD RECEIVED MEMORANDUM MAR 2 5 2004 Southold Town Clerk TO: Elizabeth Neville, Town Clerk FROM: Ed Forrester, Director of Code Enforcement DATE: March 25, 2004 RE: Trailer Permit 168, Teresco Please be advised that the applicant is seeking to replace an old trailer with a new one. He states that he intends to live in it. Town Hall, 53095 Route 25 P.O. Box 1179 Southold,New York 11971-0959 Co EDWARD FORRESTER Z Telephone(631) 765-1939 DIRECTOR OF CODE ENFORCEMENT Facsimile (631) 765-1823 e-mail: ed.forrester@town.southold.ny.us TOWN OF SOUTHOLD RECEIVED MEMORANDUM NMR 2 5 2004 TO: Elizabeth Neville, Town Clerk Southold Town Clark FROM: Ed Forrester, Director of Code Enforcement DATE: March 25, 2004 RE: Trailer Permit 168, Teresco Please be advised that the applicant is seeking to replace an old trailer with a new one. He states that he intends to live in it. FFO1,��OG - ELIZABETH A.NEVILLE �� 'y� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS 0 Southold, New York 11971 MARRIAGE OFFICERFax(631) 765-6145 RECORDS MANAGEMENT OFFICER �,( JKg . 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 .r .� urfo` ELIZABETH A. NEVILLE � Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS �y • Southold,New York 11971 MARRIAGE OFFICER 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 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. 127—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 o��S�FFO�,(-cQG ELIZABETH A. NEVILLE �� y Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 C4 ae Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Its MARRIAGE OFFICERFax(631) 765-6145 RECORDS MANAGEMENT OFFICER y�Ql �aO! Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SINGLE TRAILER OR HOUSECAR LOCATION RENEWAL PERMIT Permit No. 168 Date Septemberj 2, 2003 Issued to Walter Teresko Address 1285 New Suffolk Rd. 90. O;pk ct(o-j Cutchogue, NY 11935 A renewal . permit is hereby issued for the location of a single trailer/bouxao®r at 1285 New Suffolk Rd., Cutchogue, NY pursuant to application dated 8/6/03 This renewal permit is granted for a six (6) month period. Expiration date February 26, 2004 Eli abeth A. Neville Southold Town Clerk A O��S�f FO�,�- OG ELIZABETH A.NEVILLE ,``1` y Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 CA Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS .s• - MARRIAGE OFFICER Gy • !'� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 76b-1800 FREEDOM OF INFORMATION OFFICER �'� � �a southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 532 OF 2003 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 26, 2003: ,SIA RESOLVED that the Town Board of the Town of Southold here by grants permission to Walter Teresko to locate one (1) security trailer on his property for a six (6) month period. Location of property is 1285 New Suffolk Road, Cutchogue, New York. Elizabeth A. Neville Southold Town Clerk ce 05 i .�a`zncl Itd- ck4 vas, s 7�C9 0 -r-4L" CZ,� �1- s� D -u `�u�. TOWN OF SOUTHOLD TOWN CLERICS OFFICE SOUTHOLD, N. Y. Approved ..................................... 19........Permit No. ................ APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date :\luz ......`;....... 19...U. Instructions a. This application must be completely filled in by typewriter or in ink an submit`one copy to ' the Town Clerk. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property and proposed location of trailer must be drawn on the diagram which is part of this application. c. Upon approval of this application, the Town Board will issue a trailer permit to the applicant. Such permit shall be kept on the premises available for inspection. d. No trailer shall be occupied or used in whole or in part for any purpose whatever other than specified in permit. Application is hereby made to the Town Board for the issuance of a Trailer Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York,and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all app' able laws, ordinances and regulations. ,,�� QQ�� W. .....`":'.�!.:":�.... .. .......................... (Signature of applicant) (Address) A. '�l State whether applicant is owner, lessee or/agent........ .......\............................I................. Name of Owner of premises ..... ..,lg�c. -�.�..... /-4--e7-f`:.N�.eo............................................ 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 ....�.. ../„�,t,{ ................. Street and number 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy -- b. Intended use and occupancy ....., .,1••Lo,.G.��.i... y� �«:.,� ...r.............. ......... c. Period of time trailer is to be located on premises ............V..Ad..,C�4 �....... 3. Fee ........,f..fJ.A....<..Q.. ......... (To be paid on filing application))/ pp 4. Dimensions of trailer, length ................7...�....width .............LY........... height ........Q....../......... Registration Number ......(,f.d„l.,L�, 4..,41-- :Serial Number ......... ,,C�.Clr�4/,(,,,(,,,,,,•,,,,,•, 5. Size of lot: Front .........3..n.............................Rear ........................... Depth ........0................. 6. Date of purchase or lease of land...... .`... :.......11......... -/........................... 7. Zone or use district in which premises are situated ...... ........ 8. Does proposed use violate any zoning law, ordinance or regulati ...Q....................... ....J.0...................................................................... 9. a. Method of Sewerage disposal ..........e-j-�.. 00 1L.............—`� b. Source of Water Supply .................W-4.../............................................................................. c. Source of Electricity' ...................... ................................................................................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimen- sions from property lines. Give street and block numbers or description according to deed,and show street names and indicate whether interior or corner lot. Indicate clearly location of proposed trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK lss COUNTY OF SUFFOLK ..............Q......cLtK.... .................... being duly sworn, deposes and says that he is the applicant named above. He is the ................ ............................ (owner or lessee or agent) of said owner or owners,and is duly authorized to make and file this application; and that all statements contained in this application are true to the best of his knowledge and belief; and that the trailer will be located in the manner set forth in the application filed herewith. Sworn/ worn to before me this ......6,_:'-.!!'L ............ day of M.��j LAJ .......4.24.z.;PPCIYJ....................... .............. ...... (Signature) oj�...� F/A4.-f.. ............. ry Public) LINDAICOOPER Notary Public State of New York No.48225133,Suffolk Ccunty Terri Expires Decf,'4'1�r-�Vr 31, ' SOP o 0 S. 8i•�r'ru PA� N/0/F W. M. BEEBE Q I N b. Ck Z y o A lV/O/F W. TERESKO N101F LYNNE L. N. 80'06'40" E. 473.86' RICKASAUG m J�I'E. x (A 111cp N.80'06' CP`^ 75. LOT N.80' 5D0 N. 817!10' E.sz00� a' N. 80'43'30' E. 364.50' -- S.\-91-11'10- W 200.00' y IBEEBE ki �l i 0 11 � I a� 44 �'V © w (� a ti 4 ( 111 LOT N/0/F W. M. (Z)� © R BEEBE SrE,gN rOWAtl- , r10i 2 S. 84°43'30" lw. 413.39' _-YOR � 1 N/0/F J. L. 8 M. L. WICKHAM o W y Z r WAL AT Tp FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY tioZ 2684 April 17 67 . Date . . . . . . . . . . . .... . . . . . . . . . . . . . . . . .. 19. . . . T!11S CERTIFIE:� l hat the building located at E�B. . ex. . r� .La. . . . . . Street Map No. . XXX . . . . . . Block No. . . . )$. . . . . . Lot No. = . . . . .C11uhum . . . N!Y t . . . . . . conforms suhstant ,illy to the Application for Building Permit heretofore filed in this office March 1 67 3384 Z clateci . . . . . . . . . . . . . . 19. . . . pursuant to which Building Permit No. . . . . . . . . . dated . . . . . . . . . . . .Ma.rch. . .l. . ., 19. 67, was issued, and conforms to all of the require- ments of the applic;dole provisions of the law. The occupancy for which this certificate is issued is Private one - family. dwelling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Walter Teresko Owner The certificate is issued to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of health Approval April 6, 196 by ReVilla C._-" \ �. Building Inspector SUFFOLKLINTY DEPARTMENT OF HE BU AU O SE: .CE F WASTEWATER MANAGEl�1ENT COUNTY CENTER RIVERHEAD, NEW YORK 11901 516-852-2100 CERTTFI AT DN OF EX7�'I'r�G SEWAGE DISPOSAL AND WA'T'ER SUPPLY FA ILITIES Health Department Reference Number SCTM Number: Dist. 1C ►� Sect. l Bllc.-- _ Lot Proposed Use of Building (be specific) '80 �r/CV, vE tJ�� Get Based upon an evaluation and inspection of the above referenced existing sewage disposal system and water supply facili property'the pp y ' attached plan*, have been determined by me ' Shown on the use and to be in proper working order. for the proposed Is s- w m Architect/Engineer's Signature °• v . Print Name Q 6SW � T.sc 4� Yv Dat a0/0 -2- e License Number 5 Z�'t *A plan showing the specifications of the existing sewage disposal system and water supply should accompany this certification WWM-072 (12/98) 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.. 168 EXPIRATION DATE: 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 $100.00 fee for a six (6) month renewal. b. Upon signing and submitting this renewal application you agree to comply with all applicable laws, ordinances and regulations of the Town of Southold, Suffolk County, New York. State whether applicant is owner, lessee or agent................Owner ............................................................... Name of Owner of premises .....................Wal.ter....T.ereskQ....................................................................... If applicant is corporate, signature of duly authorized officer (Name and title of corporate officer) 1. Location of land on which proposed trailer will be located .............................................................. Street and number ......1285„N...............................wSuffolk Rd. Cutch o ue, NY %................�............................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: a. Existing use and occupancy ....................................Security ......................................................................... b. Intended use and occupancy ........Sg urity. Trailer.................... ............................... c. Period of time trailer is to be located on premises .........Unknown............................................ 3. Fee ...... ..................$Iqq:oo (To be paid on filing application) .... 4. Dimensions of trailer, length height ... ...................... RegistrationNumber ........................................ .Serial Number ............................................................ 5. Size of lot: Front 3.15 acres .. Depth ....see map enclosed ........................................Rear .............................. .................. 6. Date of purchase or lease of land ....................March 1, 1967 ..................................................................................... 7. Zone or use district in which premises are situated ............... -40 ..................................................... 8. Does proposed use violate any zoning law, ordinance or regulation? .........R .................................... cess ool 9. a. Method of Sewerage disposal ...........................p.............................................................................. b. Source of Water Supply .................................,......well.................................................................. c. Source of Electricity ........................................................LIFA........................................................ 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 ......................................................................................................... being duly sworn, deposes and says that he is the applicant named above. He is the ................................. .......... (owner or lessee or agent) of said owner or owners, and is duly authorized to make and file this application; and that all statements contained in this application are true to the best of his knowledge and belief; and that the trailer will be located in the manner set forth in the application filed herewith. Sworn to before me this ............................... day of . .......................................................... .. 19............ .....,............................................................................... (Signature) ..................................................................................... (Notary Public)