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Town Hall,53095 Main Road Fax(631)765-9502
P.O. Box 1179
Southold,New York H 971-0959 O Telephone(631)765-1802
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR SIGN PERMIT
Date: �2�`�� ---- Application# LIQ-7
S CTM# 1000- Zone District:
Fee: $75.00 per Sign
4
Type of Sign(s): Ground,D4 1; z.,.,,;Wail r Other:
. ",
Applicant: . Phone #
Business Name:
Sign Property Location:
Property Owner.- S4P�cej
The following items are required along with the completed application.
(1) Surveyor accurate-plot plan showing location of existing and proposed sign(s), building
width facing streets.
(2) Colored drawings with sizes and types of material of proposed sign(s), or photos of
existing signs.
Signs cannot be installed until the applicant receives a sign permit application approved and
signed by the Building Inspector. After the sign(s) have been installed, the applicant shall request
an inspection by the Building Inspector.
If the sign(s) are in coLmjl�iance, a sigayermit will be issued and mailed to:
`qac wed cgdi� f
q
STATE OF NEW YORK)
COUNTY OF �5 ,-4o I�
Applicant { } Agent for applicant, hereby agree to abide by the conditions and requirements
of Article XIX SIGNS of the Zoning Code of the Town of Southold and other applicable laws,
rules and regulations pertaining tO such signs.
Sig a e of Applicant
Sworn to before me/I this
S
day of&/Oye YYl b 2 f, 20 1-7 DARLENE K BRUSH
Notary Public•State of NOW YorR
A" �� NQ 011946310051,kCo
QU811fied 10
Notary Public
My Commiss on ExpUgsE art 20y 2)f19
- - - - - - - - - - - - -- - - - - - - - - ---- - - - - - - - - - - - - - - - - - -- --- -- - - - - - - - --- -- - - -- --
Examined: 20_1�_
Approved: S 20_0
Disapprove a/c:
ildin Spector
OTOWN OF SOUTHOLD
�
g�FFOc�-�o
BUILDING DEPARTMENT
N TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 42732 Date: 5/30/2018
Permission is hereby granted to:
Fabry, Stacey
2345 Pequash Ave
Cutchogue, NY 11935
To: install new homeowner's association sign as applied for.
At premises located at:
2345 Pequash Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot# 103.-12-15
Pursuant to application dated 11/30/2017 and approved by the Building Inspector.
To expire on 11/29/2019.
Fees:
SIGN PERMIT $75.00
Total: $75.00
Bu' ding Inspector
Stacey Fabry
2345 Pequash Avenue
Cutchogue,N.Y. 11935
Mr. Michael I Verity
Southold Town Hail
54375 Main Road
Southold,N.Y. 11971
May 2018
Dear Mr.Verity,
I am the owner of the property located at 2345 Pequash Avenue(County Tax Map
No. 1000—Section 103 Block 12 Lot 15)on the southeast corner of Dartmouth
Place and Pequash Avenue. This letter,signed by me,documents my permission to
allow the Fleet's Neck Property Owners Association(FNPOA)to replace the
current FNPOA"Welcome"sign and support poles on my property in its
approximate current location that conforms to the Town of Southold Building
Department requirements pursuant to Article XIX, Section 280-86,A. (2).
Thank You
Sincerely,
Stacey Fabry
CC: FNPOA Executive Board
1
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. .• �s�� cath
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a.Ile
d Wa a W WE
0 \10
P111c. _
a SURVEY OF
55
o� e�� , <`a, i-V �,�i s LOT 1
h a ( �b�° � �t" . X, "MAP OF BIG-GREEN ACRES"
3
a -, 2�, x ` �� r �� '� �- �'- 'S- - FILED JUL Y 1Z 1972 MAP NO. 5757
\\. T&
A T CUTCHOGUE
�c� A TO WN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 — 103— 12— 15
ts' y ' �° - J, Scale : I"= 417'
April 14, 1994 . -
G Z - ;&e 5� Aug.Aug11, 1994 (foundation,)
�S �� s'►� Sept. 21, 1994 (f• Nig. _ =_ - �t-
..�L � �P�
�'A ./ o
•�O �� ,a - cam,.-�r�
�2 0\� CERTIFIED TO, SC C✓�� `£V
n WARREN YANTZ
AREA = 39,864Sg. ��o_ �° D C lx �1 i BARBARA YANTZ
USDA FARMERS HOME ADMINIS TRA TION
4 ! S-C.T.I.C. 33094 - 1478
C i Omc
ELEVATIONS ARE REFERENCED
TO AN.ASSUMED DATUM.
Q V O
-
The locations of wells and cesspools
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES shown-hereon are from field observations SIB
FOR APPROVAL OF CONSTRUCTION ONLY and or from dale obtained from others.
I am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE Prepared in accordance with the minimumN.Y.S. LIC NO. 49618
R-10-940038 DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES �;z
DATE `s. REF• NO• and wN abide by the conditions set forth therein and on the ! standards for title surveys as established CONIC OtfflVEYORS, P.C.
permit to construct by the L.I.A.L.S and approved and adopted (516) 765 - 5020
for such use by The New York State Land p O. BOX 909
Title Association.
APPROVED MAIN ROAD
" SOUTHOLD, N.Y. 11971
94 - 166
lam. —
V el conic tv = W dxome to 2UeN°catne to.
Meets Neck I
fleet's Neck fleet's Neck
/POTLUCK UPPE POTLUCK SUPPER POTLUCK SUPPER
5:00 September 17th 5:1P0 September 11th 5:11 September 11th
APPR VED AS NOTED
DATE: 51b:
g B.P: 3
FEE: • BY: COMPLY WITH ALL CODES OF
NOTIFY BUILDING DEP4AREN*r'AAT NEW YORK STATE & TOWN CODES
765-18M 8 AM TO 4 PM FOR THE AS REQUIRED AND CONDITIONS OF
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWC REQUIRED go!FM Yotu -
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION OC7i'OYIfiRd9{f E$
4. FINAL - CONSTRUCT;ON MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THErr
REQUIREMENTS OF THE CODES OF NEW m( m at kti TQ Ian 1,51
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. Q.a � � ULM e(14-