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45776-Z
�SUFF�4 TOWN OF SOUTHOLD foo K�oay� BUILDING DEPARTMENT 51 TOWN CLERK'S OFFICE o • 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#: 45776 Date: 2/4/2021 Permission is hereby granted to: Mattituck Plaza LLC PO BOX 77 Mattituck, NY 11952 To: erect a sign for Stony Brook Medicine unit. At premises located at: 10095 Route 25, Mattituck SCTM # 473889 Sec/Block/Lot# 142.4-26 Pursuant to application dated ' 1/15/2021 and approved by the Building Inspector. To expire on 8/6/2022. Fees: I $75.00 Total: $75.00 Building Inspector JAN 1 5 2021 7 APPLICATION FOR SIGN PERMIT Date: 01/05/2021 Application# SCTM# 1000- Zone District: Fee: $75.00 per Sign Type Of Sign(s): Ground 1:1 Roof[] WallR] Other: Applicant: Marigold Signs Inc dba Signarama Hicksville Phone# 516-938-2370 Business Name: Stony Brook Medicine 10095 Main Road, Maftituck, NY 11952 Sign Property Location: Property Owner: MATTITUCK PLAZA, LLC The following items are required along with the completed application. (1), Survey or 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. I 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 aninspection by the Building Inspector. If the sign(s) are in compliance,;a sign.permit will be issued and mailed to: Signarama Hicksville 485-34 South Broadway Hicksville, NY 11801 STATE OF NEW YORK) COUNTY OF SUFFOLK ) okpplicant gent for applicant, hereby agree to abide by the conditions and requirements of Article XX IVNS of the Zoning Code of the Town of Southold and other applicable laws, rules and regulations pertaining to such signs. Signature of Applicant Sworn to before me this Garret C Lanrnng Notary Public State of New York day of Ng r�/ , 20 �- No 01 LA6382861 Qualified in Suffolk County O l Commission Expires November 5, d� Notary 2�0� -- - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - Examined : 20-a I Approved: 20 Disapprove a/c: Building Inspector File Name:ChannelLetters SBM-Mattituck R5.fs Date: 1/6/2021 STeam Hicksville i narama The way to grow your business. 485-34 S. Broadway Hicksville, NY 11801 j 516.938.2370 signsofbusiness.com 1 A O CERTIFIED COMPANY [1©® Client: Tammy Robertson Stony Brook Medicine Advanced Primary and Specialty Care Company: Stony Brook Medicine-Mattituck Size: 35"h x 475.28"w x 5"deep Materials: Front Lit Channel Letters 3/16"while acrylic faces with PMS match translucent vinyl or black perforated vinyl.5".040 black aluminum returns and back with black trim cap. Quantity: 1 Location Address:10095 Main Road Mattituck NY 11952 Includes UL Label FRONT VIEW SIDE VIEW 5"aluminum return Sealtite conduit to transformer box backpolycarbonate Clear polycarbonate ackback u� Acrylic face Clinched and Sealtite connector s ` r caulked seam v ony Brook ine Sealtite connector 4 LED illumination Transformer LED illumination r� Drain hole 1"trim cap Sealtite conduit File Name:Channell-etters SBM-Mattituck RS.fs Date: 1/6/2021 . Team Hicksville Stanarama IhOF The way to grow your business. 485-34 S. Broadway ."' Hicksville, NY 11801 516.938.2370 signsofbusiness.com A O CERTIFIED COMPANY Q©®O r✓�µJ -- - — Client: Tammy Robertson Stony Brook Medicine Advanced Primary and Specialty Care....�. 1� - Company: Stony Brook Medicine-Mattituck f Size: 35"h x 475.28"w x 5"deep Materials: Front Lit Channel Letters 3/16"white acrylic faces with PMS match translucent vinyl or black perforated vinyl.5".040 black aluminum returns and back with black trim cap. Quantity: 1 Location Address:10095 Main Road Mattituck NY 11952 Includes UL Label FRONT VIEW SIDE VIEW 5"aluminum return Sealtite conduit to transformer box Clear polycarbonate CleaLl back polycarbonate -4s 79 in Acrylic face Clinched and Sealtite connector 11 _ 9 caulked seam Stony Brook Medicine I-Adva&ed?r -1M&—yafiSP- deciafty�aC�� Sealtite connector LED illumination LED illumination j Transformer � Drain hole 1"trim cap —, Sealtite conduit