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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTNOLD, N. Y.
E×amined . ........................................ 19 ........
Approved ........................................ , ]9 ........ Permit No .................................
Disapproved a/c ..............................................................................................
Application No .............................
(Building Inspector)
SIGN
APPLICATION FOR B~I~[~ PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
tnspector.
bo 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 propertymust be drawn on the diagram which is part of this application.
c. The work covered by this application may not be commenced: before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the a~plicant. Such
permit shall be kept on the premises available for inspection throughout the progress of the work.
e. No building shall be occupied or used in whole or in part For any purpose whatever until a CertifiCate of' OccuPancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Bu]Jding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code and regulations.
(Signature of applicanti:or name; if a corporat on) ~
Traveler 's~reet/, S°'Uth°id' 'New York
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Owner
Name of owner of premises ..... ~.9.~.¢...~.E.O.$..-.j....~..~.g.-. ................. , ........................................................................................
If applicant is a corporate, signature of duly authorized officer.
...... ..........
(Name and title of corporate officer}
Location of land on which proposed work will be done. Map No: ............................................ 'Lot No:
Municipality ,
State existing use and occupancy of premises and intended use and occupancy Of proposed constrUction:
o. Existing use and occupancy ...... ~.~.~.s..m...~..~.~.~..I..e.~..~.g.e.~.~.g`~.~.S.'%.~..e.~.~.~.~.~.q~.S.~g~ ....................... i ..............
b. Intended use and occupancy ......... .~.~....~..s....~,~9.Q.~.~..i .......... ; ...........................................................................
3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ..................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...e...r..e...c..t.....n..e...w.....s.~.9..~...
4. Estimated Cost .......$2,50. o.0D. .................................... Fee ........ $,5.~13D. ......................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................
If garage, number of cars ............................................ , ............................................................................ Ut'.D'~Ug'J:LE
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use
7. Dimensions of existing structures, if any: Front .......................... Rear' Depth ............................
Height ............................ Number of Stories ...................................................... ; ........................................................
Dimensions of same structure with alterations or aad't'ons: Front ................................ Rear ................................
Depth .............................. Height ............................... Number of Stories ........................................
8. Dimensions of entire new construction: Front ' Rear ' Depth ............................
Height ............................ Number of Stories ............................ See sketch
9. Size of lot: Front ............................ Rear ............................ Depth ................................
10. Date of Purchase ..; ...................................... ;'...!i ......... Name of Former Owner ...... · ..................................................
11 Zone or use district in which premises are '- : - "B"
· s~ruarea .................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation?
13. Name of Owner of premises ....... .a.P.P...1..~..c..a..~.t. ............ Address ....Saul-hold ..... ~l~w...¥O.r~hone No..,S. O5m35.23
Name of Architect ...................................................... Address ............................................. Phone No .....................
Name of Contractor .................................................... Address ............................................ Phone No .....................
' PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines[ Give street and block numbers or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW YORK, ~
COUNTY OF ..... $.ef£.el]~ ........... f S.S.
................... F...z'..~.f].¢.]~,$,~]¢.,..C ..... I.<01¢.e. .............. , ................... r.;being duly sw~orn, deposes, and says that he is the applicant
(Name of individual signing application)
above named. He is the .... .~..$.q.~...:R;C.~.t~£.~.~g~...:[.<.O. lC.e....~..r.O...s.,.~.....Z...n.G.: ........................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners,' and is du'ly authorized to perform or have ~performed the said work .and to make and file
this application; that all statements contained in this application are true to the best of his knowledge and belief;
and that the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
........... o,_
Notary Public ............. E., .r~. ?.4...~.A. ~¢ .............................. , ' i[~'&gk'i .............................
NOTARY PUBLIC, SteLe of New York
No. 52-0138300 - Suffolk Counfy
Term Expires Mc~rch 30,
TO'~¢N OJF S,OUTH0'LD, N~J%V
APPLICATI,ON ~O1{ SPECIAL E~D~CE~T~O~
APPLICATION
DAT
TO THE ZONIN~G BIOARD OF APPEALS, SO~THOLD, N. 5[.
Name St;~ee,t and NumBer
.... s..ou..t. ,h.o..~.d...,. ...................................................... .N...e..w...,..,Y,, ,.o..~rk ........................................................................
Ivlunicipality S~te
h~ere, by apply to TI-I~ ZONIIx1~ ]~O~.RD OF APPEALS for a SPECiAl, EEOFJi~I~,ON in smc,o~rdanceI with the
ZON, II~G. ORDINANCE AI{TICLE IV SECTION 408
SUBS~CT~)N B
TI$E SP~JCIAL EXCEPTS, ON IS ~EQTFEST~D BECAUSE
There is at present insufficient notice to the public of the
existence of the Oldsmobile Sales Agenc~ being conducted by
your applicant. Permission to erect a sign as described on
the accompanying permit application will overcome the handicap
under which this business is presently being conducted.
STATE OF NE~V Y~OI%K )
COUNTY OF SUFFOLK )
Sign~/ture
i ' f
Sw~orn Jo thzs ...... lS..~ ................ day o .~p..~.2,.~. ........................... 19......6.~ ............
.................... ~....c., .................. ; ............. ; ................................. : ......................... ~ .....................
~ry Pt~blic
MADELYN M.
NOTARY PUBLIC, State of New
No. 52-0138300 - Suffolk County
Term Expires Mcrch 30,
FOR~ ZB2
L~ G~L NOTICE
NOTICE OF HEAl{LNG
Pursuant to Set,on 207 of the
Town La~ and the provision~ of
the amended B%lilding Zone
,dinance of th~ Town of Southold,
Suffolk County, New York, public
hem'ings will be held by the Zon-
ing Board of .~l~oeals of the fi'own
of Southold, at the Town Office,
Main Road, Southold, New York,:
on April 15, 1965, on the following
appe als:
7:30 P.M. (E:.S.~r.), Upon appli-~
cation of Tredwell Abrams,
l~attituck Inle~ Marina and Ship-
yard, Mill Road, Mattituck, New
York, for a special exce~>tion in
accordance with the Zmaing Or-I
diaa~ce, Article IV, Section 4081
Sabsoction a), for permission to
erect a sign on the property of
. Mary Pylko, located South side~
~ Sound Avenue, Mattituck, New
I York, bounded nogth by .Sound
I Avenue, east by F. Walgo and
Ano., south by C. Price, and west
I,by H. R. Reeve and Son, Inc.~
7:40 P.M.r' (E.S.T.), Upon appli-
cation of l~ds Sign Service, a/c
~ General Wayne Inn, Bayview
Road, Southold, New York, for a
special exception in accordance
with the Zoning Ordinance, Arti-
cle IV, Section 408 Subsection
(a), for permiss[0~ to erect a di-
rectional sign on the property
Southold Bayview Cmlporation, lo-
i coted at the intersection of Bay-
,view Road ~and Route 25, known
i as the Chevron Service Stat&an.
7:50 p.~I. (E.S.T.), Upon appli-
cation of Ed's Sign Service, a/c
~ General Wayne Im], Ba~view
I Road, Southold, New York, for a
special excel~tion in accord~ance~
I with the Zoning Ordinance, Arti-
!cie IiX, Sec,rich ~O0, Subsection 11,
i for per~nission to erect a direc-
~tional sign on the property of
~An,tone Surozenski, locater south
side Main Road, So~thold, New
I York, bounded no~th by
Road, east, south and west by
Mike Surozenski.
8:00 P.M. (E.S.T.), Upon al~pli-
i cation of Lloyd E. Terry, Main
Ro~d, Orient, New York, ~o~ a spe-
cial exception in aecordance with i
the zoning Ordinance, Article X,
Section 1003A, for permission to'
renew a farm labor carap permit
granted April 30, 196~. Loc~tion
o~ property: south side Main
Road, Orient, New York, bounded
north by Main Rood, east by S.
Kon~leski and R.&2I. Latham,
sou,th by Long Be.aclx Bay, and
~vest by I~-s. E. W. Latham E~ate.
8:15 P.M. (E$S.T.), Upon at>pli-
cation of Frederick C. Koke, Tra-
veler S,treet, S0t~thold, New York,
for a special exception in aeco~d-
ance with the Zoning Ordinance,
Article tV, Seetion 408, Subsection
(b), ~or permission to erect a
~vall sign. Location of prope,rty:
south west corner of Traveler
Stree,t ant Youngs Aven.ue, South-
old, New York, bound,ed north by
Traveler Street, east by Youngs
Avenue, soqth by Leictt-Terp, and
west by H. W'; prince.
8:30 P.M.; (E.S.T.), Upon ~l~oli-
cation of Caroline C. Cleveland
Wooddale Road, Greenwich, Conn.,
f0.r a variance in accqrdance with
the Zoning Ordinance, Article
III, Section 308, for permission to
~reet an addition with insuffi-
cient ]'ear yard requirements. LO-
cation of property: ~est side Win-
I throp Drive, Fishers Island, New
I York, boanred north by Gcve[rn-
'ment Property, east by Wifithrop
Drive, south by Governmen~t Prop-
eriy, west by Silver Eel Cove.
Any person desiring to be ,heard
on the ~bove application shouldI
~ppear at t, lle time and placeI
above specified.
DATE~>: April i, 1965, BY ,OR-
I~ER OF TIrE TOWN t~OARD
OF APPEALS ltA9
STATE OF NEW YORK, ]
~ ss:
COUNTY OF SUFFOLK, 1
'~ ...... , ~ ', ....... being duly Sworn,
says that ......:.c ........ is Printer and Publisher of the SUFFOLK
TIN[ES, a newspaper published at Greenport, in said county;
and that the notice, of which the annexed is a printed copy,
has been published in the said Suffolk Times once in each
week, for ..... [._.! ~..~ ............... week~,
succesmvcly commencing on the ......................................... : ............
day of.. :, a ~ ( 19!:..~ ....
8worn to before me this ............... ~:.':.~..,.. ,
day of .:...~:~.. :..~..). .,:n 191: :z ]
................... ;~ -f- ~ , ..~ // /
~7