HomeMy WebLinkAbout6788-z FOR~ NO. :~
TOWN OF SOUTHOLD !~
BUILDING DEPARTMENT~
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
(THIS PERMIT MUST BE KEPT ON THE PP, EMIS~S UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
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N? 6788 Z
Permission is hereby granted to: " :
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pursuant to application dated ..................... A~j~...=i':.~ ............. ....., 19~.~i,.., and approved by the
Building Inspector.
Fee $..2~;0~ ............
Southold Town Board ? f Appea s
SDUTHOLD, L.'I., N.Y. 1
Telephone 765-2560
APPEAL BOARD March 1, 1973
MEMBER
Robert W. Gillispie, Jr., Chairman
Robert Bergen
Charles Grigonis, Jr.
Serge Doyen, Jr.
Fred Hulse, Jr.
Mattituck Inlet Marina & Shipyard,
Mill Road
Mattituck, New York 11952
Inc.
Dear Gentlemen:
Re:Appeal No. 1321 - One (1) off premises
direc%ional sign on property of Walter
Gatz, iN/S Sound Avenue, Mattituck, N.Y.
This is to advise you that your special exception permission for your
sign(F) which was the subject of the above mentioned appeal will expire on
April 2, 1973
Please sign this letter at the space provided belpw and return promptly
to this office, if you wish to renew your sign perml}sion.
Robert -~V. Gillispie, Jr.
Chairman, Sout~hold Town
Board of AppeaJs
/bd
Signature of ap . . .
(PLEASE SIGN AND RETURN BOT~ COPIES PRC~PTLY)
TOWN OF 8OUTHOLD, NEW ¥0RK
APPLICATION FOR SPECIAL EXCEPTION
APPLICATION NO.
TO THE ZOi~ING BOARD OF APPEALS, SOUTHOLD, N. Y.
.......................................................................... ~{~q..~. ..............................................................
Municipality State
hereby apply to Tt{E ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance with %he
ZONING ORDINANCE ARTICI~]~ SECTION
SUBSECTION
THE SPECIAL EXCEPTION IS REQUESTED BECAUSE
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s,~.~ot,,~..i.~. ......... day o~..~.~, I,.../..~ ..... ·
Notary Public
BARBARA M. HAURU$
Notary Public in the State of New Yor~
No, 52-6806770
Residm~ in Suffolk Coun~
/
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FORtM[ ZB2
Approved ........................................ ,
FOI~M NO. 1
TOWN OF $OUTHOLD
BUIL~DING DEPARTMENT
TOWN CLERK'S OFFICEi
SOUTHOLD, N. Y.
Disapproved o/c ............................................................. ~,....~ ,., ~
(Building Inspe~
APPLICATION FOR BUILDING PERM T
Application No. ~' ~ c¢'<~;"
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ilnk and submitted in triplicate to the Building
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according fo schedule.
b. PIo¢ p!an showing location of Jot and of buildings on premises, reJaticnship to adjoining premiscs or pubhc streets o~
areas, and giving a detailed description of layout ofproperty must be drawn ~n the diagram which is part of this application.
c. The work covered by this application may not be commenced befor,'¢ issuance of Building Permit.
d. Upon approval of this application, the Building inspector wi!l msue b Building Permit to the apphcent. Such permit
shall be kept on the premises available for inspection throughout the war(<.
e. No building shall be occupied or used in whole or in part for any pur.'pose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector. ~
APPLICATION IS HEREBY MADE to the Building Department for thejissuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New'York, and other applicable Laws, Ordinances o~
Regulations, for the construction of buildings, additions or alterations, or ~or removal or demolition, as here~n described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings for necessary inspections.
(Signatui'e of applicant, or name, if a corporahon)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engipeer, general contractor, elecfrician, plumber or budder.
Lessee
......... ~i ....... ' ....... ;:'.~... 3..~ ................................... ~ ..........................................................................
Name of owner of premises ,,o v .], -~ ~e 7~
If ~pptlca~t is a corpora~ signature o~uly author~ed officer.
andyne o{ corpore~ficer) ,;~ZZ~am Dosco].a ~t,~ ~es~dertt;
(Name
Builder's License No .....................................................
Plumber's License No .................................................
Electrician's License No .............................................
Other Trade's License No ................................................
i. Location of land on which proposed work will be done. Map No,: ........................................ Lot No .........................
Street and Number ....................................................................................................................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy o¢ proposed construction:
a. Exisiting use and occupancy ......................................................
D~rec~ional ~iKn, Aldrich Lan~ and Sound ~w~ ,
b. Intended use and occupancy ....~.~ ....................... v ................... ~. ......................................................................
3. Nature of work (check which applicable): New Building ............... J.. Addition .................. Alteration ............
Repair .................. Removal .................. Demolition .................... !Other Work .................................... ...:: ......
~ ~ (Descript,on)
4." '.~fJmi3fed cost ........................ ; ................................... Fee ............... .......................................................................
(rd 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 ............................................................................................................................... '
6. If business, commercial or mixed occupancy, specify nature andJ extent of each type of use ...................... ~...
7. Dimensions of existing structares, if any: Front ............................ R~ar ................................Depth ................
Height ........................ Number of Stories ...................................... i. ................. ....................................................
Dimensions of same structure with alterations or addmons: Front .................................... Rear
Depth ................................Height ............................Number of St;ories ................................
8. Dimensions of entire new construction: Front ................................. .. Rear ..................... i ...... Depth .............. ·
Height .................... Number of ~tories .......................................... '~ ..................................................
9. Size of lot: Front ........................................................ Rear ...........~ .............................. Depth ...........................
10. Date of Purchase .......... ~ ............................................. Name of For~ner Owner ....................................................
11, Zone or use district in which premises are situated ......................... ~ ................................... ..................................
12. Does proposed construction violate any zoning law, ordinance or r;egulation ....................................................
13. Will lot be regraded ............................ Will excess fill be removed ~rom premises· ( ) Yes ( ) No
14. Name of Owner of premises .................................................... Address ................................ Phone No ......................
Name of Architect .............................................................. Address ................................ Phone No ...................
Name of Contractor ............................................................ Address ................................ Phone No .......................
PLOT DIAGRAM
Locete clearly and distinctly all buildings, whetheF ex~ting or proposed, and indicate all set-back dm~etqs~ons fr,)rn
property lines. Give street and block number or description according to deed, and show street r~omes oncJ ~r]d~cate
whether interior or corner lot,
STATE OF NEW YO~RK,~,~ ,i,
COUNTY OF ........ .~g, ~..~ .~ J..~. ...... f~'"
.......................... ~..~.~.~.j.~.~....~.~...~.~ ............ beipg duly sworn, deposes and says that he ~s the
(Name of individual signing contract)
above named..
He is the ~l ~ B~ ................................................... ~ ................. : ..................................................
(Contractor, agent, corporate office~, etc.)
of said owner or owners, and is duly authorized to perform or have perfbrmed the said w6rk and to make e~xJ fde
this application; that all statements contained in this application are tru~ to the best of his knowledge and belief; and
that the work will be performed in the manner set forth in the ~pplication f;iled therewith.
Sworn to before me this ~
......... ..... of .................. ............ .
Nora~ ,Pubhc, . ..................... ...... County .~~:_....~_..__~ . .......... . .......... ~ .......
; (Slgnoture of apphcant)
~TATE OF NEW YORK,
County of. ........................... [ ""
!
.................. of ..................
BT. Y., and give information under oath as follows:
· e ..... ~_~.~ ........ of.....~.~.~2Mm~ ............. , Co~ of...~.~.~.~...., N. Y.,
· t abou~..~[~.~. ......... o'cl~k ~ ~e~..~ ....... ~ of ~d day, did comm{t ~ of
M~ ~.~.¢ ....~._.~.~2~2 ..~. ~ ~ ~.~....~m ~Z .................. 7 .... / ~
b~ ~, ~n~u~7, u~u~r, ~u~r, ~ ~, ~r, ~d
...........
~a.~.~.....c..~~.....~ ~ G.....~.~.~.~ ..................
.............
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Your Informant prays that the depositions of +.him Informant, and. .....................
..................................................................................... , w~tne~, may be reduced to writing and duly
subscribed, and that a warrant issue for the arrest of said accused, and that he be dealt
with provisions of th_e~Code of
pursuantbeforetO the . /~~ C~j~nal procedure./