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Home My WebLink About2000-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .~....0.],.~..~q~,~..~f~ ............................ Street Map No. ~:tnl~ ............Block No .....~ ...........Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................. ~,~1~.~ ....... 7. ........... , 19.~.. pursuant to which Building Permit No....~.:~.0...0..0.... doted .............................. ..~..~.?..~..~......~..~....., 19~...~...., was issued, and conforms to all of the requirements of the applicable provisions of the law, The occupancy for which this certificate ~s issued is ........ .....0.~..e..~...~.t..z...4 ~ ................................................................................................ : .......................... The certificate is issued to (owner, lessee or tenant) of the aforesaid building. H, D. Ap~oYal' August 29.1963. R. A. vill~ ........ 5~..( ..... ~,t ......................... Buildi g Inspectoi[ FOEI~ NO. 1~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 3000 Z Date ..................... ~l~l~.~b,.... ~, ............... 19..~.. Permission is hereby granted to: H ,R. Reeve.&..Sen~...:]n~..A/C.....l~t ,...l~et e~.~...Luther an Church ..... Mat.t~ $,ueh ~ · · .. · ~, .Y.,. .................................... to ..Build..ne~...churcl~..bulld~ ............................................................................................. at premises located at ..I//.S...0~l..State..l~a~l~ ........ (lqt..;~.~.) .................................................... ................................. l~e~t.. ~ee~p~t~..... ~eenpe~$, ~...L, .~, .................................................. pursuant to application dated ............................. ]l~l~.~.~h ....... ~. ............. 19..6.~., and approved by the Building Inspector Fee $...NO]~ ........... Building Inspector / SUFFOLK COUNT~Z D,~P~:u~TMENT OF ~EALTH Riverhead~ New York _TYPE ON mINT L?~,G,IBLY ,,,~N, INK Building Permit No._ ~ ~ ~ ~L Health Department Plan No, ........ ~pp]~cation for Apprg¥~! ef ~0~mm~i~! Sewage Disposal System TO: The Suffolk County Department of Health Date ~-~' ~ Application for approval of commercial s~wage disposal system is hereby requested. (Name and side of street a~d'name -and d~tanCe to neareS~ ~ntersectin~ stree' I hereby certify that this cemmercial sewage disposal system has been con- structed in accordance with plans approved by the Suffolk County Department of Health on (date), and with all the requirements of the latest bulletins on s wage dmsposal of the Sufioll~ County Department of Health. 'applicant's Signature ~/~'---~/~' ~Z',~ Title z~Z~! ~ ~ , (~ilde~ - '~e~) f~,edy for inspection Tel, ~ j~_~E OF HEALTH DEPAR_TMEIqT ONLY Ins[allation satisfactory - Yes , he,~ , , Based on the information stated hereon by the applicant and other information mad~ available~ it is th~ opir~ton of this Department that this system with proper m~!v-~tsnance can be expectsd to ikmction satisfactorily and is not likely to cause a u~'~.sance, provided designed sewage flow is not exceeded. Structural features · ' t EnginSer Dis~ric ' Date · SCHD . S-13 FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT.O,O. N. , .2gooo Approved L k 19.....l..Permit No. Disapproved a/c ................. ~~ ........................ ........................ Application No......~....L?....O....9. ........ APPLICATION FOR ~UILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector, b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving o detailed description of layout of property must be drawn on the diagram which is part of this applica- tion. 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 applic~.nt. 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS H.EREBY MA;DE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Yorl% and other applicable Laws, Ordinances or Regulations for the construction of buildings additions, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ .................................................................................................. Name of owner of If a~li~ant is a. corporate~signature of duly authorized officer. ~. ............. (Name and ~itle of ~porofe officer) 1. Location of land on which proposed work will be done. Map No.: ........................................ Street and Number .~.~.~...~.~.....i.....~T~~ ........................................................ ,Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy .~.~:~.~~ ....................................................................... b. Intended use and occupancy ..~.~:...~.~.. ......................................................................................... 3, Nature of work (cheqk which applicable): New Building .,......~..... ....... Addition .................. Alteration .................. Repair .................. Remora! ..... ............. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost ........ : ....... ~.~.~.,...~.~?.¢~.~. '~ ' Fee ~...~....t~...~... ....................................................................... (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 ............................................................................................................................................ 6. If business, commercial or mixed occupancy, spg,ci,~y 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 additions: Front ................................ Rear ................................ Depth ................................ Height ................................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ,~.~...~..~.. .............. Rear ...~1~.~..~. ............ Depth ...~..~....~.........~.. ....... Height ....... .~.../........~'.. ...... Number of Stories .............~...JJ .......... 9. Size oF lot: Front .....~..~...~....~?.'~ ........ Rear ........ ,~....~...~ ......... Depth ...... .~...~.~1..'...~. ...... 10. Date of Purchase ..... ..~.....~...~....~........~..~.~... ,.. Na,m~ of Former Owner ...~...~..../~.~...~....../~.x.,./~.~./~..~, 11. Zone or Use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordnance or reaulationP 13/ Name of Owner of'~n ~ , ,~ ~, prerriises~: .~...~".~..~..~.~- ~, ~,--__ --,, .......... Addres .s~.....~...~..~,~,~/~..,T~.~...'..~, ,j~.,,~.,.'.'...phone..NO.................,...~ ~-__~-'~---- "zz~--- '.'.'...- ............-.-......-. Name of Architect .~..C~...~_~...~?~...~...~,~dress ~..~.[~../~(.....~,~1~I~.. ....... Phone No ................... Name of Contractor~.'.~..'....~. ~..~...~..~.....~'~.~.~84,~'~--' "~-- ~ ~"~ Address ...~.~.~...~...~.~..~.~.. ................ Phone No..~..~,~..~... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or p(oposed, and indicate all set-back dimensions from to deed and show street names and indicate property lines. Give street and block numbers or descri ~tion ,a,ccordi whether interior or corner lot. STATE OF NEW YORK, S.S. COUNTY OF ...',.:;.~..'.,..~...~...::..,.:) ' ../~...~..~?~../~.,...~.,,.~.~.~.i~.~....~ ................. ::.,.,b'cting duly sworn deposes.and says that he s the applicant (Name of individual signing gpplication) above named. He is the ..... ~.~.~.~~ ....................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to.perform or have performed the said work and to make and file this application; that all statements contained in this application a?e true t6 the best of his knowledge and belief; and that the work will be performed in the manner set forth in the ~pplic~tion filed therewith. Sworn to bez. z foremethis ~.~ , ............ ....... ..... .............. , ~Notary ~UDU' ' County (Signature Coum~ty of SuHolk ~mi~ion ~l~s Ma~ 30, 1964 /:' 6LO" lC. ~ rt CEMENT I I T ,t ~ETAL ',,% DO0 R 5CH E iD'L~L E i . 4:¸ PLY E,u~LT DP RoOF D ETAIL , ~ROwD~ TWO (.2) .SC A t~ ' 2 /~ G.¥ p 5 u i'vi 5CUpp E P, --- W.R SILL \A/tN D OWDETAIL ' E~ io r JOiGT :'~I~'tAL bvCT AT NAVE" VENT DETAIL 8 RI Gl< ., , DFTAI L ,, 3EGTIO:N ,SIDE ALL BOOK FOR M,E ;TIN f ROOM i DETAIL.' 9 r 2 )O N'~DAT I 0 '. ' ". 5CAt CLFJ~T5 r NOTE," ~LAG POLE FURNI5HED -BY'DWNE~ :'. ' DETA -.! , D~TA;,L AT SuPpL.,Y(, T- 'RETURN BEND ~L I 5 6 -- ..... ,,DETA I L AL N F SCALE DETAIt N CT N £N TYPi,CAL sE,eTlON _AT __BAS~ BOARD s AL~ t FLO0 R PLAN r PPL¥ I F x URE PRESSURE :A 6HAM BElA DLTAIL " m GATE At E ~E~ {~ I~ ~P ~CW ON SECTION A,,.~ [F R ~ PtA~3 I I f J e~LC ~Y ~op I~o OEL PR B.A ON ' I { I J IWOMF. N$ ,%OlILEI,r GENE~^L N ~ i~'J~ r~ ~ WOrK ~0 .BE ~,PIPH 'PoR W.~H~' ~R D NEBT U5 ~HA L B ~P~ ~d',~PER 7u E W CAST ,URINAL PLUMBIN 6 LI 5 "DETAIL-GO DWG N° H E ZONIr 5 ... TY.,PiCA'.L E LEVATIO N. AT PLUM~IN6( HEATING PLAN 3T pETERb LUTHERAN GHURC. H GREENPORT LOnG ISLAND ~CAL~ Y~ I 9-~2 JOB 55~l FVA K BY ~ AFPD~Y ~ f ' L P L A'J~:' B AL(, 0 N .Y' ' E, LLOW 5HIP BLOCK WALL IO'-O"tt)GW, L r .MEETING ROO~ T RAN6' <"' ^ ' . k ,r . > ', .... PLAN "ll L~ ': FIN ~'~il 5]4 ', ' ~;-4-" L 5~ /.; ,;.-', , t U I-m ¸.% \9 I1 PoR 7' LA~T) oF ~-~ TU L KEY 4 ~o , Ps ~ ~ ,~; ~X~'a'-e-~zI ~o~ ,,, ,~s.;~~ ~,~..~ ~ .... ~, ,,. , .~ .,., .., ...... .,, , .... , , ,~ ' ~ " ~ .' ' , ',', ...... , -~,",-', ' ..... '~':; ~ ' ' ~,~ ~i I r' ill'Ir ~11 r I I 1 I [ I I I I I[ I Iii I I II , I