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Home My WebLink AboutZ-6581No. 24581...... FORK NO. S TOWN OF SOUTHOLD BUILDING DEPARTNTT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Date ............ Juhy ....21+....., 19.94 THIS CERTIFIES that the building located at . Lelgon .Av*............... Street Map No... xx ....... Block No. X=...... Lot No... X=. • • .ma,t tituek • • It •. Y s ..... conforms substantially to the daftlt b®fore April .23 1 19 5? pursuant to which Building Permit No. prfo xist urtda an dated ..Constr. started...., 19.1.9 54was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ..Church • building ...... ........... ...... ...................... . The certificate is issued to ... pd9ent . Lutheran •Cosegregation• • • • • • Ehnaerq' • ' • ' ' (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre- . existing • • • • • • • . • • • • • • • • • • • • UNDERWRITERS CERTIFICATE No. . pre+. existing........... • • • • • • • • • • • • .. HOUSE NUMBER .... ,2pp ...... Street .... Le igen• Ave .......................... Building] Inspector t FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 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) No. APBPIALJ�F'71"IT Date ............................. .Iul.tr...1c ,..........19.5"j.... Permission is hereby granted to: VE121 �r�,?.G'� ..Y!Oat,P,.,e I1..(✓ 1iIT'Llf1..c� a`�%l _ V+E"nt ....Leg on-AZF.e'a................................................. I-&tt4tuCk,...T.4.Y*................................... to ... Bu11d ..C. urch.x1t:- ar c'iiions....................................................................................... at premises located at......Le,.g.i.an.Ave .............................................................................................. "at '��'ItuG'ri'.s.....V.s.X*................................................................................ pursuant to application dated .............................. j.0ISr. ..... i.1.s............ 19.aT..., and approved by the Building Inspector. Fee $A.441.* .......... ........................ ...... ....................................... �...... Building Inspector FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined.....,[I �--�-Application No �, .�.��.�^�..~�-n4. Disapproved a/c f^ -..... . ...~~�..,~~^ .-.^.~ ~� �� ~- � ^~^^^-~~~`^^^-^^^^^^~^^^^^^'`^^^^-^'^^^^^^^^^^^^^^^^^^^^^^. (Building Inspector) � APPLICATION FOR BUILDING PERMIT � � Doh�`-....-. ....��1...l9-^4.� ly INSTRUCTIONS a. This ^ application � _ ��s-' completely—�—, filled `n by typewriter or `n ` and submitted^in ~~r^~~'� the ~—°''e Inspector b. Plot plan showing location of lot and of buildings on premises, relationship toadjoining premises or public street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location. 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 o Building Permit to the applicant. 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 port for any purpose whatever until oCertificate ufOccupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of Building Permit pursuant to the Building Zone Ordinance ofthe Town ofSouthold, Suffolk County, New York, and other applicable Lows Ordinances or Regulations, for the construction of buildings, additions oralterations, or for removal or demolition, as herein described. The applicant agrees tocomply with all applicable laws, ordinances and regulations. _...,_-..~.^~-_^._...^.^e^.`.,"�`-=."a corporation) gnature of applicant, or name, i (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, o|ectricon, plumber or builder. ..........---~..^..-....^^.~..-.-. .......,..~.....'.-...-....~..,...,..-.^~~-.. woma of owner of premises If applicant /s o corporate, signotuna of duly authorized ufficer. ~ ° ewaaetamye and title of �orporate officer) l. Location ofland onwhich proposed work will bodone. Map Wu. .................................. B|ock..........,^,^,,,. Street and Num6er-..,-....... � �~�� , ~' .---`-`^^^ 2. State existing use and occupancy ofpnennieses and intended use and occupancy of proposed construction: o. Existing use and nccuponcy.....^.... ...^.,..,..-.~,..~,^^^,,^,^^^,,_,,^ 3. Nature of work (check which applicable): New Building ....................Addition ..... X. ......... Alteration................. Repair ....................Removal ..... X .......... Demolition ................Other Work (Describe).................... 4. Estimated Cost ... ..�t.Q..�.Q,.IJC%C (/ Fee......5..aU................................................................. (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units............................Number of dwelling units on each floor............................ Ifgarage, number of cars........................................................................................................................................ 6. If business, commerical or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ........ X.g..... I...... Rear .....•Z ............. Depth ....¢7................ Height �./. &44.��.4P...Number of Stories .....Q..6, . ....� .rr.G............. ............................. Dimensions of same structure with alterations or additions: Front ........... 3-G;1............ Rear ..... Z. g :.................. Depth ..... .c`s�:.. '........ Height........32................Number of Stories` 8. Dimensions of entire new construction: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front ......74.:..0.0.. ...... Rear .......-/0,.. ...... Depth ...../.SG1t 'l ir41.9Z 10. Zone or use district in which premises are situated............................................................................................ 3ELT3o+ r&NrYpAVE¢"/. 11. Does proposed construction violate any Son. g law, ordinance or regulation?YF5..500: 61? ... ;04.Y•P5.............. L ss, rNAN �7 12. Name of Owner of premisesU ......c!!' .....Address ... ..... .. ...... .Phone NO.AJfiI.9...Rt4.!. Name of % . + ttR'4/� nn .l�.......... / &4.. Address . ,.hone NO. 1 .Z:.�� 7 Name of Contractor./7,1 ..�n,rl.............Address .. ..... r�...%1...............Phone NO .C.?.......... 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 corn lot. AJ 51 ;41 �ora/on ,-ta' .p w� F_XTq CHVRGH ADDirro") 49�_ l j e Y5 G a „U o Q) �� 3 5 / 42 50 �h 1 /50, FZ STATE OF NEW O K,)° ) COUNTY OF ....... .... SS. ......•••• •• • ••• .... •• •••••• •••••• .• • ...............being duly sworn, deposes and says that he is the applicant (Name of individual sign�Plication) above named. He is the....... ........... f........... .E ............... ......usLi�sc„e ........... (C tractor, 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 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 befpre me this ,A.G...:-`... day of ............ 19... i Notary Public,.. .... ,Q..........County NJIARY FIJ.^J,'. $1 N.V. 4al (Singature of applicant)