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Home My WebLink AboutGuimaraes, ArlindoSUPERVISOR'S OFFICE 16 South Street Greenport. N. Y. Tel. ~=reenport 7~50 BUILDING DEPARTMENT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. TOWN CLERK'S OFFICE Mei. Street Soufhold, N. Y. Tel. Sou~o~d 5-3783 BUILDINC~ I'NSPECTOR'S OFFICE CERTIFICATE OF OCCUPANCY (~AsT HOUSe.) No. 15'~ Dete .Ttlae ~ le61 THIS CERTIFIES that ~he building located atF-e/8 ~t'1; Road:Off N/8 ~ln ~a4 Street, MepNo. ~ ,B~ckNo, ~ , LofNo.~ ~ L.Z.So~a~ aa~t ~to~ in the Town ~ So.hold, confo~s substantially +o the approved plans and specifications/ heretofore fi~d in fhls ~ce wi~ Appli~fion for Building Permit dated A~B~ ~ 19~, pu~uant te which Building Permit No, ~ , dated ~ 19~, was issued, end conforms to all of the require- ments of the appliceb~ provisions of the law. ~e occupancy for which this ~ffificate iS isSUed is ~tiple residence - ~tory for d~aing school ' (owner, les;ee or 9eneet) of fhe a~ore~;d bu;Id;ng. Bu~l&;ng InspectOr (The Ce~f;cete of Occupancy will be issued only after the Building Inspector is convinced of the completion of the construction in compliance w;fh the Multiple Residence Law and w~th other Jaws, ordinances .or regulations affecting the premises, and in conformity with the approved Flens and specifications.) SUPERVISOR'S OFFICE lb South Street GreenpoH, N. Y. Tel. C-reenpo~ 7-05~0 BUILDIN~ DEPARTMENT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. TOV~I CLERK'S OFFICE I~a;n Street Southold, N. Y. Tel. Southdd 5-3783 BUILDING I'NSPEC:TOR'S OFFICE CERTIFICATE OF OCCUPANCY (W~ST H0~) No. 1._~ Date .Tm~ 22, ~ 61 THIS CERTIFIES that the building located aF ~*,/'B P'z'lvate l~oadtN/B Main Road Skeet, k4apNo.I''Y'~' .BlockNo.'w''a'me .LotNo @ L. LSoundt Eaat Yattton in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated ~(JI.F 9 1960. pursuant to which Building Permit No.-.,1.~, dated /~v .~ [9 6~, was 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 ~t~]t.~_~]n R~].elenae ,. Do~mato~y 1'o~ Dm'ml~ school , This certificate is issued to of the aforesaid building. Arllndo Ou~ m,~'lmS (owner, lessee or tenant) (The Certificate of Occupancy will be issued only after the Building Inspector is convinced of the completion of the const~tion in compliance with the Multiple Residence Law and with other laws, ordlnances.or regulations affecting the premises, and ~n conformity w~th the approved i~lens and specifications.) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. C~Examined ......,.:..'.~....R.....~... ........ .~., Approved ....... ........ ~..~...,L/ 19...~.G~Permit No~ J'~...~....l...~....I ........ ~D,sapproved o/c ..... ~ ................... : .................... ~....~ ....... Application No...~/.....~...S..~.t..I ............. ..... (Building In'specter') .................... APPLICATION FOR BUILDING 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 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 a 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 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 Building 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 and regulations. (Signature of applicant, or name, if a corporation) ............................... ............. , .... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................... ......... ............................................................................ Name of owner of premises....~...~...~....~' ...................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Locution of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number .~......?......{~....~...~....~.. ...... ...,~.../..S. ...... ~.~..~..~....~....:.......~..r...~..4.0.,~m~ ........................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy ............................... ~...: ............................................................................................ I rite nd ed u se a nd acc u pa ncy ~Z'/'~f.~. ~.¢/~d~. · d..~.~OZ. C/~~../~../~-~.~-:~: ....................... 3. Nature of work (check which applicable): New Building .................... Addition ............... Alteration...,,...:.i. ........ Repair .................... Remqyal .................... Demolition .................... Other Work (Describe) .................... 4. Est mated Cost '.~......~..~...0.: ..~.. Fee ~.. ~ ....................... ; .......... .". ......... ; .......... .'"'".'"'~'u'"' v" [.~ ...... (to be pa~d on fihng th~s apphcabon) .5. If dwelling, number of dwelling units ...... ~..'~..4:;¢~;:: ...... Number of dwelling units on each floor ....... ~ ........· ............. If garage, number of cars ....................................................................................... x/ 6. f bus ness, commerca or taxed occupancy, specify nature and extent of each type of use~C,~....:~/~'~-~ 7. Dimensions of existing structures, if any: Front ........~..~2 ............ Rear ..... .~.~..~.. ............... DeptPi Height ../~,../. ................. Number of Stories Dimensions of same structure with alterations or additions: Front ......... ..~./../. ............. Rear ....~..~.~/.i.~ ............... Depth ......,~.~..! ............. Height ....... ~.~...~ ............... Number of Stories .........O~.~.~:~;...; ......... 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ................................ 9. Size of lot: Front ............................ Rear ............................ Depth ............................ 10. Date of Purchase .............................................. Name of Former Owner .. ~. ~. . 11. Zone or use district in which premises are situated .................................... 12. Does proposed construction violg~ a~y zoning law, ordinance or regulation? ........................................................ 13. Name of Owner of prem,ses .......... ~ ................... ~.~.Adc~ress ................................ .~. ....... Phone NO./]Z....~....~./..2.-.~.. Name of Architect .....................,X/.~../-Z'...~.~ .................. Ad ... ~.¢.,~....xL:.../.~....... Phone NO ...... ............... Name of Contractor ..................... ~...~-:../e.../~.. ................ 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 NE _V~'Y~ COUNTYOF "'e¢~¢'¢ '~ ................................. .~¢~.~... ~.~.~,.r~o...being duly sworn, deposes and says that he is the applicant (Name of individual signi~gapplication) 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 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. SUFFOLK COUNTY DEPARTMENT OF H~,LTN Riverhead, New York Type or Print Legibly in Ink Building Permit No. , /~ Health Department Plan No. E/~- ~ Application for Approval of Commercial Sewage Disposal System TO: The Suffolk County Department of Health Date ~ /~- /~/ ! Application for approval of commercial sewage disposal system is hereby requested. (Name aha site of otreet, a~nd name and distance to nearest inter~ectinE street) Hamlet ~Fi~T ~//~/oA~ i'~'/ Town Village' I here~v certify that this commercial sewage disposal system has been con- structed in accordance ~dth plans approved by the Suffolk County Department of Health on (date)~/~ '~/-~ and with all the requirements of the latest bulletins on sewage disposal of the Suffolk County Department of Health. Applicant's Signature ~~ ~~ (Builder - Owner) Address/~/~ ~f~ .~/ ,~~/,/ Tel.No. /~~ ~/Z~ Ready for inspection ~ Inspected by FOR USE OF HEALTH DEPARTMENT ONLY Installation satisfactory - Yes ; No Based on the information stated here~n ~y the applicant and other information made available, it is the opinion of this department that this system with proper mainteuance can be expected to function satisfactorily and is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Structural features are not included. SC~ - S-13 TOWN OF $OUTHOLD Multiple Residence Law Permit PERMIT NO. /'--I '~ ~(~ ~',.I 19~O APPLICATION NO. / ~ .~ ~r-~.,,~.( 19(.,O · ,O LOCATION ~/<..~,, ?' 12 e,_ .(k._. - /~,/','., ~....,~. o~ ~ ~-"c~., ./,.. ¥,~.( ...... ~.~ ~. /~"-"/', Application having been made on ~- I~:~ ~ , for · permit cover;ng construction on a ~ J~ ~.~_~ -~ ~ ~;~_.~._.~.~-'~.~ ~. (new, altered, or conve~ed) multiple residen~ building, by or in beh*~ o{ _ ~:~ ' ~ r~ , for a dwelling loc.ted .s .bore stated, .nd the s.id application havin~ been exami~d and recommended ~or approval on ~-~ ~ ~( , I~~J, a PERMIT is hereby issued for the pe~orman~ ~ the ~ ~ ~-~ , ~ (arch;~ctu.r~l, stmctura~, mechanical, etc.) work described in the above numbered application and any ~companying pJans and specifications. If no work is pelleted wffhin one year from the time of its issuance, this PER~IT shall expire by limitation. Approved ~/~;~'-'d ~- ~'~ 19 ~.~ c) EnfOrcement Officer DANCE STUDIO A Distinctive $choo/ T38 WEST COLUMBIA STREL~r HEMPSTEAD, N.Y. IVanhoe 3-6122 DANCE WORK SHOP RESIDENCE SUMMER ~CHOOL EAST MARION, L.I., N.Y. Sc~-,.~ ~' /~ / ' TOWN OF $OUTHOLD APPLICATION FOR BUILDING PERMIT PURSUANT TO MULTIPLE RESIDENCE LAW Altered or Converted Multiple Residence Building APPLICATION NO. LOCATION /¢J///~ ~T House Number Streef Height: /'~,-~-~-- -~r~ Area (i) (2) H) Type of Occul~ancy of Building fo be altered or converted (Permanent, Transient, or Prlv~fe)J Type of Construction ~ ~~:f or Non-fireproof) USeor Conversionand Occupancy after Alteration ~L.'~-~..,..,~ (~.~.,~.~ ~'~.,~ A new C of 0 (will) ~ required Story ~nclude EXISTING OCCUPANCY PROPOSED OCCUPANCY ellar & BasemenfJ Persons fo be Apts. Rooms Apts. Rooms Accommodated C°rB ~ Second Third Fourth Fifth Sixth Seventh TOTAL (5) State generally in what manner the Building will be altered or converted (6) Estimated Cost of Alte£afion or Conversion (7) Is Applicat[on made to remove violatlons?/¢~f yes,: State Violation Number {8) State what disposition will be made of waste and sewage JPublic sewer, private sewer, cesspool, etc.) Page I STATE OF NEW YORK COUNTY OF SUFFOLK being duly sworn, deposes and says: in the City of. epplication for the approval of (Typewrite Name) That he resides af ~ ~~ · ~ha+ he in the State of / is maklng this (Architectural. structural, mechanlcal, etc.) plans and specifications herew~h submitted and made part hereof, end that to the best of his knowledge and belief, the work or construction will be carried out in compliance with such plans and specifications, and that it will conform to ~11 ~ppllc~ble provi~ of the bws gove~ing multiple residence construction. [SI~N HERE) ~ , Owner Sworn to before me, this .~Z day of /~g~/ , 19 ~ ~' Notary P~c 'or Commls~ner ~ Deeds ~vtery ~u~nc, ~te ot New York [~0. 52-0344963, SuffMk Coun~ Commission Expires March ~, ~/ If application is fo be executed by someone other than owner, acting in his behaff, the following additional inform- ation should be supplied: .Address (If ~ corporaHon, give fuji name and address of et least two officers) (SIGN HERE) Sworn fo before me, fhls day of , Applicant , 19 Notary Public or Commlss;oner of Deeds FOR OFFICE USE ONLY Examined and Recommended for approval on 19 Approved on 19 Superintendent. Work commenced on 19 Date Completed 19 I HEREBY CERTIFY that the above report is true in every respect and that the work indJcefed has been done in the manner required by law and Rules and Regulations of this Department. Signed Inspector. Page 2 FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exo m i n ed.....~."~..,~;....?.....~.. .......... ; 9~.....°... , ,, . FC I Approved ........................................ 19 ........ Perm t No.. .' ......................... Disapproved a/c .................................................................... Application No...~../.~..!.~7}...~, ......... (Building Ins~l, ector) APPLICATION FOR BUILDING PERMIT Date ............................................................ ! 9,..~. ....... 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 location. c. The work co~ered 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 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 Building 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 and regulations. (Signature of app-l'icant, or name, if a corporation) (Address of applicant) State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premlses.....~.,.~'~...~....~...~z.....'~...:,...~z;~.~ ........... '~.,..; .......................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) o 2~ ~ ''Lt ' ~ ]. Location of land on which proposed work will be done, Mop N : ......................................... '... o No. ,.~,, ............... Street and Number .................................. ~ .............................................. .~.~ .................... : ...................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Fxisting use ond occuponcy .............................................................................................................................. ! property lines. Give street and block numbers or description according to deed, whether interior or corner lot. 3. Nature of work (check which applicable): New Building .................... Addition ...... ~, .......... Alteration ....~....~. ......... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ....... ?...O....O.......-2T.. ..................................... Fee ...~. ................................................................................... (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, specify nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front ........... ~...~.... Rear ..........~......3mm... ....... 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 .......... /..~ ........ Depth ....~...'~ ................... Height ............................ Number of Stories ....... ~.....:... 9. Size of lot: Front ~'~J"'~-~-R~ .......... Depth ............................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 ]. 7one or use district in which premises ore situated ................ ! .................................................. 12. Does proposed construction violote~ony zoning Iow, ordi,nonce or regulotion? ......... ..~.....0.. ............................... 13. Name of Owner of premise~..~....~ress .......... :.....~..~ .......... hoe NO ..................... ~ t ............................................ Phone NO. Name of Architect ........................................................ Address .................... '~ r s ............................................ Phone NO. Name of Contractor .................................................... Add e s .................... PLOT DIAGRAM Locate clearly and distinctly ell buildings, whether existing or proposed, and indicate all set-back dimensions from and show street names and indicate STATE OF NEVi/. YpI~I~I,- ) S S COUNTY OF .......~..'::~.....~.-) ' ~,~. l0 be ng du'y sworn, deposes and says tha, he ,s the opp,cant (Nome of individual si~ng application) above named. He is the ...................................................................................................................................................... (Contractor, agent, corlborate off car, 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 oil 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 JUDITH T. BOKEN ~4otary Pu!¢i , State of New York e~k.t, z C~--~-v~ ,, 5~19~?,~)~, Suffolk 6ount. y./. ,/~ (Signature of.l~pplicant) Noto Public,