HomeMy WebLinkAboutHass, HelmutTOWN OF $OUTHOLD
APPLICATION FOR BUILDING PERMIT PURSUANT
TO MULTIPLE RESIDENCE LAW
New Multiple Residence Building
APPLICATION NO.
LOCATION
S/s North Road 150' E/to Huch Line - parcels ~] ~nd P
Arshamomoque~ Town of Southold
Height:
Type of Occupancy 12 unit motel
(~)
(2) Type of Construction
[3) Estimated Cost of Construct[on
(4) State what d~sposltlon will be made of waste and sewage
(Public sewer, private sewer, cesspool, etc.)
(5) Occupancy (in detail) as follows:
(Permanent or Tr~nslent)
iF,reproof or Non-fireproof)
private cesspool8
S+ory
(include
Cellar & Persons to be
Basementl Apartments Rooms Accommodated
CorB
F)rst 12 ~LI- ~
Se~.ond
Th[rd
Fourth
Fifth
Sixth
Seventh
TOTAL 12 24 36
DIAGRAM.
The said land and premise&.~re_situated as. follows:_
e~ o N t P,.L T£ PAVE t~EN
2.5 O, r,,c,
Page
T
N
The north point
of the diagram
MUST agree with
the arrow
STATE OF NEW YORK
COUNTY OF SUFFOLK
Charles
Wood
ITypewrlte Namel
being duly sworn, deposes and says: That he resides at Parker ~oad
~n the City of W~rl ~ n~ ~ v~.T' in the State of ~T~_w Vn~'k
· that he is making this
application for the approval of
plans end specifications herewWh submitted and mede part hereof, and 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 all applicable provisions of the laws governing multiple res;dence consfrucflon.
JSI~N HERE) ~' , Owner
Sworn~o beforeme, this
If epplic~tlon is to be executed by someone other then owner. ~cfing in his behalf, the following addlfionel inform.
etlon should be supplied:
Owner's Name ~1 m~]t-. T~,~ Address 18 t,~errick ~d.
Ill a corporation, gi~e full n~rne end address of ~ least two officers)
Sworn to before me. this _ ~ day of
.
, Applican~
FOR OFFICE USE ONLY
Exemlned and Recommended
for approval on
Approved on
19
,19
Superlnfendent.
Work commenced on
19 Date Completed 19
I HEREBY CERTIFY that the above report is true in every respect and that the work ;ndicafed has been done
in the manner required by law and Rules and Regulations of this Department.
Signed
Page 2
TOWN OF $OUTHOLD
Multiple Residence Law Permit
PERMIT NO.
LOCATION
3 Ig %3 APPLICATION NO.
s/s North Rosxi 1501 E/to R~ch li~e - narcels ~1 and 2
Arshamomaque, Town of Southold, Suffolk County, New York
Application having been made on
covering construction on e
19
October 6 , 19 ~3 ,fora permit
(new. altered, or converted)
Helmut Hess. 18 Merrick Rd., Wautagh,
multiple residence building, by or in behalf of
New York
, for a dwelling located es above stated, and the said
application havinq been examined and recommended for approval on
October 29
, 19 ~, e PERMIT
is hereby issued for the performance of the
architectural
(archifectural, structural, mech~nlcal, etc.)
work described in the above numbered application and any accompanying plans end specifications.
If no work is performed within one year from the time of its issuance, this PERMIT shall expire by limitation.
Approved October 2c) 19 ~S ~'~-~J~.' ~ ~~
EnforcemeM' Officer