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HomeMy WebLinkAboutBay House (Floyd King)SUPBRVISOR'S OFFICE I& South Street G~eenport. N. Y. Tel. Greenporf BUILDING DEPARTMENT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. TOWN CLERK'S OFFICE Mai. Street Southold, N. Y. Tel. Soethold B-37B3 Town Clcrk's Office No. t0~ Date A~01~.1 ~.~ 19..,~._ THIS CERTIFIES that the building located at 1~. ~, .~/ ~ ~all~ st! O~'~ez!t. N*~r. Street, Map No. , B~ No. ~ , Lot No. in the Town ~ So'old, conforms substantially to the merits of the applic.b~ provisions ~ ~e law. ~e occupancy ~or ~ich this ~ificafe Rote1 ~d S~er ~ontal TMs ~ificate is issued ~ ~.Oyd Kt~ ~ent f N,~, (o~e~) (owner, o~ the aroused building. B~ding Inspector / Thia certificate eov~z'8 the "bay hou~e" and follo~Xn~ n~ed oott~esI ~volutiona~ oottaSeJ C~e Cod Cott~e~ C.B,X,houseJ S~se~ oott~ei F~ter Cott~e~ ~ay~tde Cottace. ApeX1 I~, 1957. (The Ce~flcefe of Occupancy wi[I be issued only after the Building Inspector is convinced of the completion of the consfrucflon in compliance with the Multiple Resldence Law end with other laws, ordinances .or regulations effeeting the premises, and in conformity wlth the approved Flans and specifications.) SUPERVISOR'S OFFICE 16 South Street Greenport, N. Y, Tel. Greenpert BUILDING DEPARTMENT TOWN OF $OUTHOLD SUFFOLK COUNTY, N. Y. TO~N CLERK'S OFFICE Male Street S~e~d, N. Y. Tel. Southold $-3783 BUILDING I'NSPECTOR*S OFFICE 307 Fourth Street ~eenporf, N. Y. Tel. Greenport 7-0101 d CERTIFICATE OF OCCUPANCY 8~8~-~ COTTA01~ No. 3.~r Date .T~n~,~ 2 19~9 THIS CERTIFIES that the building located etW/R Vtllm_ea T~a Street, Map No. -~alaQQ~-- , Block No. ,e~*e in the Town of Southold, conforms substentlally to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated ~:~:~__~:~ 1~ 19 ~, pursuant to which Building Permit No. 1 3 ~ , dated ~ 19 ~, was issued, end conforms to all of the require- ments of the applicable prov~sions of the law. The occupancy for which this certificate is issued ;s ,h,s cart,ticate ,s ,.ced te ?'--'-- " o~ the aforesaid building. Inspector (Tho Certificate of Occupancy will be issued only after the BuiIdlng Inspector is convinced of the completion of the construction ia compliance with the Idultlple Re$1dence Law and with other ]ews, ordinances .or regulations affecting the premises, and Jn conformity with t~e approved plans and speclficetions.) TOWN OF $OUTHOLD APPLICATION FOR BUILDINg= PERMIT PURSUANT TO MULTIPLE RESIDENCE LAW Altered or Converted Multiple Residence Building APPLICATION NO. / ! ~ LOC^T,ON ,U House Number Street Distance from Nearest Corner Heigl (I) Type of Occul=ancy of Building f~..~....0. J to be altered or converted ~ (~) ~'~*~~L i G, ,.,~,~-.~ [Permanent, Transient, or Private) (2) Type ~f Consfrucfon ~~ {F~reproof or Non-f~reproof) (~') A new C of O (wilt) ~be required ~ /~ Story (include EXISTINCo OCCUPANCY PROPOSED OCCUPANCY Cellar & Basement Persons fo be Apts. Rooms Apts. Rooms Accommodated CorB ~ ~ ~ S,oond ~ I 3 Thrrd Fourth Fifth Sixth Seventh TOTAL Estimated Cost of Alfecetion or Convers;on ~ ~ ~ ~ (6) (7) Is Application made to remove violations? If yes,: State Violation Number .//~/~-~ (8) State what disposition will be made of waste end sewa/qe~-- (Public sewer, private sewer, cesspool, etc.) Page I STATE OF NEW YORK COUNTY OF SUFFOLK being duly sworn, deposes and says: That he resides at ~ //c.c.,~,v~ v~.~o ¢, in the City of (~~ in the State of ,,~/'.~.~U /~'/~-~: that he is making this plans end s~cificefions herew~h submiffed end made part hereof, end that fo the best of his knowledge end belief, the work or construction will be c~rried ou~ in compllence with such plans end specifications, end that it will conform +o ell eppllc~ble provisions of the laws governing multiple residence construction. (Typewrite Name) (SI~N HERE) Sworn to before me, this ~lay of , 19 Notary Public or Comrnlss~oner of Deeds If application is to be executed by someone other than owner, acting in his behalf, the following additional inform- ation should be Owner's Name (If a corpol~atlon, g~ve full name and address of at least two officers) (SIGN HEREJ ~ (~'~/, "~'~ Sworn to before me, this ~ day of ' ' '~ M)' Commission Expires March 30, 19 ,~-~ , Appllcanf FOR OFFICE USE ONLY Examined and Recommended for approval on 19 .Approved on 19 Superlnfendenf. Work commenced on 19 Date Completed 19 I HEREBY CERTIFY that the above report is true in every respect and that the work indicated has been done in the manner required by law and Rules and Regulations of this Department. Signed inspector. Page 2 TOWN OF $OUTHOLD APPLICATION FOR BUILDING PERMIT PURSUANT TO MULTIPLE RESIDENCE LAW Altered or Conver?ed Multiple Residence Building (~,~, co ~ ~ ,,~.~.,)-. APPLICATION NO. // ~ ?C-'~ { ( 19 ''~' Z Type of Occupancy of Building +o be altered or converted T/)'A ~/$/g'~ T (Permanent, Transient, or Private) (2) Type of Construction }Fireproof or Non-fireproof} (3) Use and Occupancy after Alteration or Conversion T ~A/'~/J'/~"//// 7 (4) A new C of O (will) (will not) be required Story (include EXISTING OCCUPANCY PROPOSED OCCUPANCY Cellar & Basement) Persons to be Apts. Rooms Apts. Rooms Accommodated c or B ~ N£ ~/~NC Pirst _ J' 2 Y- 2o~7 / ~ Third Fourth Fifth Si~h Seventh (5) State generally in what manner the Building will be altered or converted UP:T~I~3 ' I APr. 2 ~DR~ , I (6) Estimated Cost of Alteration or Conversion (7) Is applicatbn made to remove violations?/~/'~l~ yes,: State Violation Number (8) State what disposition will be made of waste and sewage ct'~JP~w/ (Public sewer, private sewer, cesspool, etc.) Page I STATE OF NEW YORK COUNTY OF SUFFOLK Floyd F. King Jr. (TypewrTfe Name} being duly sworn, deposes and says: That he resides at ~]~ in theCffy of O_r'~e~t in the State of_ ~]'Y' · that he is making this appllcaflon for the approval of 8%ruc, tual (Architecfura[ structural, mechanical, etc.) plans and specifications herew~h submlffed and made part hereof, and fhaf fo the best of his knowledge and belief. the work or construction will be carried out ~n compliance with such plans and specifications, and fhaf if will conform fo all applicable provisions of the laws governing nluifiple residence construction. Sworn fo before me, ,his If application is to be executed by someone other than owner, acting in his behalf, the following additional inform- ation should be supplied: Owner's Name F]_Oyc', F. King .Address Main St., Orient (If a corporaflon, give full name and address of at least twe officers) ~ N.Y Sworn to before me, this /~ day , Applicant FOR OFFICE USE ONLY Examined and Recommended for approval on 19 ~,pr oved on 19 Super~n~rendenf. Work commenced on 19 Date Completed 19 I HEREBY CERTIFY that the above report is true in every respect and that the work indicated has been done in the manner required by law and Rules and Regulations of this Department. Signed Page 2 PERMIT NO. //' "~ LOCATION ~/-~ TOWN OF $OUTHOLD Multiple Residence Law Permit 19~''2 APPLICATION NO. Z/ Jnew, altered, or conv~rtedJ multiple residen~ building, by or in behalf of ~ppllc~tlon h~ving been exemi~d ~nd recommended ~or ~pprowl on is hereby issued ~or the pe~ormen~ of the (~rchi~ctur~J, st~cture,J, mechanical, etc.) work described in the above numbered appl;catlon and any ~ccompenying plans and specifications. If no work is performed w?thin one year from the time of ifs issuance, this PERMIT shall expire by limitation. , for a permit stated, and the said , I~-,~ , a PERMIT FORM NO. 5 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN CLERK'S OFFICE $OUTHOLD, N. Y. At:J:idavit: ot: Final Cos~: o,c Consl:rucEon STATE OF NEW YORK t ss.: COUNTY OF ......... ~q.!~'..~..0.~I¢ ...................... ............................... F].~Yr~l..~.^..~l~g ...................................... , being duly sworn, deposes and says: (applicant or agent) that he (~eT is the applicant (or agent of the applicant) named in the Application. for Building Permit dated ..................... Qg..~p.~..e.~'......~.~. 19.~'.~. ...... relating to construction or other work to be performed on, or in connection with, the premises located at ....... ~.~./.~q.....~..a.~..n....~..~. .......................... ..... .0..~..~.e.~.~.....?.?....~,. .......... ; that the estimated cost stated in said applicatJon~ of the construction or other work described therein was ................ ~....bc.~.Q~).Q,..0.Q ................................................................ Dollars ($..LF..~...O..O..O..?..O...©. ........... ); that the actual final cost of such construction or other work was ,~~.~.~~~.~Dollars ($......-~....c~... f~/,~ ........... ) and that the said construction or other work was performed in accordance with the applicable provisions of law. ....... (app~lea:;~ ;;~'~ ........................ Sworn to before me this.,~.~..day~ ~ 19-~... .... .................................... ~,:,..~.. ?..~. ~! ?.'!?.. Permit No ........................... Filed Cost $.Lk ~ O. O0...O~ ........ Permit Fee Paid $..,],.bc.,.0.Q ............. Final Cost $,....-~....m~..~..2 ........ ~(~ Additional Fee $ ..:~.....f.~*. ........ ...t~..: ¢.~.~.~ ').- I?f'I (Costs for the work described in the Application for Buildir~ Permit include the cost of all of the construction ~nd other work done in connection therewith, exclusive of the cost of the land. If the final cost is less than ~he estimated cost stated in the Application Tot Building Permit, no portion of the fee paid upon the filing of the application will be refunded.) Original for Municipal Building Department STATEMENT OF REGISTRy To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defined in subdivision 33 of section 4 of the Multiple Residence Law. Within 30 days after the filing of this statement, the municipal building department or en- forcement agency is required by section 300, Multiple Residence Law, to file a duplicate copy hereof with the State Building Code Commission, 1740 Broadway, New York 19, N. Y. 1. Location of multiple dwelling: (a) Street and number ....... ..J~..~....b~.~.e..e.~ ................................................................. (b) Municipality ................. .0.~$ .~...~ ........................................................................... 2. Description: (a) Type of construction hame (b) Height of building, including number of stories 2..ltt~9[~1~..~...~.~.~.*. ........ (c) Type of heating facilities ..... ~J~l~ ................................................. (d) Number of apartments ......... ~.9.n..e ........................................................ (e) Number of living rooms ......... .O~e .................................................... (f) Number of kitchenettes ......... .N..9..n.f~ ...................................................................... (g) Number of bathrooms ......... ~ ...... ...~K...o .............................................................. (h) Number of water closets .................. .0...~.? .............................................................. (i) Number of occupants for which building was designed or intended to be occupied or used .......~,.~ ..................................................................... 3. Age of multiple dwelling: (a) Date when constructed ......... ~.e..~..o.?.~...~.~...0~... ........................................................ (b) Dates of substantial additions, alterations or modifications of dwelling, with brief description thereof ~,~,~ F,-~.~.~.~i~ .q~ .~.t..~.....~t~.?..o..9~J~ now u~..e~. ...~.o.~..?..~..q~ ~ ~.o..-. ~ .~... ~....~..~.., ............................................................................. (c) If now under construction, state when construction commenced and anticipated date of completion ..~,~.P..~J~.A~:~tt~..~:. .................................................... 4. Use: Describe the principal use made, or, in: the case of buildings under construction, to be made, of the multiple dwelling (such as apartment house, hotel, apartment hotel, lodging house, boarding house, school, convalescent, old age or nursing home, pri- vate dwelling two or more stories in height with five or more boarders, roomers or lodgers, or other classification of multiple dwelling including those specified in sec- tion 33, Multiple Residence Law). ...... ~ .~..~.~ .e.~. ~...,. ............................................................................................................ Dated at ............. .O..~..J:~.n.~., ............. , New York ............... ~ .......... ~,St~J~ ~ .............. , 19~..~g... Other Su~lclizg s- Edgewater S~mset Revolutionary Regez5 Inter~atio~al Corporation ./.., ..................... .................. (Address of Owner) STATEMENT OF FILING Filed with the ..0...f..~.~.c.~...o.~...~..h.~..~!.~...~..n..l~.e..~...o.?. .......................................... of the (Building gepar~nen~ or O~her Ev~forcemen~ Agency) ...~.~...o..f...~..t~...o..1..~. ............................ on the ............. ~...¢l~r...o...f.....Ma.,~. .............. 19~..7.O. (Name of iMIllqicipality) ; / (Date~) ....... ...... .................... whom Statement of Registry was X~iled) Original for Municipal Building Department STATEMENT OF REGISTRY To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defined in subdivision 33 of section 4 of the Multiple Residence Law. Within 30 days after the filing of this statement, the municipal building department or en- forcement agency is required by section 300, Multiple Residence Law, to file a duplicate copy hereof with the State Building Code Commission, 1740 Broadway, New York 19, N. Y. I. Location of multiple dwelling: (a) Street and number ....... z/_~.l;/~,.......~..' .~...K~ ~-/. ........................................... (b) Municipality .................. .~..r../i.~. ~..~.. ................................................................. 2. Description: (a) Type of construction ......... ..~.~./~2~ .............................................................. (b) Height of bu Iding, nc ~d ng number of star es ....~....~..~..r. zi.~..~.......~...~.~J/ (c) Type of heating facilities ........4~..~.~...~,. ........................................................... (d) Number of apartments ............ .~..~...~...~. ............................................................. (e) Number of living rooms ............... /.. ..................................................................... (f) Number of kitchenettes ............,/~.~/~....~.. ............................................................. (g) Number of bathrooms ............. .~... .................................................................... (h) Number of water closets ...........~ ..................................................................... (i) Number of occupants for which building was designed or intended to be occupied or used ............................. /..~.. .......................................................................... 3. Age of multiple dwelling: (a) Date when constructed ........ ~...~...~.~.,C..~r. ....... ./.~..~. ....................................... (b) Dates of substantial additions, alte[ations or modifications of dwell!rig, with bref descrpt on there, of - ..................... ...... ........... (e) If now under construction, state when construction commenced end enti¢ipated date of completion .......... ~.~.~..~. .................................... 4. Use: Describe the principal use made, or, in the case of buildings under construction, to be made, of the multiple dwelling (such as apartment house, hotel, apartment hotel, lodging house, boarding house, school, convalescent, old age or nursing home, pri- vate dwelling two or more stories in height with five or more boarders, roomers or lodgers, or other classification of multiple dwelling including tho~e specified in sec- tion 33, Multiple Residence Law). .............. ............ I_ ......................................... Doted at ...... .~..~..l:~-~/2..k ............ , New York ........ J/~.~...~,.... Z .~... ................... , 1~. e of ~er) STATEMENT OF FILING (Butldin~ Dep~r~men~; or OtI~er E~orcement _Agency) ~~...~'..~ ....... on the ............. ~...~.~ ..... 19~.~ ~hom S~ent of ~try was ~) Original for Municipal Building Department STATEMENT OF REGISTRY To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defined in subdivision 33 of section 4 of the Multiple Residence Law. Within 30 days after the filing of this statement, the municipal building department or en- forcement agency is required by section 300, Multiple Residence Law, to file a duplicate copy hereof with the State Building Code Commission, 1740 Broadway, New York 19, N. Y. 1. Location of multiple dwelling: (a) Street and number ......... ~../...~.. ....... 4~...~..././Jd........~.....~-. ...................................... (b) Municipality ................. ~..~./.~..~...~. ............................. 2. Description: (a) Type of construction .......... ..~.../~...~.Z~..~.. .............................................................. (b) Height of building, including number of stories ..... ~.....~...~...~...~...~'.. .................... (c) Type of heating facilities ...... ~..~..~..~. ............................................................. (d) Number of apartments .......... Z'.//'d~..~.~-~'. ............................................................ (e) Number of living rooms .......... ?...~..~...~.~7. ............................................................. (f) Number of kitchenettes ......... ~..~...~.~.~. .............................................................. (g) Number of bathrooms ......... Z'.ff.J~..~..~. .............................................................. (h) Number of water c osets ~../f/',~.~. ....................................... (i) Number of occupants for which building was designed or intended to be occupied or used ............... /../'/. .......................................................................................... 3. Age of multiple dwelling: (o) Dote when constructed ............ ..~....~..~..~...~..~o......,~....~..2...~'.. .................................. (b) Dates of substantial additions, alterations or modifications of dwelling, with brief description thereof ..L~..~..~JT../IL~..J~...~'......~..)('..C.~-..~...~.......~...~..d~. .......... ...... .T. HI.~.......O.,,k.~_. ............ t.2.47~.. ....................................................................... (c) If now under construction, state when construction commenced and anticipated date of completion ....... I~.~..~.~..~,~.~..~..~.. ................... 4. Use: Describe the principal use made, or, in the case of buildings under construction, to be made, of the multiple dwelling (such as apartment house, hotel, apartment hotel, lodging house, boarding house, school, convalescent, old age or nursing home, pri- vate dwelling two or more stories in height with five or more boarders, roomers or lodgers, or other classification of multiple dwelling including those specified in sec- tion 33, Multiple Residence Law). ................. d.?/..17 17. ....... ....... Dated at ...... ~..~.[~C'.Z/~...~.. ............. , New York .......................... ..~....~.. f,.... 2.~. .......... 195....c~.... .......... ........ ...................... (Add~es$ of ~Jl~')~,~A4Y~i~ STATEMENT OF FILING ....~..~...4....~..~. ........ on the ...?~......~..~...~..~, 195..~... (Ns~e of Municipality) ' / / (Date of Filing) ......... 'gn tion ~f Official with whom Stak~ment of P,e~lstry was Piled) Original for Municipal Building Department STATEMENT OF REGISTRY To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defined in subdivision 33 of section 4 of the Multiple Residence Law. Within 30 days after the filing of this statement, the municipal building department or enforcement agency is required by section 300, Multiple Residence Law, to file a duplicate copy hereof with the State Build- ing Code Commission, 1740 Broadway, New York 19, New York. I. Location of multiple dwelling: (a) Street and number ift'iu g~l~em~ (b) Municipality 0~._~+. 2. Description: {a) Type of construction ~1 (b} Height of building, including number of stories (c) Type of heating facilities ]1'81~1 (d) Number of apartments --][~Z~l (e) Number of living rooms ~nn*~ (f) Number of kitcheneHes __]~1~_ (g) Number of bathrooms ~em_m_ (h) Number of wafer closets _'~_~+_ (1) Number of occupants for which build~ng was designed or intended +o be occupied or used ]fi.ne ~oom~.. o¢oupaz~oy v~.z'ted. Age of multiple dwelling: (a) Date when constructed ~ (b) Dates of substantial additions, alterations or modifications of dwelling, with brlef descrip- fion thereof ~_~ ~0 ~aw w~dawm: nlv ~OB O~ (c) If now under construction, state when construction commenced and antlcyated date of completion Use: Describe th.e principal use made, or, in the case of buildings under construction, to be made, of the mulhple dwelling (such as apartment house, hotel, apartment hotel, lodging house, board- ing house, school, convalescent, old age or nursing home, private dwelling two or more stories in height with five or more boarders, roomers or lodgers, or other classification of multiple dwelfing including those specified in section 4, subdivision 33, Multiple Residence Law): Roam ~n_e haume Dated at OZ't e~.t, , New York ,Ta3.y 2 6 195 6 (Address of Ownerl Filed with the STATEIdENT OJ: FILING (Name of Municipafify) -- ~ // ,(~te of~iling) {Signature and Designation of Offici~ ~fh wh~m Sta~emen{ of Registry was ~ed) Original for Municipal Building Department STATEMENT OF REGISTRY To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defined in subdivision 33 of section 4 of the Multiple Residence Law. Within 30 days after the filing of this statement, the municipal building department or enforcement agency is required by section 300, Multiple Residence Law, to file a duplicate copy hereof with the State Build- ing Code Commission, 1740 Broadway, New York ]9, New York. I. Location of multiple dwelllng: (a) Street and number (b) Municipality 2. Description: (a) Type of construction (b) Height of building, including number of stories (c) Type of heating facilities ~eme (d) Number of apartments --~lele (e) Number of ~;v;ng rooms 0,~ (f) Number of kitchenettes ]1'0]11 _ (g) Number of bathrooms __:Ill- (h) Number of water closets li"lT~ (i) Number of occupants for which building was designed or intended to be occupied or used FO~ 1'o0~ 3. Age of multiple dwelling: (a) Date when constructed ~~ (b} Dates of substantial add~tlons, alterations or modifications of dwelling, with brief descrip- tion thereof A~O~ (c) If now under construction, state when construction commenced and anticipated date of completion Use: Describe the prlncl,p, al use made, or, in the case of buildings under construction, to be made, of the muHiple dwelhng (such as apartment house, hotel, apartment hotel, lodging house, board~ lng house, school, convalescent, old age or nursing home, private dwelling two or more stories in height w~th five or more boarders, roomers or lodgers, or other classification of multiple dweJllng including those specified in secfiofl ~., subdlvis~on 33, Multiple Residence Law): Dated at Oz'"l ent; , New York ~ ~ STATEMENT C)J: FILIN'~ Filed with the ~:~.~..~,~ . ,r ~...,. ~ 7 '~ '"- ~--~-~ '~' (~" of the ~ (~u~ldin~ Depa~nt or Other Enforcement A~ency) ~ ' ~. ~,~ ;~-~f ~' on the ~ -~ , 195 IName of Munlc~pali~) . / ( Date of F~in~ ~ . (S~na+ure and Designation of Offlc~al with Statement o~ Registry was fired Original for Municipal Building Department STATEMENT OF RE ,ISTRY To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defined in subdivision 33 of section 4 of the Multiple Residence Law. Within 30 days after the filing of this statement, the municipal building department or enforcement agency is required by section 300. Multiple Residence Law, to file a duplicate copy hereof with the State Build- ing Code Commission, 1740 Broadway, New York 19, New York. I. Location of multiple dwelling: (a) Street and number ~ .......... (b) Municipality ,'.-, 2. Description: (a} Type of construction {b) Height of building, including number of stories __~___ __ (c) Type of heating facilities {d) Number of apartments (e) Number of living rooms (f) Number of kltcheneffes (g) Number of bathrooms {h) Number of water closet~ (i) Number of occupants for which building was designed or intended to be occupied or used Age of multiple dwelling: {a) Date when constructed ~~ove~ ~ y e~a (b) Dates of substantial addfflons, alterations or modifications of dwelling, w~fh brief descrip- tion thereof ~ . Pa~ton~ ~h~n~od If now under construct;on, state when construct;on commenced and antlc;pated date of completion Use: Describe th.e principal use made, or, in the case of buildings under construction, to be made, of the mulhple dweJfincj (such as apartment house., hotel, apartment hotel, lodging house, board- ing house, school, convalescent, old age or nursing home, private dwelling two or more stories in height with five or more boarders, roomers or lodgers, or other classiflcatlon of multiple dwelling includ;ng those specified in section 4, subdivision 33, Multiple Residence Law): Room ~ hott~le- oeouD~noy Veriest Dated at_ Oz'~.eZ~ , New York · T~l.y 2 6 _, 19~ 6 ,, m STATEMENT ~:: FILIN.~ (Building Deparfml~nt/~r Otherthe~orce~ent AcEn o cem~n Agency} Original for Municipal Building Department STATEMENT OF RE~=ISTRY To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defined in subdivision 33 of sect/on 4 of the Multiple Residence Law. Within 30 days after the filing of this statement, the municipal building department or enforcement agency is required by section 300, Multiple Residence Law, to file a duplicate copy hereof with the State Build- ing Code Commission, 17,t0 Broadway, New York 19, New York. I. Location of multiple dwelling: (a) Street and number ~_ (b) Municipality 0_~_~.:?~, ?._=~ v..~_~ 2. Description: (a) Type of construction (b) Height of building, including number of stories {c) Type of heating facilities (d) Number of apartments ~. (e) Number of living rooms {f) Number of kitchenettes ~ (g) Number of bathrooms ~ (h) Number of water closets (1) Number of occupants for which buJldTng was designed or Tntended to be occupied or used 3. Age of multiple dwelli.g: (a) Date when constructed ~,~-/r~_~m_ - ~' (b) Dates of substantial additions, aJferatlons or mod~ficetlons of dwelling, with brief descrip- tion thereof A...~_~_,_~ '1_~_O~. -papt;tt;iOZla if now under construction, state when construction commenced and anticipated date of completion 4. Use: Describe the prlnci~al use made, or, in the case of buildings under construction, to be made, ?the multiple dwelling (such as apartment house., hotel, apa~ment hotel, lodging house, boar. d- mg house, school, convalescent, old age or nursing home, prwate dwelling two or more stories in height with five or more boarders, roomers or lodgers, or other classification of multiple dwelling including those specified in section 41 subdivision 33, Multiple Residence Law): Roo~1.n~ hou,,e - occupanoy va~te8 Dated at~ ., New York STATEMENT OF FILINC~ ,,ed w,th th . of the ' Name of Municipoli~) ,/ ·/(Date ~f ~i;nat~re a.d ~es;;nation of O~ic;al w~ whom Stat~m~.t of ~:;;:t~ was Original for Municipal Building Department STATEMENT OF REGISTRY To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defined in subdivision 33 of section 4 of the Multiple Residence Law. Within 30 days after the filing of this statement, the municipal building department or enforcement agency is required by sect/on 300, Multiple Residence Law, to file a duplicate copy hereof with the State Build- ing Code Commission, ]740 Broadway, New York 19, New York. I. Location of multiple dwelling: {a) Street and number ~L~LD.~._~L~,~__~Z~ (b) Municipality O_~_e~+., _w.._~ 2. Description: (a) Type of construction (b} Height of building, including number of stories (c) Type of heating facilities ~ (d) Number of apartments ~ (e) Number of llv~ng rooms ~ (f) Number of kitchenettes {g) Number of bathrooms (h) Number of water closets (1) Number of occupants for which building was designed or intended to be occupied or used 5t.x Rooms~ Ooeupan~' va~es 3. Age of multiple dwelling: (a) Date when constructed 1Ttq~'~m-e'n .Ove~' (b) Dates of substantial additions, alterations or mod~ficatlons of dwelling, with brief descrip- tion thereof A'bott t: ]~lfl: la'n.~-'l: t 'El a ~ n (c) If now under construction, state when construction commenced and anticipated date of comp~etlon -' Use: Describe the prlnci,p, al use made, or, in the case of buildings under construction, to be made, of the multiple dwelhng (such as apartment house, hotel, apartment hotel, lodging house, board- ing house school, convalescent, old age or nursing home, private dwelling two or more stories in height with five or more boarders, roomers or lodgers, or other c ossification of mu tip · dwelling including those specified in section 4, subdivision 33, Multiple Residence Law): Kooz~L--~ House Dated a+ _Opiont , New York · ltCL! 16 , ~N~arne of Owner) \ STATEMENT OF FILING Filed with the //~'~"~'"'~ ~,: ~'~4. ~-~.~ of the - ~ (Building Depa~m~nf~r Other Enforcement Agency) ~~ ;~ ~~on the ~ --¢ , 195~ (N;me of MunJclpolJ~) ~ / // ?~a+. o~Jllng~ (Signature and Designation of Official with Chore Statement of Registry was ~led) Original for Municipal Building Department STATEMENT OF REGISTRY To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defined in subdivision 33 of section 4 of the Multiple Residence Law. Within ~0 days after the filing of this statement, the municipal building department or enforcement agency is required by section 300, Multiple Residence Law, to file a duplicate copy hereof wi~h the State Build- ing Code Commission, 1740 Broadway, New York 19, New York. I. Location of multiple dwelling: (a) Street and number ~T&i~3 St~'e_et (b) Municipality O~'ion~.. New Yerk 2. Description: (a) Type of construction ~'z'aJe (b) Height of building, including number of stories _q~e'~ e _~_?t mm (c) Type of heating facilities (d) Number of apartments _~_~_ (e) Number of liv;ng rooms (f) Number of kltcheneffes (g) Number of bathrooms ~'~ (h) Number of water c~ose~ (1) Number of occupants for which building was designed or intended to be occupied or used "Zrz:~®e z'oozms oooupaz~oy vaz'te~ 3. Age of multiple dwelling: (a) Date when constructed I~P~G (b) Dates of substantial additions, alterations or modifications of dwelling, wlth brlef descrip- tion thereof ~Cit~ &.nd ~t~-~om m~m~! ~G~t~ (c} If now under construction, state when construction commenced and antlc;pated date of completion Use: Describe the pr;nclpal use made, or, in the case of buildings under construction, to be made, of the multlpJe dwelJing (such as apartment house, hofeJ, apartment hotel, lodging house, board- ing house school, convalescent, old age or nursing home, private dwelfin9 two or more stories in height with five or more boarders, roomers or odgers, or other cassification of mutipe dwelling including those specified in section 4., subdivision 33, Multiple Residence Law): Dated at OZ'lent; , New York , (Address of Owner) (Buildlng Deparfn~e~ or Other Enforcer~/~t Agency) GJName of MuoicJpaliN) t / / ~Date o~Ffling) ~-- (Signature and Designation o{ Off~cia[ with w~~ ' ' ~' '~m Statement of Reglsf~ was ~Jed~ Original for Municipal Building Department STATEIdENT OF REGISTRY To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defined in subdivision 33 of section 4 of the Multiple Residence Law. Within 30 days after the filing of this statement, the municipal building department or enforcement agency is required by section 300, Multiple Residence Law, to file a duplicate copy hereof with the State Build- ing Code Commission, 1740 Broadway, New York 19, New York. L Location of multiple dwelling: (a) Street and number ~ (b) Municipality 0_~__~ ~ 2. Description: (a) Type of construction (b) Height of building, including number of stories __q~e (c) Type of heating facilities ~ (d) Number of apartments (e) Number of living rooms ~ (f) Number of kltcheneffes ~ (g} Number of bathrooms ~ (h) Number of water closef~ _~...~ (1) Number of occupants for which building was designed or intended to be occupied or used ~ve z'oozas., oeeu_~n~y 3. Age of multiple dwelling: (a) Date when constructed ~e_~ (b) Dates of substantial additions, alterations or mod~ficatlons of dwelling, with brief descrip- tion thereof ~.~? i'~s._~ed _~tz%itions re'sd enl&r~ed romm, (o) If now under construction, state when construction commenced and anticipated date of completion Use: Descrlbe th.e princi~.al use made, or, in the case of buildings under construct, ion, to be made, of the mulhpJe dwelling (such as apartment house, hotel, apartment hotel, lodging house, board- ing house, school, convalescent, old age or nursing home, pdvate dwelling two or more stodes ~n height with five or more boarders, roomers or lodgers, or other classification of multiple dwelling including those specified in section 4, ~ubdlvlsion 33, Multlple Residence Law): One ADa ~tuent. Rooming_ house_, occu_manc_v va~iea, Dated at OF:~l~t ., New York 31z.1.? 2 6 : t95 6 Filed with the (Name of O~wner)__ (Address of Owner] STATEMENT OF FILIN~ (Building Departm~f~r Ofher Enforcemenf ~gency) the (Signature and Designation of Official ~)th ~ Statist of Regist~ was ~[ed) .t