HomeMy WebLinkAboutBoxwood Apts (Alfred C Teves)SUPERVISOR'S OFFICE
6~'eenpod', N. Y.
T~I. Greenporf 7.~lff0
BUILDING DEPAR'rldENT
TOWN OF K ITHOLD
SUF~COL.K GOUNTY, N. Y.
TOWI~I CLERK'S OFFK::E
M~ Str~
Tel. So~tbeld ~.37~
IUi'LDING 194SI~OR'S OFFICE
CERTIFICATE OF OCCUPANCY
Map No. , Block No. -- . Lei' Ne. '
in fh~ Town of Souf~l, confo~s subsfanfially fo fha 4pl~ovnd pinto and specifications herefofom filed in fhis
offlca wflh Application for Building Permit dated /~U ~ ~ ~-/~?L/' ~, :. ~' / ~ -~ ~'19 pursuanf to which
Building Petmff No. ~ . dM "- 19 ~, was issued, and ~onforms fo all of ~he, require-
men~s of fha ippllcabb provisions of the law. ~he occupancy for which fhis carfiflcafe is issued is
/ (or, nar,
of ~ aforesaid building.
Bu~ng Inspecfor
(The C~sffic4~ of C)c~upency wig be lined only after ~e hildlng Ins~r is ~nvi~d
~n~on In co.lance w~ ~o MuHipb R~donce ~w end w~
~ pmmlNs, and In con~rml~ wi~ ~e approved ~4ns and
(3rlginal for Municipal Building Department
STATEIdENT OF: ISTRY
To be filed in d~plic~fe with f~e municipal building depar~4~, or Ioeal enforceme~.~ by ever),
.Within ~30 days after the filing of this statement, the mun~..l~. : ilding de~oarfment ,~_ ~dorcement agency
required by. ~ 300, Multiple Residence Law,.to~uplleafe ~opy hereof with the State iei/d-
lng Code Cemml.mn, 1740 Breadway, New York 19,
h Location of muifiple dwelling:
Description:
(a) Type Qf consh'u~'|on
{b) Height of bui~ing, induding' number of
Type of heating fauilifies
(d) Number Of apartments
(f) Number of kitchenettes
(g} Number of bathrooms
(h) Number of water closets
Number of occupants for wh~h building was designed or intended te be accupied or used
3. Age of multiple dwelling:
(a) Date when constructed
(b) Dates of substantial addifiom, alterations or modifications of dwelling: with brief descrip-
tion thereof
If now under construction, state When construe'don commenced and anticipated date of
completion
Desa'ibe t.he pr~nd,~.al use made, or, in the case of buildings under c~D'te be, made,
of the multlp~ dwelling (such c~aparfmenf house., hotel, apa~men+, hetet, Iodg~ hous~ b0atd-
lng house, school convalescent, old agi or nurs ng.ho, me, private dwelling two or ~ dories
,,n h~gld', w~,th,.fiv* .or more '.._ .1~.'~. roomers or lodgers, or ,~ber ch:relOcation ,of ummple
awemng m~uamg those speui~ed b ~on 4, subdidslon 33, Multiple ReS;dence Law):
Dated at
New York