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HomeMy WebLinkAboutBernhardt MotelSUPERVISOR'S OFFICE 16 South Street Greenpor~, N. Y. TeL Greenpor~ 7-0550 BUILDIN .~ DEPARTIdENT TOWN OF $OUTHOLD SUFFOLK COUNTY, N. Y. TOW'N CLERK'S OFFICE Main Street South~ld, N. Y. Tel. Socthold S-3783 BUILDING rNSP~CTOR'S OFFICE CERTIFICATE OF OCCUPANCY No. I:~R (~tn~l) Date ?'-O-~e'~12~-~ 3 19-fault THIS CERTIFIES ~na+ +he building located a+l~'/R ~1'~!~ l~n~R ~_~_~ (~e~ T_~e) Street, Map No. ~ , Block No. in the Town of Soufhold, conforms substantially fo the approved plans an~ specifications heretofore fi~d in this office with Application for Buildlng Permit dated ~ ~ 19~. pursuant fo which Building Permit No.~, daf ed ~ 19 ~, was issued, and conforms fo all of the require. menfs of the applicab~ provisions of the law. The occupancy for which fhls cerfi~ca+e is issued Th~s ce~ificafe is issued fo o~ +he a~oresald building. Bui,ldlng Inspector / (The Certificate of Occupancy will be issued only after the Building Inspector is convinced of the ~omp{efion of the construction in compliance with the Multiple Residence Law and with other laws, ordinances ,or regulations affecting the premises, and ~n conformity with the approved p'~ens and specificctions.) SUPERVISOR'S OFFICE 16 South Strait C~reenporf. N. Y. Tel. Greenport 7-0550 BUILDING DEPARTMENT TOWN OF $OUTHOLD SUFFOLK COUNTY, N. Y. TOWN CLERK'S OFFICE Main Street Soft.Id, N. Y. Tel. Southeld $-3783 CERTIFICATE OF OCCUPANCY No. :WE O.te 3 i9-61. THIS CERTIFIES that the building located at~.~J~L~na (~'"~e'~ t_e) Skeet, Map No, ~ , Block No. ~ , Lot No. ~r~ b'~ll~hhn~ in the Town of So~hold, conforms substantially to the approved plans and specifications heretofore fi~d in ~s office with Application for Building Permit dated ~ ~ I~, pursuant to which Building Permit No. 1~ , dated ,, Ma~ ~ 19~, was issued, and conforms to all of the require- ments of the appli~b~ provisions of the law. ~e occupancy for which this ~ificate is issued is This certificate is issued to ~t~edez.~[ek ~mh~t ~ Iowner, lessee or tenantI of the aforesaid building. e"i'ldin g Inspector The Certlflcite of Occupancy will be iuued only e~ter the Building In,pector I, convinced of fha comple~ e. M the condruction in compiance with the ~uJtiple Residence Law and with other Jaws, ordinance~ .or reguJafionl effed;ng the premiJel, and in conformi~ with ~e approved ~ans and specifications.} SU PERVISOR'S OFFICE 16 Seu~h Street Greenport, N. Y. Tel. Greenp~ff 7-0~0 BUILDING DEPARTMENT TOWN OF $OUTHOLD SUFFOLK COUNTY, N. Y. TOWN CLERK'S OFFICE Mele Street Sea.d, N. Y, Tel. Southold 5-3783 BUILDING iNSPECTOR'S OFFICE CERTIFICATE OF OCCUPANCY 15 unLtm ~n ~ast ~n~ of Motel No.' 1Z~ Date AII/gl$ ~ I~,~.._ THIS CERTIFIES that the building located at L.T.geumt ~ ~/~ l~sle~ Po~rst Rn.~l Street, Map No. ~ , Block No. XX~ , Lot No. ~]~ in the Town of Southold, conforms substantially fo the approved plans and specifications heretofore filed in this office with Application for Building Permit dated A1~z'il A 19~? , pursuant fo which Building Permit No. ~J~0 , dated ,, April. 10 19 _~..~., was issued, and conforms fo all of the require. ments of the. eppficable provisions of the law. The occupancy for which this certificate is issued is Sumaer Motel rooms This certificate is issued to of the aforesaid building. Teliae J. Rossi O~ner (owner, lessee or tenant} Building Inspector L~-- (The Ce~fiflcete of Occupancy will be issued only after the Bu~ld~ng Inspector is convinced of the completion of the construction in compliance with the Multiple Res;dance Law end with other laws, ordinances.at regulations affecting th~ premise*, and in conformity with t~e approved ~lans end spec~ficatlons.) TOWN OF $OUTHOLD Multiple Residence Law Permit PERMIT NO. // p '-'~p ..... ! 0 I~7 APPLICATION NO. //' ~ Appllcat;on having been made on covering construction on a ,/~~ mult¥1e residence building, by or ;n behalf of ~ '/7/' .19.~R'7 ,forapermlt C/ application having been examined and recommended for approval on is hereby issued for the performance of the (architectural, structural, mechanical, etc.) (new, altered, or converted) , for · dwelling located as above stated, end the sald , 19~' ~, a PERMIT work described in the above numbered application end any accompanying plans and specifications. I{ no work is performed w;thln one year from the time of its issuance, this PERMIT shall expire by limitation. Approved ~/~) // TOWN OF $OUTHOLD APPLICATION FOR BUILDING PERMIT PURSUANT TO MULTIPLE RESIDENCE LAW New Multiple Residence Building APPLICATION NO. / it '~) ~ (/ 19~7 LOCATION House' Number Height: (I) Type of Occupancy (2) Type of Construction [3) Estimated Cost of Construction Area: ermanenf or Transient (Fireproof or j~n-firel~oof) State what disposition will be made of waste and sewage (Public sewer, private sewer, cesspool, etc.) (5) Occupancy (in detail) as fellows: Story linclude Cellar & Persons to be Basement) Apartments Rooms Accommodated CorB First Second Th;rd Fourth Fifth Si~h Seventh TOTAL ~5~( DIAGRAM. The said land and premises are s~tuated follows: Page I N The north point of the diagram MUST agree with the arrow STATE OF NEWN~~ COUNTY OF ~ ~ELZaB J. ROSSI (Typewrite Name} being duly sworn, deposes and says: That he resides at Marratooka Road (no number) in the Cih/of t~++~ ~-~ in the State of New York · that he is making fh~s application for the approval of A~,nhl tP. etu r'~l (Archltectural, structural, mechanical, etc.) plans end specifications herewMh submitted and made part hereof, and {'hat 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 if will conform to all applicable provisions of the laws governing multiple residence construction, (SIGN HERE) Sw,~) to before r~ No, 80-6421485 ~ualified in Nassau C~unty ,Term Expires March 30, 1958 If application is to be executed by someone other than owner, actlng in his behalf, the following additional inform- etlon should be supplied: Address (If a corporation, g~ve f~ll name and address of af least two officers) (SIGN HERE) Sworn to before me, this day of . Applicant , 19 Notary Publlc or Commissioner of Deeds Examined and Recommended for approval on Approved on FOR OFFICE USE ONLY Superintendent. Work commenced on F'~-5~ 19~'/{~)afe 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 Multiple Residence Law Permit PERMIT NO. M.R. ].ij~, ~ ~ 19 61 APPLICATION NO. ].1~ JJlA.T 3 LOCATION ~ ~ ,POI~I P. ofld I~ Lei. Sound.t Cut,~l'~o~e! N.'~. t9 6]. Application having been made on ~1~ 3 , t9 6]. covering construction on a ~ 'b~.1.'16~.~ ~ 8. ~L~.t, tp].e l"estcleFIoo 3~EHI~I~ · Inew, altered, or converted) , for a permit multiple residence building, by or in behalf of ]l~odOl":Lok Bel*ll~dt, , for a dwelling located as above sta~d, and ~e said appli~fion havin~ been exami~d and recommended for approval on ~ 3 , 19 6~, a PER~IT is hereby issued for the pe~ormance of the ~~ (arch;~ctur~l, structural, mechanical, etc.) work described in the above numbered application and any accompanying plans and specifications. If no work is performed within one year from the time of ifs issuance, this PERMIT shall expire by limitation. Approved. )~ 2~ 196]. Enforcement Officer · st:l~ate~ cost - $ 20°000°00. fee paid $ ~o00 TOWN OF $OUTHOLD APPLICATION FOR BUILDING PERMIT PURSUANT TO MULTIPLE RESIDENCE LAW New Multiple Residence Building APPLICATION NO. 14'it May 3 ~g61 LOCATION E/M D~:ek Pnnc] Road @ L.I.Sound~ Cutchogue~ N.Y. House Number Street Distance from Nearest ~orner Height: one storM Area: lg3?-~qft ?]us pntin ~ P~'ches (I) Type of Occupancy (2) Type of Construction Restaursnt section of transient o~l]p~nay (Permanent or Transient) frame - non fire~rcof ~3) Estimated Cost of Construction 20,1000o00 {Fireproof or Non-fireproof) - Fee pa±d ~?.00 (4) State what disposition will be mede of waste and sewage Private wm] ] ~nfl e~-n,n~l ~ (Public sewer, private sewer, cesspool, etc.) aggrov~ ~? ~TeR]t~ '~R~t. ' (5) Occupancy (in detail) as follows: ~estaur~t Story (include Cellar & Persons to be Besementl Apartments Rooms Accommodated C or B none one none F~rst restaurant ~ a~x 1~2 guests Second ~ XXX XXX Third Fourth Fifth S~xth Seventh TOTAL DIAGRAM. The said land and premises are situated as follows: See filed plans N The north point of the diagram IdUST agree with the arrow Page STATE OF NEW YORK COUNTY OF SUFFOLK being duly sworn, deposes and says: That in the City of ~r~t N~k application for the approval of Hernh~r~ (Typewrite NameI office ~,cles at 20 Station Plaza in the State of. New York · that' he is making this Arch~teatur~] and structural (Architectural, structural, mechanical, etc.) plans and specifications herewith submitted and made 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 mu[tlple residence construction. (SIGN HERE) See attached ap~lication forms , Owner Sworn to before me, this day of , 19 Notary Public or Commissioner of Deeds If application is to be executed by someone other than owner, acting in his behalf, the following additional inform- etlon should be supplied: Owner's Name Address__ (If a corporation, give full name and address of at least two officers) (SIGN HERE) , Applicant Sworn to before me, this day of , 19 Notary Public or CommlssToner of Deeds Examined and Recommended for approval on Approved on ~y FOR OFFICE USE ONLY Ma.~ Pp 19 6] 29 19 fl~ Superln+endent. Work commenced on 19 Date Completed 19__ I HEREBY CERTIFY that the above report is true in every respect and that the work indlcafed has been done in the manner required by law and Rules and Regulations of this Department. Signed Inspector, Page 2 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam ined........~.....~.....~.. ........ 19~.../... I~ 0~ ~/.' Perm,t J'J//'J~" I LJr~ Approved ........................................ 19 ....... ' No ............................... (Building Inspector)' ' ....... Application N o/~j': .~....!..q...~. ........... APPLICATION FOR BUILDING PERMIT Date .............................................. ..~/..,~ ...... 19..~.. J ..... 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 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 o 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. (S'gnature of ap~orporationi ......... (Address of applicant) -- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ............................................................................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................Lot No: .................... Street and Number ....... ,~'~.....~..~r~....,~. ......---- --, ~'~n~ir?~.~i~;~.~.~..~..~..~.......~/..~...~'.e~iro,/~...../~...~. ~'~,~__ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................................................................................... b. Intended use and occupancy ....... 6~'.~-,~'./~g~g~'l~/.~... .............................................. ';'"'", ................................. 3. Nature of work (check which applicable): New Building......~ .......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ........... ~-~)~O.~.~;~.....~... ...................... Fee ...~...~.,......o~. ......................................................................... (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.~.~.~.~.~T. 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ 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 ...~./.rs..~.. ............. Height ....... .~.~. ............... Number of Stories .......... ! 9. Size of lot: Front ..... :~,,~T.~. ............ Rear ........ .~.~...~ ......... Depth 10. Date of Purchase .......... .~.~.,.../..~.~:./. .................. Name of Former OWner ...~..:.....~.~J- ............................ 11. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulat, i~n? .................................................... 13. Name of Owner of premises.~..:..~'/'-..~'/',C;~-C~C'..C;K~....Address ....~'~'~.r.~c.~¢,~. ............... Phone ....... Architect..~.J~,e~'~/'~_,~w~.~....~..~r$.:.Address ~...~,~¢'./,4¢¢~,,~...~.......Phone NO. Name of Name of Contractor.....~../"~..~..~'?x~;~.../--'""""''/!'"'--' .............. 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 ar description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK ) S S COU N"F,-~ OF ............ ,~, ...... .~..) ' ~d~ being duly sworn, deposes and says that he is the applicant above named. He is the......~..~.~Y,~.~. ..................................................................................... ~ ........................................ / (Contractor, agent, corlSorate 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; ~re me this~,~l~~and that the work will be oerformed in the n~n_ner.set forth in thai ed~ ...-~day of ~..-x.~r ....................... 19.~. .... (Signature of -'"""'"'7'"'"" Pub,, , ....... ._. ..................... 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 numberFO(~.~ of D~ot ~,.a:n.e, Cu. tcz;o~u.e, L.T. (b) Municipality .¢.Lt.lk~.Q~P,.e..,...~,.~.,.~...~.e..~.4....~.o...z'..~. ........................................... 2. Description: (a) Type of construction Ce-r:te-~-t (b) Height of building, including number of stories ............... .~. ............................... (c) Type of heating facilities ~'~ (d) Number of apartments ................. .0. ..................................................................... (e) Number of living rooms .......... .2..8. .......................................................................... (f) Number of kitchenettes ........... 7. ......................................................................... 28 (g) Number of bathrooms ........................................................................................ (h) Number of water closets 28 (i) Number of occupants for which building was designed or intended to be occupied or used .................................... ..; ........................................................................ 3. Age of (a) (b) multiple dwelling: Date when constructed ...:~.~Z~.~.O...z.~......~.,~.7. ...................................................... Dates of substantial additions, alterations or modifications of dwelling, with brief description thereof .................................................................................... (c) If now under construction, state when construction commenced and anticipated 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 those specified in sec- tion 33, Multiple Residence Law). .~. ~.0.~.t... ~.t.~ 1....-....S~:~r...0z~L~. .................................................................... Dated at ..~.9,.~.¢.L.O~,e .................. , New York ...~..e..~.~..R~...~..2. .......................... ,1 ~r..7. l. ......... (Ad~e~ of ~er) ~ ~ ,STAT~ENT OF FILING FHed w,th the '~';~----~-~'~; ~" of the ~ (~m]d~n~ Dep~rtm~er ~orcement ~ency) ~~. ~.~.~~.~n the ........... ~ X~ (N~me f ~un~c~pa]~y) (Date of ~li~) '~' ...... .......... FORM NO. 5 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Affidavit of Final Cost ot: Construction STATE OF NEW YORK COUNTY OF .,. ~ ........ (applicant or agent) that he (she) is the applicant (or agent of the applicant) named in the Application. for Building Permit doted ......................... ~-.~.~.~,....~ ...... 19~.7. ........ relating to construction or other work to be performed on, or in connection with, the premises located at .,~.~.~..tAg.~....P.9..J:~.fc....lq:.o.~.cl:...~...,If....~.~..,~....und ...0.~.~f~gi~....l~.,v~.. ............ ; that the estimated cost stated in said application, of the construction or other work described therein was ..~.~.e~y...~.~.v..q..?..l~p.~.n.~ ............................................................ Dollars ($.7.5~00~00 ............. ); that the actual final cost of such construction or other work was ........................................................................................ Dollars ($ ................................ ) and that the said construction or other work was performed in accordance with the applic,~/e, provisions of law. Notary Public In tke Slate ~f Rew Y~k ..................................... : .................................. Residing in Suffolk County ~p~cant or agent) Suffolk County C~rk's No. 52-76145~ ' Sworn to before n'P-~'nmission [x~ires March this ...... ~ ....... dov of.....:. ..~....~....~ 19.?....~.: Permit No. Filed Cost Notary Public ...................... $ 75.~DDD...0.0 .......... Permit Fee Paid $..]/:.2..~pp .............. Final Cost $ ........................... Additional Fee $ ............................ (Costs for the work described in the Application for Building Permit include the cost of all o~ the construction and other work done in connection therewith, exclusive of the cost of the Ir. nd. If the final cost is less than the estimated cost stated in the Application for 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 thls 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 !9, N. Y. 1. Location of multiple dwelling~-,//~ (a) Street and number ...~../..~...'.~.....,U.. ~ .~...O....~....~......../~.~/~.~ .~/....~.~...u.....~...C/.h0~'u~- (b) Municipality ....~....~....~...~,....~......~..t....~....L.~...~..../'.:.~.....r.~, ............................................. 2. Description: (a) Type of construction ..... .~../.~.....~.....~......~.-.T ............................................................ (b) Height of building, including number of stories ....... ...(~.....~.....7.~.. ........................ (c) Type of heat ng fac t es ..~../~-..E...~..~..../}...~. ......... .7.....4..~.T_J~'. ........................ (d) Number of apartments ...... .~......~. ................................. , ....................................... (e) Number of living rooms ...... ~....~. .......................................................................... (f) Number of kitchenettes ......... .~........(J..../~.../...~....~. .................................................. (g) Number of bathrooms ...... ~....-/. ......................................................................... (h) Number of water closets .....2:....? ......................................................................... (i) Number of occupants for which building was designed or intended to be occupied or used ........... .~......i~.. ................. . ....................................................................... 3. Age of (a) (b) multiple dwelling: Datewhen constructed ./..?.~. ~ .~...~..//~ Dates of substantial additions, alterations or modifications of dwelling, with brief description thereof ................................................................................... (c) If now under construction, state when construction commenced and anticipated date of completion .......... ./~...O..../~..../~.~...~... ........................................................ 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, M._~ultiple Residence Law). ......... ................... __ STATEMr~T OF FILING Filed with the ...~~~..~..~.~ ............................. of the ....... ~ ..~,.... ~...~z. z .:.~ on the ............... .~.....~... ................... 191~.V (N~me~iMunicipality) ~ (Date.,..~o l~iling) · ign ~t~on ~f Official ~ith whom Statement of Registry was 1~iI~d) 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 !9, N. V. I. Location of multiple dwelling: (a) Street and number ........... ..D.,~.~..,..~.o...J:.~.~ .......................................................... (b) Municipality .~. ~.~ fLl~r~ ~ ....................................... 2. Description: (a) type of construction ......... .C..?.~.~...~.~..e.....~..~..o..~..~..s. .............................................. (b) Height of building, including number of stories ...~....~...~9..r;.,~. ............................ (c) Type of heating facilities ...... E~a.~...~ea.t ......................................................... (d) Number of apartments ..7.....~....~.~.~..q~..e.p..qy....~.~.~..~..~.....~...~.~.~.-.~..~..'~.~.e.rt..qy Apt, s. (e) Number of living rooms f~ ~t.l~.O U~t~.t.S~ .~ ~.O.l~.~.],~...l~j..~.~ ..... (f) Number of kitchenettes ......... .~..e..y...e.~ ................................................................... (g) Number of bathrooms .... .~...e.~.~...~fLV. f:l~. ...................................... (h) Number of water closets Twenty 5eve~ (i) Number of occupants for which building was designed or intended to be occupied or used .......... ~ ~..o. ~.., .~..Q...~..¢.~. f~ .9.~.~. ............................................................ 3 Age of (a) (b) multiple dwelling: Date when constructed Ju{~ ]_957 tO 1_9~8 Dates of substantial additions, alterations or modifications of dwelling, with brief description thereof .................................................................................... (c) If now under construction, state when construction commenced and anticipated 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 those s~ecified in sec- tion 33, Multiple Residence Law). .............................................. ........................................................................... (Buil~ ~epar~ent or ~r ~ment ~ency) Original for Municipal Building Department STATEMENT OF REGISTRY 15 rooms in East Wing of Motel 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 o 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 ..~.S..D.~,ck.~,~in.t..~gc,~..~,.~..~.:.!.....Bg....t~..~.: .......................... (b) Municipality .... ~ .q~p..b..o. ~...e. j....~.; .~..,. .................................................................... 2. Description: (a) Type of construction ...... .C..~..iT~..9..~..t...b..~..o..q.~....w...i..~..~....~.?.§..~..e...~..~. ................. (b) Height of building, including number of stories ........ ~/),e..~.$.(~"~r ...................... (c) Type of heating facilities ......... ~..o~.e. ................................................................... (d) Number of apartments ......... nf~¢ ........................................................................ (e) Number of living rooms ..... ~. .............................................................................. (f) Number of kitchenettes ......... !; ....... ~e~e .............................................................. (g) Number of bathrooms ............. ~5. ...................................................................... (h) Number of water closets ......... ~ ......................................................................... (i) Number of occupants for which building was designed or intended to be occupied or used ............. ]0 .............................................................................................. multiple dwelling: Date when constructed .,1.~5.~/]..c)5~ ................ Dates of substantial additions, alterations or modifications of dwelling, with brief description thereof ......... ~.g~.~ .................................................................. 3. Age of (a) (b) (c) If now under construction, state when construction commenced and anticipated date of completion .... .J.~.~_}.9.~ ....................................... 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, roamers or lodgers, or other classification of multiple dwelling including those specified in sec- tion 33, Multiple Residence Law). Summer Motel rooms Dated at ........ ~.u..t..c..h..o.g.u..e. ............... New York ........................ ...... /...c.! ...... , ..... STATEMENT OF FILING Filed with the ....... ~.~.~.l.~.~.~...Z...n..~.e..9.?,..o..~ ................................................................. of the (Building Department or Other E~forcement Agency) ....T.O~.lZ..of...Scz~l. thctld ............................ on the .../~...~-......~.¥.~,~':Z-.Y.::~. ....... (Name of Municipality) (Dab(of l~lllng) whom Statement of l~gistry was ~led) Building Inspector Original for Municipal Building Deportment STATEMENT OF REGISTRY UNDER TEMPORARY ~ERTIFICATE To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defi.ned 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 !9, N. Y. 1. Location of multiple dwelling: (a) Street and number ..~../..~.....D..~..g..~f..,~.o.~....~..o...~.~....~....~.....Z..:.~..o..~..~ ..................... (b) Municipality .... CU.I~ C ~O ~g.l~. ,..... J?~'., .~.~ .............................................................. 2. Description: (a) Type of (b) (c) (d) (e) (f) (g) (h) (~) 3. Age of (a) (b) construction NON- FIREPROOF Height of building, inck.lding number of stories ..... Type of heating facilities Number of apartments ........ .~..~...~..~,.~..].~. ........................................ Number of living rooms TWE/~T_ T~'O Number of kitchenettes ELEVEN Number of bathrooms ELEVEN Number of water closets ELEVEN L::lLl:~!d~!~iiilnts fo~..~/.hic~esigned or intended to be occupied Date when constructed ......................................... Dates of substantial additions, alterations or modifications of dwelling, with brief description thereof .................................................................................... (c) If now under construction, state when construction commenced and anticipated date of completion .?..~.~.~..~..~...~?.~=~.~..e.~....~.27..:....~..O..~...~.g.~Z .......... ex~ect co.Lo!etlon b~. April 1959 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). MOTEL - SLD~iER RENTAL U~,[ITS Dated at ..... .q~.a..~.o.~.~..e.. ............. , New York .................... .~..e. 2~ .e...m..b...e..~...... ~.~. ...... 195.?. ..... x ............... ........ .................... iXii~"~'G~ji ................ STATEMENT OF FILING Building_ Insoector Filed with the .......................................:. ....................................... of the (Building Department or Other F~forcement Agency) ....T.°.~....°.~....B..°.~h.°.~ct: ...................... on the ~ c~ '7 195.7.,... (Name of Municipality) ~Date of l~ilin~) (S~gnature and Designation o~ Official with whom Stagement of P~egis~ry was l~lled) THE ~t~ July 28, NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW ,YORK, NEW YORK 10038 A,,,,,,~.,,o, No.o,Si,, 826165 N 295~93 THIS CERTIFIES THAT only the electrical equipment as described below and introduced b~ the applicant named on the above application number in the premises Beachcomber Motel, e/side Depot"L~ne, n/0 SoUnd~Ave,, C~t~hOgue,r..I. in the Soltow ng iocat on L~J Basement; L-~ ls[ Fl L-J 2nd FI. , outside=: i ~ ,s~,~t~,.. ,i ?~t,. ~ i, ~t t~a$ eznmir~ed on Ju l..y ' 22 , 1976 andfoun~tob~incompllancetvtthth~requtrgmen~s6jt~Ja~oard.'lh ~: ¢ I'~d' SWITCHE~ 33 OTHER APPARATUS! *Ranges: 1-11.7kw, 2-10.0kw Elec.room heaters:..4-2,Skw, 2-2,0kw, 1-,75kw, 4-.5kw ~ . Panelboard/s. ~ 1-18cir ... 125aMps., 250mcm 2-1.5kw, 6-1.25kw~ .1-1~0~w, I 10cir. 125amps., l~ll~i~.;' 125amps. 250m¢ M.P.Tod Corp., ' P.O.Box 23'" ,, St. James, L~I; 11780 LiC'.7~?E This certificate must not be altered itl any manner: return to the office of the E, oord if incorrecl. Insoectors may be identified by I I / / I / / I / / I I I I ~;~;?FOLK FLOUNCY DEPARTMENT OF HEALTH -- No. The proposed arrangements for sewage dispos~%~ for in the , /~w' were approved on the 2boys date in accordance with plane and ~licaticn on file in ~he office of th~ Suffolk County Of Health. ~onsent is hereby ~iven for the filing of these plans on %his endorsement appears in th~ offica of , ~is approval does not include s~ ~]~.~r~l feature~ and is granted ~ condition that the Proposed facilitigs are installed in ,ormi~y with thes~.~ '--~f ' triot ~n~ine