HomeMy WebLinkAboutDavis, JamesSU P[~,VISOR"S OFFICE
16 South S~ract
Greenport, N. Y.
Tel. Greenpor+ 7-0550
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
SUFFOLK COUNTY, N. Y.
TOV~N CLERK'S OFFICE
Idol0 Street
Socth~d N.Y.
Tel. Southold 5-37B3
BU I LDIN ~J~i~,~)FFICE
Southold,
CERTIFICATE OF OCCUPANCY
No. 123 Deto July 19
THIS CERTIFIES that the building located at N/E ooz'nez', ~n & ]F~i~pp Pla Street,
eee ***e*
Map No. ' , B~k No. , Lot No. ~enport,
in the Town of Sou~old, confo~s subsfanfi*l~ +o the
~ .- ~a~a ~v ~g,~g~~ requi~-
ma.t5 o~ the appli~b~ provislo.s of fha law. ~e occupa.cy for which this ~Hific*fe ~s issued is
~rivate room rentals
Th~s ce~ifl¢ete is issued ~ ~e & ~S, ~G~ Davis ( o~ers) (owner. lessee or reheat)
of the efom~id building.
B~lc~ng Inspector
(The Cer4ificafe of Occuplncy will be issued only after the Building Inspector is convinced of the comp et on of the
consfructlon in compliance with the Idulfiple Residence Law end with other laws, ordinances,or regulations affecting
the premises, and in conformity with the approved p~ans and specifications.)
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 dwelfing:
(a) Street and number ] ~ 0 0 ~
(b) Municipality · ~ ,
2. Description:
(a) Type of con~ructlon
{b) Height of bu;Iding, includlng./inumber~,~...~ I°f stories '
(d) Number of apartments
(e) Number of livlng rooms
(f) Number of kJfcheneffes
(g} Number of bathrooms
(h) Number of water closet~
(1)
Number of occupants for which building was designed or intended to be occupied or used
3. Age of multiple dwelling:
(a) Date when constructed
(b) Dates of substantial addltions, alteratlons or modifications of dwell~nq, with brief descrip-
tion thereof
(o) If now under construction, state when construction commenced and anticipated date of
completion
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, 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
dwelllng including those specified ~n section 4, subdivision 33, Multiple Residence Law):
Dated at
Filed with the
(.
(Name of Owner)
· (B~iJding Decadent o~ther Enfor~eme~ Agency) Of the
(Name of MunicipaJHy) ~ ; {~e of Filing)
(~ignature and Designation of Official with whom
Statement of Regis+fy was ~Jed)