HomeMy WebLinkAboutZeneski, MarySUPER¥1SOR'S OFFIOE
I& South Street
Greenport, N. Y,
Tel. Greenporf
BUILDING DEPARTIGENT
TOWN OF $OUTHOLD
SUFFOLK COUNTY, N. Y.
TOWN CLERK'S OFFICE
Maln Street
South*Ad, N. Y.
Tel. Southold 5-3783
BUILDING I~NSPECTOR'S OFFICE
307 Fourth Street
Graenport, N. Y.
Tel. Greenport 7-0101 J
CERTIFICATE OF OCCUPANCY
Map No. ~'- ' , Block No, , L~,;
v
in the Town of So'old, conforms subsfenflel~ f: f~: :;;::v:~ ~:__ :~ -F--:~*-*:--- ~.: -* ' n"-~ :' ' 's
~. , ~a~ -:" -'- 19 - , all o; fhe require-
ment~ of~rovisions ~ ~. law.~~ch this ~,ificate is issu~ is
This ce~cafe is issued ~ /
' {ow~r, lessee or tenant)
of the aforesaid building.
B~4ding Inspector
{The Cei~rlflcate of Occupancy will be issued onty after the Buildlng Inspector is convinced of the completion of the
construction in compliance with the Multiple Residence Law and with other laws, ordlnances.or regulations affecting
the premlses, and in conformity with the approved plans and specifications.)
Original for Municipal Building Department
STATEMENT OF REGISTRY
To be filed in duplicate wffh 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, 1740 Broadway, New York 19, New York.
I. Location of multiple dwelling:
(a)
Street
and
number
(b) Munic~pallty C t~
Descr~pflon:
(a) Type of construction
(b)
(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)
Height of building, including number of star;es _ '~'~_~.
Number of occupants for which building was designed or intended to be occupied or used
3. Age of multiple dwelling:
(a)
(b}
Date when constructed ~ -~/~ ~
mo ificafions o
Dates of substantia~ additions, alterations or f dwelling, w~th brief descrip-
tion thereof J ~ ~'~- -- ':~ ~
If now under construction, state when construction commenced and anticipated date of
completion
Use:
Describe th.e principal use made, or, in the case of buildings under construction, fo be made,
of the mulhple dwelfing (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
~n height with five or more boarder~, roomers or lodgers, or other classification of multiple
dwelling including those specified in section 4, subdiv~slon 33, Multiple Residence Law):
Dated at ~~z~, New
York
(Address ~Ownor) ~
STATEMENT OF FILING
~ (~gnafure and Desi~naflon of Official
Statement of Registry was filed)