HomeMy WebLinkAboutEdsonSUPERVISOR'S OFFICE
16 South Street
C-reenport N. Y.
Tel. 6reenpor~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
TOV~N ¢LERK'S OFFIOE
Main Street
Souflmld. N. Y.
Tel. Southold $-3783
BUILDIN6 I'NSPECTOR'S OFFIOE
CERTIFICATE OF OCCUPANCY
No. 128 N-~ Date
12 19 ?3
THIS CERTIFIES that the building located at .d~.f~_~ Math R~.~r~av Rhea Street,
Map No. ~ , Block No, ~ , Lot No. ~ got~th~l& ta.¥.
in the Town of So'old, co~orms substantially fo the~~~e
.... date~Se~ore M.R. Law 19~, pu~uanf to which
Building Permit No. ~ , dated ~ 19 . , was issued, and conforms to all of the require-
ments of the appli~b~ provisions of the law. ~e occupancy for ~ich this ceHificate is issued is
~ ~erm~ent ~cup~c~ apartments
This certificate is issued te L~a~,rrano~, ~]_~o ,,Tt'
of the aforesaid building.
[owner, lessee or tenant)
- BuGIding Inspector
(The Certificate of Occupancy will be issued only after the Building Inspector is convinced of the completion of the
construction in compl;ance wlth the Multiple Residence Law and with other laws, ordinances,or regulations affecting
the premises, and in conformity w~fh the approved p~ans and specifications.)
~ 61L/ 'I' I-I d L J~
LIV'I~G
37"
FRo N T
FT~o ~V 'T
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. Y.
I. Location of multiple dwelling:
(a) Street and number ........ .~....~..2...~.....M...8:.~..l~....B...~....'~...~..?..~....R...°..~.~' ..........................
(b) Municipality Southold N.Y.
2. Description:
(a) Type of construction FRAIV~
(b) Height of building, including number of stories ........ .t,.~..O. .................................
(c) Type of heating facilities .......0.~..~....~.~..a.~. ..........................................................
(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 ....~...f~_m-l].~.S ......................................................................................
3. Age of
(a)
(b)
multiple dwelling:
Date when constructed ...B. ef.o:~.e....!..~.~2 ..........................................................
Dates of substantial additions, alterations or modifications of dwelling, with
brief description thereof ....1~,Ol1~...$'111~e...'~.c).~. ...........................................
(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).
... ~...!~.e...~..=...i..n..e...n...C....o...q.q..u.p..a...n..e. ].....a.p..a. ~'.?,.~..e..n...C..s. ...................................................
Dated at .......... S.0.B..t..h...o..1..d.. ........... New York
............... D..e..e. .......... .1...2. ................... , 19~..2...~~' ,,~ ~ ,~ .
Boisseau Ave Southold N.Y.
(Address of Owner)
STATEMENT OF FILING
filed with the .....B..~...J:.l...d.?r.-l'l.g....~..~...s.P...e..c-.t..°..r. ............................................................. of the
(Building Department or Ot~er Er~forcement Ager~c~)
.............. ?...O...If(~..... O. f....~...O..~...~..h...O..]:. ~. ........... on the .......1...2. ............ .D..~...c. ....................... 19~.~....
(Name of iMunicipality) .].~...~., (Date o~Filing6~ ....
......... ...x~.... f.~.m.~ .........
[Signature and Desig~atien of Official~with
whom Statement of Registry was Filed)