HomeMy WebLinkAbout198-zNO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOV~N CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No ........ Z .. ,~.7..,9. .... Date ,
THIS CERTIFIES that the building located at ..~.1Z~.~...~...a..&..z3....~...~..a`~.~.....~..~`..J..e...A.1;.`...~.~.~?...~L1~t
Map No .........?.?...*. ........ Block No ......*..*,..*. ............. Lot No .... ,*..*...*. .......................................................
conforms substanhally to the Application for 13uildmg Permit heretofore filed in this office dated
Decez~3e~ 24 19~...?,,...,, pursu,ant to which Bu.lding Permit No Z 198
doted .............. ~e~_ea:~t~e~..2..~ ............. 19.~.~.., was issued, and conforms to all of the requirements
of the applicable prowsions of the law. The occupancy for which this certificate is issued is ................
........................................ ~.?k~.~...~...~J~:;I;~...~.'.~.~2~T~ .......................................................
Thts certiftcate is issued to .~]~'.~.~,~i..~.,...~,~t,~...~.~.O~.~ ............................................................
(owner, lessee or tenant)
of the aforesaid building.
Building f nspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES ~'~T~,~T~c
~'~J~g~f~I~,P~I-C~S~,i~C~[~k~T~I~I~ UNTIL FULL COMPLETION
OF THE WORK AUTHORIZED)
No ..Z..198 ......
Permission ,s hereby granted to
.......... Mai~. Roa~ ........................
......... O~iem~
to ]~,~-'l_d..tm_w. dwe]]img ..............................................................................
at prem,ses located at .1~- l/~O,~.t~ Roa~ ~ -O~.~e~t~ ~ ................
pursuant to applicahon dated .......... l~O~egt~F.....i~,~ ........... ¢.. 19~'7 .., and approved by the
Building Inspector
Fee $,,,~0~00 ........
Budding Inspector \