HomeMy WebLinkAbout255-zNO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the budding located at if/l{ 03C1. ~T1JL].e Me Street
Mop ~o OZct J'uZe's Block ~o XX~~ .,~ Jmatt, ituek, N.Zo
conforms substantially to the Apphcat~on for Building Perrmt heretofore flied ~n this office dated
dated ..................... .J~.. ?.h..... ~7 ......... 19.~.8..., was issued, and conforms to all of the requ,rements
of the applicable prows~ons of the law The occupancy for which th~s certificate is issued is ............ PR IVATW DWELLING
This cert,f,cate ,s ,ssued to ..... ~..O.~.;~.~.....~.... ..... ~.k.e..~. ......................................................................
(owner, lessee or tenant)
of the aforesaid bu,ld~ng
FO~NO. 2
TOWN OF $OUTHOLD
BUILDIN(~ DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.° 255 Z
Permission is hereby granted to.
1~o~ u~Ji.n~ Oulld'"":~ffC "'7otto' lt.t'ekey ................................ ~:~ 0 '~, 'tfa~n'-~t ......................
I
at premises located at .... ~/'~' "'O~'d' i~'l'~"~,l~ll~' ..................................................................
............. ! ........................................... tla.ttt, tuok ~ ...... &,.~, ....................................................
pursuant to opplicatmn dated ............... ~ll~roh'" 2~ .....................19...~,., and approved by the
Budding ',Inspector
Fee $'~Oi'O0'""l~id
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL
F, le Nc~..~ ~..~.~..~. .............................................. Date .................. .~..[.a.~..c..b.....~..~. .................. 19.~..~...
T~ou.$.%r~g.. v.~.$.l~.. Inc.,...A/.g .Johr~..~L,...~cke~
l~q..%?.~..Ma~.~...~.~ .. ...................................
S~!thto~.,.. L...~. ,..~f~.~ .......................
PLEASE TAKE NOTICE that your apphcation dated .................. ~.9.~...~? .............. 19 ~8
for permit to construct ..~.. a.,<~_~ .............. at the premmes located at ....................................
....... Q~ .~.e.. ~e.~...~f~.¢.$~... Street
Map .............................. Block ......................................... Lot .......................................... is
~~m~d~sapproved on the followi ng grounds ~...~.~.~...~g'.~.~.~.9.~.~.~.~ ............
..~.e~h ~.~.. F.f...?~y~.~...~.~ .?g~.2~...~.qL.gL.~.~.$~.R...~.~L.gt.~.~ ........
...... ~q~....9~.~.~., ...............................................................................................................
Building Inspector