HomeMy WebLinkAbout381-zFOI~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
,~op,.~o~ ....... :~;~. ..... .~.~ .... B.oc,~ NoLot No ~.~.~~4 ~
............... ~...~..~ ...... ,~., ~,~on~o~,~ ~,,~,~ ~ ~.~.~ ..... ~
d~ted .... ~ ....... ~ ...t. 0 ..... l~ , w~s issued, ~nd conforms to ~[[ o~ the reqmrements
of the applicable pr~s o~ the [QW The occupancy for which th~s certificQte is issued is ............
This cert,ficate is issued t~. ~.~.,~ ....... ~~e.o.~.~.;.~t~.~ ..........................
of the <~foresmd bmldmg
FOI~M~ NO. 2
TOWN OF SOUTHOLD
BUILDING 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? 381' Z
Permission is hereby granted to:
~char.~t...~ ~e~' ......................................
................ ~a~l(i ....................................
to .... ]~..na~./. ~.~re~ ling .................................................................................................
ct premises located at ..0~... D=t.ve ............................................................................
.......................................................... ~t~.nt.,a~;L4 ...........................................................................
pursuant to apphcat,on dated ............................. .~1'.11~...~(~ ............ 19 .~i'J~.., and approved by the
Building Inspector
Fee $.;t.0,.qO ...........
~ Bu~idlng Inspector