HomeMy WebLinkAbout1172-zFOI~M NO. 4
TOWN OF SOUTHOLD
BUiLDiNG DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No ...... ~... ~.~..~. ........ Date ................................. ~!lt.e...~ ........, 19"6'2-
THIS CERTIFIES that the building located ate//~...J~t.~...~J'~O~'~..~.w...G~l~eJl,~tt. Street
Pecon~c Ba~ )Sst.
Map No ....................... Block No ........ ~ ....... Lot No ....... 3B..&..3.9 .............................................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
............................... .~.~g.~l~....]-.~ .............. 19~.g.... pursuant to which Building Permit No ........ ~,..1,1.72
dated .....................~...t].¢~.~.. ................. , 19...~...0.., was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate i~ issued is ..........
.............................. ..~.....~..&..~...q~.... ~..~....z.~.~...~t~ ................................ :.: .........................
This certificate is issued to ..... ~.~.~..jj.~...T~...J'/~h~....[~J~..~llL.O~e,~ .......................................
(owner, lessee or tenant)
of the o.foresaid building.
Building I nspectc~r ~
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? 1172' Z
Date .......................... ~.ep.~:~ ~2:: ...~-. ..... 19..~.~..
Permission is hereby granted to:
..... ~.~hu~...~;.,...~P~..~.~. ...............................
..... ~ay...f.~hc~r.~.. RQ~ ......................... ................
...... ~..r..e....e.'.n. ~.9.:..~ ,....~.?.e..~.. ~: .o. ?..~ .............................
to ...b~,ll.d.. ad~it.io~..Ol~...e~¢ i~ .~i~.~., .~.~.. ,~,~m~... ~ .~. ,e...i..1., .i..n.g. ..................... i ....................
at premises located at ~...e~/...s~.~.~.~.~.~..~h..c~....e-~..R...~..a.~.d.~¢~..~.r..~...e.~n.~..~.~..~.~....~?.~.~..~9.~ ............................
...................................... ~.o..~.s....~ .8....~..n.~...~ ~.. ,.o..n... ~p....o..~., ..P.~ .e..,o..n..~.c....~.. ?. ~.~ ~.~ ~.: ..............
pursuant to appli~:ation dated ........................ ..~..u.~?..~....~..5. ...... ; ........... 19. . 9. .0. ., and approved by the
Building Inspector ~x