HomeMy WebLinkAbout2339-zFOF.~ NO. 4
TOWN OF $OUTHOLD
BUILDING DEPA~,TMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at ..~/~...E~D!..~,..~)a~.....(.~7~T..~.d.) ....... Street
Map No...~;:xXX .......... Block No ....... ~ ......... Lot No...X.~ ......... E~ol~,t, tt~ld.t...~,~., ...................
conforms substantially to the Application for Building Permit heretofore filed in this office doted
....................................... ~'~.Oh....2.~'....., 19.6.~... pursuant to which Building Permit No....~3~...~
dated .................................. A]p~..~.....~..., i 9..~.., was issued, and conforms to all of the requirements
of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ........
...... Pr.i.v.a.t.e..~ne...l'amil,~...d.~elli~g ...........................................................................................
The certificate is issued to ....~,~..~:J,~.i],J~ ....................0/~/l~e:~ ..................................................
(owner, lessee or tena,nt)
of the aforesaid building.
H,D.Approval August 20, 196~
SUFFOLK COUNTY DEPARTP~NT OF HEALTH
Date
Building Permit No,
TO ~OM IT MAY CONCERN:
The sewage disposal facilities for a structure located at
Ed's Rd-Victoria Rd - one block e/o Bayview Ave., ~outheld (Righar~.~
(Give deed loc~tion)
have been inspected by this Department and found to be satisfactory~
Bistrict Engineer