HomeMy WebLinkAbout3144-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No..~,..3.[~.g ............ Date ................... ~ug~l~.~..,~.7. s ............ , 19.~l~...
THIS CERTiFiES that the building located at ~.~I~..RO~ .......................................... Street
Map No ....................... Block No ....................... Lot No...l~...SttE~::~l~..~e~..Mo~: .................
conform~ substantially to the Application for Building Permit heretofore filed in this office dated
................................. uT.t;ll.~..,],~ ................. , 19..(~6.. pursuant to which Building Permit No...~.~,.~.4,,.~
daCed ...................... ~13,~..3,~ ............... , 19...6~., was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ........
...... pzJ.vate..ona..fam~¥...cl~el3, tng....(alt~erat..t.on) ...........................................................
The certificate is issued to .E~al~/~l. tolTe...S~lo~l, at, Q...(o~.~le3~ ........................................................
(owner, lessee or tenant)
of the aforesaid building.
FOI~I~ NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 31 4 z
Building Inspector
Fee $.~.e.Q0, .............
ct premises located at ....... ~/.~....~.;[~.,¢e-t~...i~.Of~<~ ................................................................................
....................................... e ~.../~ ~ o .~- ......................................................................................
pursuant to application doted .............................................. ~v~b~.~..~, 19~>.., and approved by the
Building Inspector 'I
Permission is hereby granted to:
~idgle~ & Hor¢on A/~ 8alvatore $
Cutchogue ..... ./......F..$ ~h~... ~ ~..~ ........................................
· ..~. ................ .N~.w..~i.'c~Z.k. ..............................
Build e~u addition on ~ exi~tin~ dwelli~