HomeMy WebLinkAbout4505-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
THIS CERTIFIES that the building located at .8/8. ¥.a~ Read ............ Street
Map No.. X... X .... Block No .... ;~ .... Lot No..~E. .... E.a.~.~...1~..~ .~1. .... N..,.Y......
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ........... 0~t...~1~. , 19~. pursuant to which Building Permit No... ~.~0~
dated .......... 0~t....lb,..., 19 t~9., was issued, and confoms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is r. ecreation .building..witk .addition. [. ne. ap.ts, or..llYi~g. ~n~$.s. allewed)
The certificate is issued to . Athanasis. ~pir~theuraksis .... Owner. ................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .NoR~ ............................
............
Building InspectOr
FOR~ 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? 4505 Z
0¢tobez' 1h, ~9 6~..
Dote ........................................................ ' ....
Permission is hereby granted to:
............... ~.:.....s.~..~...~...~..t~ ........................
at premises located at .......................... ~j~.~........~J~,..]~ltl~ ................................................................
............................................. ~t,..~l~z~ ........... ]I~, ...................................................................
pursuance to application dated ...................... (~.t, ....... ~.~ ................... , 19..~.~1, and approved by the
Building Inspector.
Fee $ .~.e,.~. .............
Building Inspector