HomeMy WebLinkAbout6475-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z~q.78 ...... Date ..... , ......Sept.. · 2tV .... , 1973..
THIS CERTIFIES that the building located at B.~a~,.. $:ve ............... Street
Map No. G,!.,Tu:thil~lock No ........... Lot No. 32 .... B.r. ay. Ave... Laux'~l .....
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ........ Apri~k... 7.0.., 1973., pursuant to which Building Permit I6~.75~ .....
dated ............ gpr.1],...~.l;, 19.73., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . P~ivato..one. £amiL,y..dwe.lling .......................................
The certificate is issued to .Stanley· F&lZ$..Jr. & .wife ..... Owner. .................
(owner, lessee or tenant)
o~ the aforesaid building.
Suffolk County Department of Health Approval .~,.,By ...............................
UNI)i!RWRITIH~S CERTIFICATE No.~;el~l~-.I~.0.~.~ ...................................
IlOUSh NUMBER.. ~),20 ....... Street...~:I'&~..AvO. ...... .............................
?/: '"
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, Nm. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 64?5 Z
Permission is hereby granted to:
....~..~n~.e.y... ~;Lt ~.a...5. r. ......................................
............... l~z~a.y,..Ava .............................................
to ........ ]~u~.l~.. ~n...a4~.i.t -i~n...oz~ ..e.~.tst./~ g-. ~,wet.t.~.q~ ........................................................
of premises located at ..... ~O~'"~ ....... ~r~'~'~'~,.t~cht't'l"'&"0theVs"'('~86'i''~ ................................
......................................... ]~l~a.y...A. ve .............. ~et .......................................................................
pursuant to application doted .........................,~]~I~.i3~.....1.0 ......... , ]9....~.,~, and approved by the
Building Inspector.
Fee$..1.~OG ..........
~ 'Bbilding Inspect~ ~' /
col, ~ ~