HomeMy WebLinkAbout7458-zFOl~l 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..m:[.t~...D.~'~..vg...Ng.r.t.h ....... Street
No~OOS~ ~eek t~%. ~ . 3~ &3:6..*. ~outhnld,.
Map ........... '.. ~v~ ~,u .......... Lot No. . ....
conforms substantially to the Application for Building Permit heretofore filed in this office
dated .......... Al~g ......6..., 197..~.. pursuant to whi6h Building Permit No.
dated ............ hug .....f:..., 197.~.., 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. r.~a..~P..q~..~..~.a.~l..J%l.y..(~.w?.].~ .~.ii.~..w.~ .h..a.~.d .J..~.~.q~ ...................
The certificate is issued to .. W.*...¢~W:['~/'~ ... QW~q~r.. .....................
(oWner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .~: ~1.:. .............................
UNDERWRITERS CERTIFICATE No...~2.R.®. ....................................
HOUSE NUMBER .... .] ?.~.~ ..... Street ..... $~a,~.th. ~.~,y~. ~.q%'J;k ................
Building Ins~etor
FOI~M NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N~ Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CQMPLETION OF THE WORK AUTHORIZED)
N? 7458 Z
Permission is hereby granted to:
..~ ........ ..4./.~..L.L~.!.!.~..: ..................
...... ~ ......... .r~¥. ....... ZE~..~:c..?i~L~. ......
tO ..... :....~ ........................................ .................. :. ........................... ;"--.'~" ......................... ? .......................
at premises located at .............................................................. ........................................................
....... L.O.Z ......... ~.:~..:....~.E....~.....~z......~.~z .......... ~.~.~.~.E......N.~-~.....~.~za..~.~
pursuant to application dated .....................................:~, ; 19. . and approved by the
Building Inspector, '
Building -Inspector