HomeMy WebLinkAbout8917-zFOR~I NO, 4
TOW~ OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occup.ncy
No. Z.?~27. ...... Date ............. Feb .... 18 ..... , 19..7.7
THIS CERTIFIES that the building located at T. heresa. Dr ................ Street
Map Nobe,s~ 5~le..~lock No ........... Lot No, ~ ..... ~2t[.tu~k. · .~,Y, .........
conforms substantially ~o the Application for Bufldin~ Permit heretofore filed in this office
dated .......... Oct..~..., 1~6.. pu~suan~ to which Bufld~g Pe~it No. '8~7Z' ·
dated ............ 0c~... ~..., 19~6.., was issued, ~d confo~s to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .. P~ivage .one. ,ffaml~y. d~elli~g ......................................
The certificate is issued to .Ben- ~e~ozza ..... ~er ..............................
(owner, lessee or ten,t)
of the aforesaid buildMg,
Suffolk County Department of Health Approval ..... ~eb-..2 ,-] 9'?~' ' by-R..--Villa.
UNDERWRITERS CERTIFICATE No. N~2003.6 .... ~a~..].0.. ] 9.~7 .................
HOUSE NUMBER ..... ]900 .... Street ... ~.here~ .Dr.i. ve .......................
:. ,. . .... ..........
Building 'Inspee~o~