HomeMy WebLinkAbout8926-zFOIR,M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
THIS CERTIFIES that the building located at . .~.~..~.~j[e...L.a. ,1~. ............. Street
Map No. lZ~r. &.~. ·. Block No ........... Lot No, ~.. ..... ~'f4~hogue...~,~ .......
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ............. .0C.~ .. 2.0., 19.76. pursuant to which Building Permit No..~.
dated ......... .Qq~....~.0. ..... , 19. ~?.~. ,' 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 .If~X~;at~..c.r,~. ,f.~t~$2y..~we.~J~r~g ..... ~ ..................................
The certificate is issued to ... '.~. ,U,~, ,e. ~, .I~..a.t.~,y.....6.~a..~.$~ ........ . .Ofl~n..~.~.~. ...........
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ...~...].J... ]9~.~...
UNDERWRITERS CERTIFICATE No....~r..K.~.b.a.e.~... ,F.o.b...J.~..]97.7. ..............
HOUSE NUMBER .... 2~?.0 ..... Street .... J~l'$~. Lm~e ..... (I~hog~ ........
Building inspector
Date ........................ ~)O'~' ......... '~ .......... , -.-
Permis¢on is hereby granted to: ,
et premises located at....~9.t..~ ......... 2.m,-~'...AC~e.~; ....... : ............ . ......... ;4 ...... ...t .............................
....................... ; ....................... ~x e..~a.,......;.Cu~e e .......... ,.. ........................................
purs¢~nt to oppl~cohon deted >~ov~d by: the
NOTE:
· -' MONUMENt
SUBfllVlSIO# I~P FIL£fl I#
THE LOCATION OF'WELL~ AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS
THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE
WILL ~ONFORM TO TH~ STANDARDS OF THE SUFFOLK COUJ
OFrHEALTH SERVICES
APPLICANT: >~ C
COUNTy DEPARTMENT OF
APPROVED_.~.~--~'~
YOUNG & YOUNG
400 OSFRANDER AVENU£, RIVERI~EAD, NEW YORK
~OR:
WARREN W~LDVOGEL
~OTNO. 6
ISMAR ACRES"