HomeMy WebLinkAbout8316-zFOII~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No..Z69.58 ..... Date ............. Apl' .... 2 ....., 19.7.6.
THIS CERTIFIES that the building located at . W/.q. ~irw.in Bt~d ........ Street
Map NoPee ,..t,~a.y..~$~lock No ........... Lot No...161-.1.63. · .areenport...N,~ ....
conforms substantially to the Application for Building Permit heretofore filed in this office
dated .......... Nov · 2.~, 19.7~' pursuant to which Building Ferrnit No. 83162; '
dated ..... ~qov...2~ ..... , 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 .. ~qus~ness. build;ling, w£th. add~tiol~ ...........................
The certificate is issued to Jo~ .~empo .... Owner ...............................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .lq ..[~, ............................
UNDERWRITERS CERTIFICATE No. penal..2rig ....................................
HOUSE NUMBER . ~+00 ..... Street ....Klrw. ln. B~vd .........................
17aRM NO. 2
TOWN O~ SOUT~0LD
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? 8316 Z
Permission is hereby granted to:
Jo. tl ....C~e, ualm.v.... AZq...;.ohn.. ~.o. ............
.......... O~,,e e,ap.or.~ ...........................................
~o ]'~.~.'.~..~t~a..~..m.~.~.t~g..~.~.~.~...~.~..~....~. l .........................................
at premises located at ~D~;~.~6~t~t...~6~....~.i~o~..~.~itll..Amal~e~[ ....................
......................................... w/~-I~,~&d..~2~ ......... ~iaaIeIa~ae~.....~=..~ ...............
pursuant to application dated ........................... ~.?.?.......~.~ ........... , 'P.~.~...., and approved by the
Building Inspector.
Fee ~.~',~ ..........