HomeMy WebLinkAbout8335-zNO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, BI. Y.
Certificate Of Occupancy
No. Z.69.0.6 ...... Date ............. t~m, reh · · ~.., 19.. 76
THIS CERTIFIES that the building located at .. W/8 Depot Lame ....... Street
Map No.. ~ ....... Block No.. ;EX ...... Lot No, . .XX · .Otti;ehogue... I~,Y, .......
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ...... D.ee . 12., 19..7.3 pursuant to which Building Permit No. 8}3~.
dated ....... .I).e.e~ .... 12.., 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 AgrteUltUr&l. (£ar~)..Botld~ug ...............................
The certificate is issued to .. An.dr.e..&. ~h.o.~..C. ybu,l~k~, ..........................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .. lq,R, ............................
UNDERW'RITERS CERTIFICATE No. N.,.t~, ......................................
HOUSE NUMBER ., .g.~0~ ...... Street ..... Dzpoi;. ~,ane .........................
......... B~lc~ing ~
....
FOI~M NO. 2
TO~N OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 8335 Z
Permission is hereby granted to:
............... ;~el~o~.-'' .........................................
.........................
~o ..l~.u~J~l...~r~...~.~li~,.n...m..ex~,.,.~ia~...
:...,~...~..~e..~,,..~...,.,~ ~'~ ~ ........ ,,,..~ ........... -" .............. ~ ........................
ot
premises
l~oted
of
...................................................................
......................... -; .................... ~. ........... ;..~..,.t4.'..,~; ~? ~-.-.:~,:~.~.:. ~.~L..:. .......... :: ...................................
pursud~jappli~atis¢' d~ ..... :..:.,,,.:.; ..... :.~ ..... il- ...... ~.;~,, ]9~.~.~;;_.nd opprov~ by tho
Building I~s~to~.,