HomeMy WebLinkAbout7744-zFO~ NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificnte Of Occupency
No..Z6.~.~.3 ...... Date ............ SeP.~. .... .~. ..... , 19.?~.
THIS CERTIFIES that the building located at .Tl~.eo. ntol's..L~O ....... Street
~ea
Map No. ~r$~ .b~. Block No ........... Lot No, .9 .... ~i~t.. ~,~, .............
conforms substantially to the Application for Building Permit heretofore filed in ~is office
dated ............ ~a~...10., 19..~ p~su~t to which Building Pemit No. 7~..
dated ........... ~.. ~..., 19..~ was issued, ~d conforms to all of the req~re-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ...Prllate..one. ft~ily .~11~. ~tth. lddttla ....................
The certificate is issued to . ~ .&. [~!~. F~ed. ~t~O~ ...... ~e~S. ................
(owner, lessee or ten,t)
of the afores~d building.
Suffolk County Dep~tment of Health Approval N.~B ~ ...............................
UNdErWriTErS CEaT~FICATE No .... ~ .~.1.~21 ...... $~S..~...1~7~ ...........
HOUSE NUMBER ........ ~O.. Street ...~t8. ~er~..~ ....................
B~lding Inspeet~
~'ow~ OF SaUCOna ',
BUILDING DEPARTMENT~
TOWN CLERK'S OI~FiCE
$OUTHOLD, N~ Y~ ,
BUILDING PERMIT :
(THIS PERMIT MUST BE KEPT ON THE P~ENtlS~S UNTIL ~ULL
COMPLETION OF THE WORK AUTHORIZED) ,
N? 77~14 Z
Permission s hereby granted to: :
· .~ dw.~...~i.~:.i.~ams.....~/~..'~z~ct...~ ,~.t;~ron....:.
· Sold;tiold ...................... : ......
at premises located at ...~¢...9.....~.i~.~ re>~...b.~...~e.,.~,.~ee:...~ ..................................................
............................................. ~.~e...w~.,~z,-~:..-ia~e .......... ,,, ~-~-e'~ ~ ...............................................
~, 19.~-:~..., and approved by the
pursuant to application dated ................... ~,.a.}.~ .... 4~ .......... ,
Building Inspector.
Fee $.$.~.~0(~ ...........
Building Inspector