HomeMy WebLinkAbout7755-zNO. &
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. ~?-7-~ ...... Date ..............
THIS CERTIFIES that the building located at]~/S, l~l*l'ov .~l~ .Ro~d... Street
Map No...~ ........ Block No. ~ ........ Lot No, . .~ .... ~rleai. · .~ ...........
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ............ ~...].~., 19. ~.~ pursuant to which Building Permit No. F~.~..
dated .......... N~. ~ ..... , 19 ~., was issued, ~d conforms to ~1 of the requffe-
ments of the:applicable provisions of the law. The occupancy for which this certificate is
issued is ...Private. ~e. fa~l].y, gwel.iin~ .~. gamage- & -s%~ge.
The certificate is issued to .. P~a~. ~-~lea~o~ ·-V~aek ....... 9%~s ...........
(owner, lessee or ten~t)
of the aforesaid building.
Suffolk County Department of Health Approval -~.R, ..............................
UNDERWRITERS CERTIFICATE No ..... N~B, ....................................
HOUSE NUMBER ..... ~5~ ..... Street ...Nar~ow.~ve~. ~ad ......... 0~ie~ · · -
~0~ ]NO. ~- ·
TOWN OF ~UTHOLD
TOWN CLERK S OFFicE
SOUT~LD, N~ Y.
BUILDING PERMIT :
(THIS PERMIT MUST BE KEPT ON THE P~,E/gI, IS~S UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
7755Z ,-~ot . ..:.:..
...........
Building Inspector.
$/6-_O°
Fee ........................
Building Inspector