HomeMy WebLinkAbout7775-zFOB~ NO, $
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 7.6.%33 ...... Date ............. J~le....1.9. ..... , 19.?~.
off Miller ROW.
THIS CERTIFIES that the building located at .. P.V.~ ~ R.,.O ,lg.,.(~g~.lq~..R.d~treet
Map No..Y, XX ........ Block No.. xxx ..... Lot No, .:I~X~... Yl. at~;~..~.u, qk....~.; .Y; .......
conforms substantially to the Application for Building Permit heretofore filed in this office
dated .......... Feb....1)+.., 19.7.~. pursuant to which Building Permit No..
dated ........... ~.~aX'...27..., 19.7%., 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 . .P. r;I..v.~$9..g~?.a~e...( .~p.q~..S.~.ox~/ .b..~.d.~). ..... ~..app.~.o..v.e.d..b..y..~?...A.p.p.e..~.a?.)
The certificate is issued to . .Albe~.t.H.o..u~. $~.~.e. ...........0).~.~..~ ....................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval I~,R., ...............................
UNDERWRITERS CERTIFICATE No..~oR, .......................................
HOUSE NUMBER.. 40b~0. ...... Street... P. vt. Ro&d. ~..1 ~ .......................
Building Inspector
FOI~M ~0. 2
TOWH OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL
· COMPLETION OF THE WORK AUTHORIZED)
N? 7775 Z
Permission is hereby granted to:
.......... C~t~cho.~;ue ........ ~.,.k'.......' ...........................
to ...~.u...l, L6....~.a~...~.~.v.~ .t.~... ~ r.~.g.~......~ ~.~pr.o.~. e.6 .. ~r...bd,..~,r~p.e.~l,s ~ .................................
at premises located at ....~.V~..R {).,~.,..~£...[~Lller..~,.O~,,~,, .................................................... },lot tituek
pursuant to application dated ............................. ~.t~]~......'~.~ .......... , 19.~.~..., and opproved by the
Building Inspector.
Fe~ $.J..o..:..o..o.. ...........
( ~.oo ro~ c/o)
Building Inspector