HomeMy WebLinkAbout7790-z TOWN OF SOUTHOLD
R LrILDITNG DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
THIS ClglqTIFfES' that the building located at .[ ................. I.~. ~...d. 0. e ?. ~.y. d'6 ~
Map No. ~ ~lock No. ~ .Lot No ........ ~ .........................
conforms substantially to the Application for Building Permit ~eretofore filed in this office
?/~; 1~
dated .. g')Ta '[ff~ .......... ' ~ .... pursuant to which Building Permit No.
dated .. ~]~.~7.~ .......... , 19..., was issued, and conforms to M1 of ~he requ~'e-
ments of the applicable provisions of the law. The occupancy for which this certifica%e is
~d ~ .... ~,q PM... ¢. ~.~...6 ~ ~ h ~ 7. ~.~.. ebW.~g. ~.~ ~...'. q.. ~ .~ g...
The certificate is issued to ..... I~ .[~ ~ ~X .... ~ ~. ~) .................. ,,. ......
(owner, 1~~
of the aforesaid building. ._
Suffolk County Department of Health Approval ..... ~1) .'~ ..........................
UNDERWRITEgS CE~TIFICAT~ ~o ..... ~ ~ q 0 ~ D
HOUSE NUMBER . [ ~ ~ Street QOC~TM ~E¢~4
B~Iding Inspector
TOWN OF SOUTHOLD
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)
7790 Z
Permission is hereby granted td:
~ass~a..P. er~£t..ael~i~e..A~..C..D.~..~e~ert AI~ & ~ife
........... ~ox..~a ...................................................
........... ~e~m~ ........ 1~.~-,.'..-'14779 ..........
to $..n..~.~.ll...Dr.i.~.a.~.e... ~.~mm~g ..P~ol ..WffLtk-.fez~ea ..& .- ae ca s~ar~, s .............................
at premises located at .~/$..J~k~y...C.~eeh..D~.~-~e .............................. '- .......................................
............................................ · Qoztthold ....... N..L .................................................................................
pursuant to application dated ..................... lV~l~...:~....: ............. , 19~...,' and approved by the
Building Inspector.
Fee $1~.0~ ............