HomeMy WebLinkAbout7968-zl~O~ NO. ¢
TOWN OF SOUTHOLD
BU~.r~ING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
THIS CERTIFIES that the building located at ·. Ma;tn. Ro~d .............. Street
Map No... ~ ....... Block No ..... . .=~... Lot No, . .~ . .M.a..~.t.i.t.u..c.k...~;.Y.; ........
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ......... MaY... 5.1..., 19.7~. pursuant to which Building Permit No..79.6.8.Z.,
dated ............ J. une.. ~., 19..7-5, was issued, and conforms to all of the req, lre-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . p~.i.y.a.t.e., p.n.e..f..a.m.f.~.~.'..d.~.e. ~..1.t.ng...¥.i.t.h .a..n..a.q$.~.~.iq.n .................
The certificate is issued to .Roger. &, .Cher.~j1. · ~,'.tne~.. amer ......................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval · · N.,R, .............................
UNDERWRITERS CERTIFICATE No.. N2~.5906 .... Se.pt...1.6. ~ 9~.~ ...............
HOUSE NUMBER ... ~ $.9.05 ..... Street.. ~ln..Road. ............................
..... ........
FORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 7968 Z
Permission is hereby gronted to:
Building Inspector.
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