HomeMy WebLinkAbout7993-zFO]I~M NO. 4
TOWN OF SOUTHOI,D
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
No. ...... Date ............. .'.~...., 19
THIS CERTIFIES that the building located at .Cl~.~r¥i.e.w..Aye..4~ ..... Street
Map No. .~ ........ Block No. ~"~ ....... Lot No, xx~..8ou.thold...[~,]f., ...........
conforms substantially to the Application for Building Pemit heretofore flied in this office
dated ........... Jul~., 49, 19. '7~ pursuant to which Building Permit No. 79.93Z. ·
dated ......... .Jj.m.c:. j.9...., 19..~ .~, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is P~va.te. on~ .really. ~ell:Mg .~th .an. addLt~cm ..................
The certificate is issued to . J.~hn. M~]ha2tl ...... 0wne~' ............................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval l;.-.lt, ..............................
UNDERWRITERS CERTIFICATE No .............................................
HOUSE NUMBER .... b~0 ...... Street .. (J~emcv~e~..~¥e.., ¢ s.~ ..................
..... !. ........
Buileti,~g Inspector [
FOI~I NO. 2
TOWN C)F SOUTHOLD
BUILDING DEPARTMENT
TOWN GILERK'S OFFICE
SOUTHOLD, N~ Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT O",1 THE P~REMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
7993 Z
Permission is hereby granted to:
C.~Ae 11.. C. en~ ~;r., ...C o~.p.....A/C...J~..h.~...l~.ullhall
~outhold
to ..~..~l~,...~q..~.~.~.C.Jk~...~...~x~.a.C.;t.~:..~.w~.ll~ ............................................................
at premises located at .... .O.~,e.,.a..~..,v.$,e..'.~....A..y.,e...~;(.e.~,.t. ............................................................................
................................................................... ~..q~.t.,.ko..~.a.......~ .,. :t,. ............................................................
pursuant to application dated ......................~,..1~...~. ..... ~i..~ ............... , 19.~.~...., and approved by the
Building Inspector.
Fee $..'t. ~.~.....OQ. ...........