HomeMy WebLinkAbout9192-zFORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No .... z. [.5.3.8.6. ....... Date . .M.a..r.c.h.. !.8,.. [9..8.7 ..............
THIS CERTIFIES that the building ....Afl.cl...t .o..a.c..c .e.s.s.o..r.y ..........................
8200 Main Road East Marion
Location of Property/~$tJs~
County Tax Map No. ] 000 Section . . .3.1. ....... Block .... 7 ........... Lot ..... ! ...........
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office datefl
Ap r i ~. 1 8, 1 9 7 7 pursuant to which Building Permit No. 9 1 9 2 z
dated . AP. r..i .1.. 1. 8. :..1.9. 7. .7 .......... was ~ssued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
..... A.ctd. to..ac c~.%s or~r..g~r.a.g¢..f.o.r.. ~ .t.o.r.a.g.e.. ................................
The certificate is issued to JAMES & JOAN ROGERS
..................... ?oh;,,'oi., ...................
of the aforesaid building.
Suffolk County Department of Health Approval ........... N. {.A ............................
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED: N/A
Rev. 1/81
FO~ NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMEHT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
9192 Z
Permission is hereby granted to: -~---~*,~t-~.
~,~..~---- ........................................ : .........
.~e~-~...t~
............. ;'Tr,~ ............................ :;'~: ......
to. ..1t~0,~ . ..~ ...................... : ....................................................
at premises I~ated 6t ...... ~'~"&"O~7 ~~' ................ [' ...........................................
punuan~ to apphcat~on dated - - ; ~_~a-~ i~ '~'~9~]' anff a~rov~ bv the '
Building Inspector
~e a~ ...........