HomeMy WebLinkAbout9200-zFI)BM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. ~ ~) ~ q Date ~ ~ / ~ ~ ]
................................ , 19 ....
Map No.. ~. ..... Block No...~. ..... Lot No, .~. ......... ~..c~...../~/..'If: ....
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ..... .f~-~..~. !., 190.7. pursuant to which Building Pei:mit No.~. f.~f. ~
dated .... C?.~.,~?.. ~.{..., 19~-] , was issued, and confoms to ~11 of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .~/.0../m~..'..~.~..---f' ~ n ' '(~' ~' '~' ' ~'¢"'~, ' 'V-'~' ' ' ~' .......................
The certificate is issued to .~/.'~.~.-'ff~.f'~:..f~.f~? ........ ~.~.:..~U. ......
(owner, lessee or tenant)
of the aforesaid build~ng.
Suffolk County Department of Health Approval /~/'/~ ' . ........................
UNDERWRITERS CERTIFICATE ao...: :. ~..
HOUSE NUMBER / ~../ ? .... ;~l;reel; ...v.: ...... Y. ............................
Building Inspector
I~OEM NO. 2
TOWN OF $OUTHOLD
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)
N? 9200 Z
Permission is hereby granted to: ~
premises located at .?~.~,.~1/..:~1~...~e ............................................. ; ............................
............................ ::~...~ ........... ~e~o~ ..................................................................................................
~u~u~t to.opphcat~on dat~ ...:_..: ...... .. ........ ~¢~. ...... ~,.., 19~9..., and approved bx the
8uildln~, Inspec~r.