HomeMy WebLinkAbout9056-zFOB, M NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z.7.8.6.7 ...... Date ............. 5.ep.t...~ ....... , 19.77.
THIS CERTIFIES that the building located at . Hi~.l. Ro~d ................ Street
Map No. Xx ......... Block No. XX ....... Lot No, XX .... $ollthold...~I..y.., ..........
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ........... ~eb...~1+.., 19.7.7. pursuant to which Building Permit No. ~9.0.~.~..Z..
dated ............. Feb...2~.., 19.77., was issued, and conforms to all of the require-
ments o£ the applicable provisions of the law. The occupancy for which this certificate is
issued is . .Private..one. f. amily..dwelling, with. a.~diti.o~ .~. llte~'.at$o~ .....
The certificate is issued to Thos,..Blankley ..... ~wner ............................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval }I.:R.: ...............................
UNDERWRITERS CERTIFICATE No...N. 31~. 9.~.1.6 ..... J.!ily... 29... 192.7. ............
HOUSE NUMBER ..... 2.~.~.~. .... Street ...O.a.l.v.~ .s..E.e.q .k......}.t,i.1.]: ..Re.a.d... .S.o.~.t..hg.l.d'
Btulding Inspecto~
FOR~ NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
5OUTHOLD, iq.. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No. 9056 Z
Permission is hereby granted to:
Ba~e...O~nat~..~o..l~c...A/C...T. hes..~Bl~nk, te~
...... ~o~t~t~ ......................................................
to ...~..~..~ ~..d...~...~ ~.~.~..o.~...~n...e.;~l ~.t ~,ng...~ell ~ng ..............................................................
at premises Iocoted at ,t~l.L]...~O~d. .....................................................................................................
............................................... So.u.~hold.....~ ~ ..................................................................................
pursuant to application doted ..................... ~,.e~11....2~ .................. , 19.,~?.~.,, ond approved by the
Building Inspector.
Fee $...1..~,,*,...0~.. ..........
Building Inspector