HomeMy WebLinkAbout9281-z~ORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate O[ Occupancy
THIS CERTIFIES that the building located at ~lj~ ~/~. ~--~ ...... Street
conforms substantially to the Application for Building Permit heretofore ~ed in this office
dated .... /I~*~ ~ , 19 ~ pursuant to which Bu~ding Pe~it Ho. ~.~./.~
dated ~ ~ ... , 19.~., was issued, ~d conforms to ~1 of ~e requ!r~
I/
merits of th~applicable pro~sions of the law. The occup~cy for which this certificate is
The certificate is issued to ......... ~ .......
(owner, le~o- nr +~--nt)
of the aforesaid building.
S~olk County Department of Health Approval .~ ' [~ ~ ..................
UNDERWRITERS CERTIFICATE No..~ ~a Q9.0. ~ ..... ~. (.~../~2 ~..
Building Inspector !
FO~ NO. 2
TO~N OF $OUT~OLD
BUILDING DEPARTMENT
TOWN GLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
9281 Z
Permission is hereby granted to:
bt premises located at ._~.~.....~i[~L;L,~..l~.G~nt ........................................................................
~.~nt ~t? apphcat,o_n~.date~. ..................... Z!II1~1~..2 ................... , .19..~.,~ and approved by the
Ins ~ r ~' ~
- Building Inspector [ ~
THE NEW YORK BOARD' OF FIRE UNDERWRITERS
BUREAU OF ~LECTRICITY
I ~" ~ 85 JOHN STREET, NEW YORK, NEW YORK 1003S
THIS CERTIFIES THAT h ,,t
C[if~ CorneX~, WiX[ow Point Rd., Southo~d, '~.I..
was exan,fned on 0 etOb e~ ~ 3, ~977 undfound to be tn compliance wilh the ~qulrem~ts ffth~ B~rd.
SYSTEMS
OTHER APPARATUS~
PaneZboa~d/s: ~-2eip. ~OOamps. :'
(Swimmin~ Pool) This certificate eove~s compliance at the date of
inspection only. Because of unusual environments it is advisable
to have f~equent test and/o~ ~epairs made by a qualified person.
C :&'"S Contracting ~ " . o~
J This
certificate must not be altered in any manner; return to the office of the ~ard if incorrect. Inspectors may' be identified by e,r credentials.
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