HomeMy WebLinkAbout9312-zFOII~[ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z786.~. ..... Date .......... Aug.. ~tC~ ...... , 19.2.7.
THIS CERTIFIES that the building located at tt,0.W,..}I/~ ;,;aln...Road... Street
Map No. Ade~L .iff;n~ Block No... xx ..... Lot No.. x~;.., l~[anor, l:i~.ll .... Ctti;ehog'ne
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ..... June ...~6 19.77. pursuant to which Building Pei:mit No..93~2K.
dated ....... guae...~6 .... , 19.77', was issued, and conforms to a!l of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .Fr:kv. ai;e..ane, famil~r .dweJ. llng. [. £lrs.~ .flonr. only) ...............
The certificate is issued to .Ralph .~.. ;fane. Ar.n~br~a'¢ . ...o.wnerz. ..................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval Aug...16...1977 .... ~y. t~,..V;l, lla...
UNDERWRITERS CERTIFICATE No. /v.~Yff./.~..~./.3 ...... . .(~..~-./.7../. f. ?.7 ..........
HOUSE NUMBER .... [~.0 .... Street .. l~.t. Rd. .,~ ,. 1,[anor..I[il~ .Lan~. Ct~tahogue
..... ....
Building Inspector ~
~0~,~ NO. ~
TOWbi OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, bi,. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Ne. 9312 Z
Permission is hereby grant.ed to:
............. :..:.~mt~o:t~t ........................................
[~ ~ DUtSu6nt to app_ ication dated ...[..~ .......... :~....~J....~i~: .............. , 19.~.., and approved by th~
~r_. 7 Budd~n~ Inspector.
~. ~, ~,.~, THE NE'~,,,-¥ORK BOARD .OF FIRE, 0~DER~RITERS,,. ,
,~ h ~J JJ] , , ,, 8S JOHN STREET, NEW YORK
only th~ e}~trieal'~quipmn~ ~ ~cd[ed ~*~w and int~u~ by t~J applicant ~med o. the a~ a~l~o, numar m the prem~s of
~ Raloh~ A~mb~flst~'P~ivate Rd., (oop.,, ~81~on Rt.25) Ma~tit~c~,L;I;'
FIXTURE , 'SWITCHES FIXTURE~ ~ RANGES C~KING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS F[UORESCE~
MOTORS ~TURE APPklANCE'FEEOER~ TIME CLOCKS UNIT ~EAT~S MULTI-OUTLET DIMMERS
SYSTEMS
NO OF FEET
SERVICE DISCONNECT S E
SOu~hold, ~..... --97!
This certificate mull not be altered Jib any manhetl relurn to t~e,o~fi~e,of the Board if mcorrecJ, Jnspedors may be
:redentlals.
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>f.-~50o°
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NO TE
I: MONUMENT
REFERENCE MINOR SUBDI~ISIONFOR WERNER L ADEL, JR -PLOT NO $
THERE ARE NO DWELL INGS WITHIN I00' OF THIS PROPERTY
IVEAREST WA TER MAIN - 4 MIL ES f-
WATER SUPPLY-PRIVATE ~ELLS ~ f
APPRO~
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