HomeMy WebLinkAbout9182-zFO~ NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificete Of Occupnncy
No. Z~0~.~ ...... Date: ......... ~.o.v... ~ ........ , 19..??
THIS CERTIFIES that the building located at . .~.T~g~..R.o.~.d ............. Street
Map No. ~0.~ l f;~..t~ :l.·' Block No ........... Lot No..19 .... ~oll.thold...I~ ~ ~., ..........
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ............ A.p~...~.3., 19. ?.~. pursuant to which Building Permit No.. 9.~ .8.2Z.
dated ............. Apr...~.3., 19..?.~, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . P~.~,va.~.e. a¢.e.e s sory., stnrage, b~,3~dlng ..............................
The certificate is issued to . .D.o~o.t.~y..B.~. ~.3,a~'~ ........0~r~e~ .......................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .~.,.R.,. ..............................
UNDERWRITERS CERTIFICATE No. 1~ oR,
HOUSE NUMBER ....... 20~ .... Street...(~range. Ro~d ....... ~D.utho~cl .........
TOWH OF SOUTHOLD
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? 9182 Z
Permission is hereby granted to:
.P ~ ~.t~:..... ~:.~. ~.~:~. .............................................
.................... ~;.:~-~: ~'-.;;c..-.~"~ ....... Sou'~hc~td' ...........
~o ."?~`?.~£~.~..~.~J...?~..c:7.:.`~....~g~:;~..~.~.`..~:::.T:;:.~.c:...b~`z~!.~:~.~:~.~.~`~ .......................... : .......................................
at premises located at .......~.O,.~C..~.~q.,,,..[~.Q.V..~.~,.-!.~,~-~.c~zt..~E~.lgl~S .......................................................
pursuant to application dated ................... 2~.:].1.....1..~ ............... 19.~.~i.., and approved by the
Building Inspector.
Fee $.% ....................
O~D
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