HomeMy WebLinkAbout12887-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No.Z.1.2.2. ?? ........... Date FEBRUARY 24 ., 19.~
ACCESSORY
THIS CERTIFIES that the building ................................................
645 alios lane mattituck
Location of Property/t3t;s'e 'IV'el ....................... 'S't/e$i ....................... /-13~l'ei
123 6 4.5
County Tax Map No. 1000 Section ............ Block ............... Lot .................
Subdivision ............................... Filed Map No ......... Lot No ..............
conferees substantially to the Application for Building Permit heretofore filed in this office dated
FEBRUARY 24 , 1 . pursuant to which Building Permit No..'...
84
dated.........FEBRUARY ...... 24 ............. 19 .... was issued, and conforms to all of the requirements
of the appHcable provisions of the law. The occupancy mr which this certificate is issued is .........
FOR AN ACCESSORY SHED
The certificate is issued t o .. d O£.E ~ ti...E E T E~.$ ........................................
{owner, lessee or tenant}
of the aforesaid building.
Suffolk Connty Department of Health Approval ..........................................
N/A
UNDERWRITERS CERTIFICATE NO ..................................................
Building Inspector