HomeMy WebLinkAbout26165-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26792 Date: 11/18/99
THIS CERTIFIES that the building ADDITION
Location of Property: 2200 PINE NECK RD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 70 Block 9 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 17, 1999 pursuant to which
Building Permit No. 26165-Z dated NOVEMBER 18, 1999
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is SHED AND AWNING ADDITION TO A SINGLE FAMILY DWELLING AS BUILT
& AS APPLIED FOR.
The certificate is issued to PATRICIA A CAIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H066220 11/09/99
PLUMBERS CERTIFICATION DATED N/A
Bu' ding Inspector
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
,BUILDING DEPARTMENT
Town Hall
outhold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KET ON THE PREMISES UNTIL FULL
COMPLETION OF .T E WORK AUTHORIZED)
PERMIT NO. 26165 Z Date NOVEMBER 18, 1999
Permission is hereby granted to:
PATRICIA A CAIN
207 VALLEY VIEW DRIVE
WAVERLY,NY 14892
for
AN AS BUILT ATTACHED STORAGE SHED & METAL CANOPY AWNING TO A
SINGLE FAMILY DWELLING.
at premises located at 2200 PINE NECK RD SOUTHOLD
County Tax Map No. 473889 Section 070 Block 0009 Lot No. 006
pursuant to application dated NOVEMBER 17 1999 and approved by the
Building Inspector.
Fee $ 75 . 00
Au/,6r—Ad Signature
ORIGINAL
Rev. 2/19/98