HomeMy WebLinkAbout14400-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town H31[
Southold, N.Y.
Cerlificate Of Occupancy
No... ~3.~ Q 5.4 ........ Date ......
THIS CERTIFIES that the building.. A~.¢.~ ~ SQ3z. Y. _ bt.tj,&c~i~.9. ........................
Location of Property S/3~;s?4o'No .W-~J~N.U.T .AY/~ ............. Y~TT. ITUC~. '
. Street Ham/et
County Tax Map No. 1000 Section . .1.4.2. ....... Block ... P.~. ...... '...Lot...2.0. ............
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore t'fled in this office dated
..... .O.c.~. :...2.1 .........19 8. _5. pursuant to which Building Permit No .... 14 .40.0. z ...........
dated ...~..o. ~...~ 5. ................. 19, ..8 .5, 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 .........
The certificate is issued to ....R.Q .B.~.R.T...A:..qQ .op.~?.E. ...................................
{owner, leaee or ten,ut)
of the aforesaid building.
Suffolk County Department of Health 6pproval ....N./.A. ..................................
UNDERWRITERS CERTIFICATE NO ........... .N./.A. ...................................
Building Inspector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD..
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No...g.1.5.0.5..3 ......... Date Octobar 29 ., 19 .86
THIS CERTIFIES that the building One family dwelling
Location of Property ...3.4..0..~AL..N.U.T_ .~..V.E....' ............. .M~..T.T.! .T.U.C.K...' ...... i..' ......
House No. $~'ee t Hamlet
County Tax Map No. 1000 Section ...~.{2. ...... Block ....0.]. ......... Lot 20
Subdivision ............................... Filed Map No ......... Lot No ..............
confoms substantially to the Application for Building Pemit heretofore fled in this office dated
· 0.c.t,. 23- ......... ,19 ~.5. pnrsuant to wkich Building Permit No...1.4. 4. 99.z. ............
dated .... .Np_v. ~...1.5 ................ 19..8.5, was issued, and confoms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
.... .One...f.a.m.i..ly..~.w..e.l.lin. g:; .*.*.S..u.b.j.e..c.t..t.o.. 9..o.n.e...y.e.a.r...r.e.v. ~_.e.w... .............
The certificate is issued to ROBERT A. GOODALE
(owner,
of the aforesaid building_
Suffolk County'Department'of Health Approval ...... 5.ns.o..-.4.6..0. ..........
Pending Oct 24 1986 '
UNDERWRITERS CERTIFICATE NO · ' , ..
Plumbers Certificate dased November 5~ 19~6
Building Inspector
1/81