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Home My WebLink About12248-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z 11625 No................. . Date . . . . . . . II p.r. u.. .1.5. . . . . . . . . . . . . . . ., 19 ~ ~ . THIS CERTIFIES that the building addition ......,'....................... ... .............. LocationofProperty ..72.5................ G.r~r:ge. .~,?~.d............ .~~~~.h.~~~....... House No. Street Hamlet -... ..cr'. 075 04 018 County Tax Map No. ] 000 ,.ectlOn . ......... .Block .............. .Lot . . . . . . . . . . . . . . . . . Subdivision. . . 99!-l.t)) . f1i'.I:Q9r. .I!qf[l!l.s. . . . . . .Filed Map No. . ~ 9~.6. . .Lot No. . .1.~ . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated .. !\.P.r:P. .1.~........., 19 .~~pursuant to which BuildingPennit No. .. .1.2.~~? .Z........... dated .... A~r: ~.l .: ~ . . . . . . . . . . . . . . 19 .8. ~ , 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 . . . . . . . . . an attached metal enclosure for seasonal enclosed porch use. 0........... ................................................, ,.. ................. The certificate is issued to MAE & ELSIE BRINK . .. .. . . . . .. .. . .. . . . . . io'wne;,'Jeos,;,;.';'~";rlti- .. .. .. .. . . .. .. .. . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . !1/.'\ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . !1/.'\ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .............~..:l{~........ ~ Building Inspector Rev. 1/81