HomeMy WebLinkAboutZ-10108FORM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. 710108
THIS CERTIFIES that the building ................................................
Location of Property ... ?.J:n..t.h?.o.p...D?.5:¥.e., ................. .F.&.s..h.e?.s...Z?.l.o.n..d ........
House No. Street Hamlet
County Tax Map No. 1000 Section . . .9 ......... Block 10 .Lot /4
Subdivision ............................... Filed Map No ......... Lot No ..............
requirements for a one-family dwelling built prior
conforms substantially to
Certificate of Occupancy 2:10108
.... ):pr.J..]:..2~., ........ 19...5~ursuant to wt~e~r~lta'i=g'Pem~tr.- .....................
dated ...A.~..b~..8.t. .2..5 ? .............. 19.8.0., 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 .........
............. p.~e.-. ¥..am.~. 1. y..Dw..e.l!%.~g ............................................
The certificate is issued to Ruth Y. Grand
[owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ..... .~..~... ~ ......................
UNDERWRITERS CERTIFICATE NO .......... .'TA.q~.... ~(< .c.A~....~. ........................
/
Building Inspector
tO
Rev 4/"/9