HomeMy WebLinkAboutZ-7209FOI~I NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificnte Of Occupnncy
No.ZF209 ....... Date .............. S. ept ....1 ....,19.7.6.
W/ Elijah Lane
THIS CERTIFIES that the building located at . S./.S · 0r~on. i~oad..-. ...... Street
Map No .... xxx ..... Block No .... XXX...Lot No.. XY~;....M.a.t..t.i.t.u.q .k ..............
~ .f..a~. il~ dwelling
conforms substantially to the Application for ]~i~li~lg)t~ggffil~ heretofore filed in this office
dated ......... J. an. 30 .... , 19.7.~. pursuant to which Building Permit No..
dated ...... ~ 19 .... , was i~lll~l~ conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .Pri.v. ate..two, f. amily..d'~elling...-..appr, o.v~.d..b.y..Bd...App.e.a. 1..s..6~, .Hg.u. sing
Board
The certificate is issued to . .~Jilli~m. Heln~. .... .o.~'n. er ............................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . .0e.t, .8...1.97%...by. H....Villa .....
UNDERWRITERS CERTIFICATE No..N..2~ ~2.~.9. ....... .If~..y... ?.6....~ .9.7.6. ............
HOUSE NUMBER ..... 26.00 .... Street ...... .0I'.e.g0 .n..R.o.,~ .d ..... ,~j.a.t.t.f..~.u.c.k. .......