HomeMy WebLinkAboutZ-14547FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UP DATED
Certificafe Of Occupancy
No. Z14547 Date August 6 86
THIS CERTIFIES that the building One family dwelling
Location of Property 6695 New Suffolk Road New Suffolk
/.l~ds~ HO: ............ Street Hamlet
County Tax Map No. 1000 Section 117 .Block 5 27
.......... · ..-. .... .......Lot ..... .... ........
Subdivision
............................... Filed Map No ......... Lot No ..............
Requirements for one family dwelling built prior to
conforms substantially to the Xgl?l/~RK>fffiKlil/t~d/l~g~iiKl~/~f_t//f//rl/lqltl~~~
April 23 19..5.7pursuant. ..C~l:tj-~icate of Occupancy
.................... , to wmcnlll//~/l/F, gdtl/ffi No ............ /~.1.4.5..47..
dated August 6
....... ~. ................... 19. ~ .6, 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 .........
.. PTivate one family dwelling.
The certificate is issued to .... J.e..f.f.r.e.~f D. and Susan E. Miller
......... ...................
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO .............. .N [ .A.
Building Inspector
Rev. 1/81