HomeMy WebLinkAboutZ-9644FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No... ~ 9.6.4~ ......... Date ....August. 2.~ ................... 19.79
THIS CERTIFIES that the building ................................................
Location of Property St3~L~qo.90. Main. aoad .......... ~r'e;i .................. Or:L e~r~/e~
County Tax Map No. 1000 Section ....1.7. ...... Block ..... 6 ........ Lot .... 9.,A .........
Subdivision .................. Filed Map No..~l:~( .... Lot No... ~...
Requirements for a one family dwelling built prior
conforms substantially to the ~ilati~ ' ' '
Certificate of Occupancy_
· · .At~r.i.1..2~ ..........1957. pursuant to which~t No .... Z.9~44 ............
dated ...A.u.g¢..~..2. .~ ............... 197.9. ., 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 .........
......... v.r.~y.a.~.e.. 9.n.o...v.mn..~3. y..r~..e.~. ~.~.n.g .......................................
The certificate is issued to ... G~Lenzl. E~,..Moon .&. w~, .,~,,,.~-~,, .....................
[owner, ~
of the aforesaid building·
Suffolk County Department of Health Approval ........ N/R ...............................
UNDERWRITERS CERTIFICATE NO. N/R
to
....... · :-.. ~;..5:.../. d.,.-.:':"?.':~/. 1 ........
Building Inspector
Rev 4/79
O'C~/