HomeMy WebLinkAboutZ-10557FORM NO.4
BUIL t 1f G x TM&
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
210557
No .................. Date .... July. 1....................., 1 SBA .
THIS CERTIFIES that the building ................................................
Location of Property...... flld • Shipyard . Lane + .. Southold, New York
House No. Street Hem%t
County Tax Map No. 1000 Section .... 0 ...... Block ....4 ..........Lot ...... ??........ .
Subdivision ....goundera. Estates ... • • ...Filed Map No. . 83�...Lot No. .. 91........ .
conforms substantially to the ,� is�tiwm as Pr 0e f m1q L -0l 99- ,j,Z, it prior to
April 23 5 t which B�w�rrrot' Occupancy Z10557
.................... .19.. pursuant o w ...............
dated ..... JulY 1 ................ 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 .........
..........r!r ylk ;q .One ,Family, Dwolling .... .............................. .
The certificate is issued to ... a ? ter . kie. .490 c o e8o W P . . ........ _ .
(owner, /&59�9aC.tBQ�E d--- .
of the aforesaid building.
Suffolk County Department of Health Approval, ....... 1111 ...............................
UNDERWRITERS CERTIFICATE NO ...... XIP .........................................
. Building Inspector
Rev. 1/81