HomeMy WebLinkAbout24385-z ]lVO~l~ NO. ·
TOWN 01: $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 24385 Z
Rev. 6/30/80
FORH NO. I
TONN OF SOU'rIl(11,I)
BUt 1.I)1 H~~.
TOI~N Il^lA.
SOUTIIOI.D, N.Y. 11971
TEL: 765-1802
(Ik,lhllnp. lnnpeeLor )
AFI'I,ICATION FOR BUH,1}IIIG PEIIH1T
]ff U'I'RUCT [OHS ,
.,~
3 ~ta oF plann, acetate plot plan to scale. F~ according to
c. 'lhe ~rk c~r~ by this: a~licatia~ ,~ ~ot 1~ cot~u~l l~fore ismms~e of ~Hlding Pe~it.
d. Illx~l al~,~al off this'.a~licatla~, the Ikdtdlng lnsleetor will ism~ a ~dhlit~ Permit to the a~)llcnnt.
icmlt rimlT I~ kepk'm~ 11¢ ~n[~s available for {nsl~cC[~ thr~l~t the
e. R, I~{ldi,g ~mll 1~ ~ofl)iM or o~l in ~ule or in imrt for a~ p~r~ ~lat~er ~mtll a (~tlficaLe
Ik,ildh,8 7xs~ O~xli,na,~e off O~ 3~m of ~Ll~hl, amrrolk Oamty, ~v York, m~l other nH)lJcable I.~s, O~diha~es
descri}~l. 'll~ ~pplicm~t n~s to ~ply whh MI ml~licnble l~s, ordir~m~ce9, l~{ld{~ c~{e, h~sing c~le,
(~ i 1 ~ ng mklress of ~1 ican~)
'if nia{lic~mL {s a corff)ratim, s{{~kxlre oF dimly a,ll.)riz~l officer.
LiLle of tx)rporate o[ficer)
Iklihler8 l.lcenne ~) ..........................
Ph~d)er:~ Lleenma l~) ..........................
Eleet:r|elan.q Meeu.~.e Ix~ ......................
765-1802 9 AM TO 4 PM FOR THE
r-OU.OW~IG INSPECTIONS:
! FOUNDATION - TWO REQUIRED
2. ROU~H - RUd~NG & R.UM~NG
4. FINAL - CONS'rRUCTION MUST
8E COMPLETE FOR C.O.
ALt. CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIB~,E FOR
DESIGN OR CONSTRUCT ,K~f, ERRORS
Il.
II.
12.
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14.
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