HomeMy WebLinkAbout24389-zTOY, IN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL.
$OUTHOLD, N, Y.
BUILDING PERMIT
(THIS PEP~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 2~389 Z
Dote
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Building Inspector,
Building I nsp~ctor (~
Rev. 6~30/80
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BI'PTI C FORH ...................
API'I.JCATIOH FOR BU[I,I)tHO I'F. ItHIT
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3 l;et8 o~ pla,m, acoJ~a~e ploe p(an to scale. Fee nccordi~ to schedule. ': '''g
b. Plot plnn M~I~ l~t~ of ]o~ m~{ of l~ildingn (~ pr~n}sea, relationrJdp to mljo{nin8 pr~.{nen
Ibis; alqd ication.
d. Ulx~l nlq~al of this',nl~licnt{~, Ihe {k~[ldin8 lnSl~C~oc ~¢111 inm~ a lkdldiug Petlnit to the ~Jlq)l
(,k:c~q~'.K'y ~ml I h~ leen grnntel by tl~ ~dhli~
Ik,lhlin6 7z~ Ordit~a~<e of die 3X~ of ~x~tl~ld, ~}ffolk Cxxmt-y, ~v Yot'k, m<l other a~ti~hle [~s, Orditlal<e9 or
descril~{. '$he applicant a~8 to cxx~ly with all .{l~licnble I~s, ordi~mnces, ~l{lding c~}e~ b~ning c~}e, aim
~ I ~ - ~0 R~IRED
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4. FI~ - CON~U~I~ MUST
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A~ ~N~RU~ON S~ MEET
Ph,4~r. l.;cm~ ~o .......................... THE REQUIR~ENTS O~ ~E N.Y.
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I am familar with the Standards for
Approval and Construction of Subsurface
Sewage Disposal Systems for Single~ Family
Residences and will abide by the conditions
set forth therein and on the permit to
construct.
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