HomeMy WebLinkAbout23706-zTOWN OF SOUT~OLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
N:
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
23706 Z Do,, ........... ~,~ ......... ,9..~..'~
Permission is hereby granted to: . , _ ,
.... z....z .......... ~ ........................ ~ ..........
at prem,ses located at ......................... /.~..,Z...,~.~ ...... ~ -.:~...~ ...................
.Z.~..~.....' Block .......... ~ ...... Lot No ....... Z
County Tox Mop No. 1000 Section .....................
Building Inspector.
Fee ........................
Rev. 6/30/80
~ OF NY
ID:7270600
~LI6 12'96 1:50 No.O06 P.02
SURVEY FOR
THEODORE W,¢. SWITSAVAGE ~
ELEANOR SWlTSAVAGE
71 MATT ITUOK
i''';'!, TOWN OF $OUTHOLD
' :; SUFF. CO N Y ~UARAflTEED TITLE
:,C .
FORH HI.). I
'i'ONN OF SOlYt'IIOI,I}
I.D 1 il(} I)I~.P^RTHliNT
TO'dH IIAI.I.
SOIFI'IIOI,I), N_Y. 119tl
TEl.: 765~1802
I N,qTRUCT I
SURVI!Y ........................
CllLr(]K .........................
· ~Hr-P'r I C FORH ...................
.qOTl ir'/:
I'IA[I, TO: ...................
Date ................ , 19...
n. 'llds npplicatil.{ .trot I~a cx~,N)letely I:illc~i ils by lyl~.~riter or i. init m.I z,~dxnitt~l to the Ikdhling hmi~.ch)~
b. l'lot plml ~li(~i~ l~<ati~l of lot {u~l o1: N, ihli~,Is u, p.~nises, relatiot~ship to ~l.joiuing p,~,isen or ix,bile
this ~ppl }cation.
........
........... ~. ~- .~<. ,. ~C~%. ~ ... ~.. (.(.g.J..~
(E,~ as.] lille of ~.:o{lx)rate officer)
Iht} hk~ !; I.icense Ii) ..........................
lC, leer I icimm I,icen,~e Nk). ..: ..................
Other 'I't~(le~s I,icen.'ce ~) .....................
I. Izx'~di¢~ o[: latxl (~a wi~i(:h pr{qx):;c~l w~)tk ~{11 la~. d()~e .............................................................
../.'~.O. .......... a" ~.,.~, ~.~,.<.../_.,~ ...................................................................
(~,,e)
I'I,(IT I) I A(HIAH
vid, mi ~;[j~qlillj~, ('It, ll q ~Jr:l )
~ COMPLETE FO~ C,O,
ALL CONSTRUCTION SHA~
THE REQUIREMENT~ OF THE
STATE CONSTRU~ION & ENERGY
CODES. N~ RESPONSIBLE FOR
DESIGN OR OONSTRU~ION ERROR~
CLAIRE L GLEW /~,,.,,,re <)r Aj,itl I(';JlH )
N~ ~blic, State of N~ YO~
No. 487950~
Qualified in Suffo k Coun~ ~ /
~mJ~ion Expires ~m~er 8, lg~