HomeMy WebLinkAbout23767-z leOB, M NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PEPu~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 2376? Z Dote ...~ .............. .~.....~.... .................... , ,~..~..~
Permission is hereby gra, r~ed' to: x'~ //--- ,,~// ¢ ~_ ~ /.~ _
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~o,,~ ,o~ ~o~ ~o. ,ooo ~,,o~ ..... .~.. ~,~ ........ 7 ........ ,o~ ~o. .~.. ./... .........
~,,~uont to o~p,,~otio~ ,o,~ ............. .~....~.......¢ ............. ,~..7..~ ond oppro~ by t,e
Building Inspector.
/// Building Inspector/
Rev. 6/30/80
Perml I: Fl() .........
l)i:mPp~oved ./c ..................................
BOARI) OF IIKAT,TII
3 SE'l'8 OF I'I,ANS ...............
SHRVEY ........................
CIIECK .........................
.qEPT 1C FORH ...................
HOT [ FY:
C^I.I ...................
HAl L TO: ....................
Date ................ , 19.
~',. 'lhls opplicati(~ natal be co.pletely filled in by t.yl~,lriter or ht ink m~l md~nitted to Lhe lkdldi,,8 hml~ctor with
,b. Ph)c plan rJ~(mi,~ Icx:akh~ of lot ar~l of I~Hldb~a
t. his al~)lication.
e. ~) ladldlng ~mll I~ Ix:oq)ial or used hi ~lole or
(k:(~q~.~:y shall have I~en IlranLed by the IkH hll.g Insi~cto,.
AI'H,I(Z'I'I(~ I8 I~lflCl~ ~lg to the Ik~ihllng I~[~rt~renk for the isam~e of a I~ildin8 l'e.n~t lairsuank to the
I~lihlin8 7xs~ Ordi~m~e of the 'l'~m of a~thold, afffolk
l~gulati~lS, for tl~ ~msk~K:ti¢~ o[ Ixxihlings, ~Mitiims or alterat~o,*s, or for r~,~al or d~ml ilion, as herein
~Dseril~d. 'lhe applicant agrees to co~l)ly with all nH~lh:able
(518 al.ute of ;lq)licant, or na~a cor~rnt ion) v
............................. .... ...........................................
Nm~ of ~t' oF llr-¢~ut~ms .. (as ~ Ihe I.o~ mil or
...................
II.
',
I~it~l
I/
OVED AS NOTED
G SPE~ION8.
~ 1. FOUNDATION . ~O REQUIRED
FOR POURED CONCRETE
2. ROUGH. FRAMING & PLUMBING
3. INSU~TION
4. FINAL CONSTRU~ION MUST
()
STATE CONSTRU~ION & ENERGY
Notaw Public, State of NM Y~
No. 4952246, Suffol~
Term Expires June
AREA t $'t,1~.9 SOFt.
OR 0,7855 ACR~
CE/? TIFIEO
INEUR~NCE COMPANY
ROBE/?T ~ a VORN ~, KIR$CH
donack associates
315 west main street
riverhead ,new york 11901
(516) 369-1717
APRIL 12, 1984 Job No. ~4- 496
10.00-11?-09..03B04 Sc~t~, I% 40'