HomeMy WebLinkAbout23792-z IeOR,M NO. S
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 23792 Z
Permission is hereby granted to:
County Tox Map No. 1000 Section ...../...~.Z .......... Block .......~..Z ........ Lot No ..... ~.~ ......
pursuant to application dated ....... ..~...~.. ................................... ]9 and approved by the
Building Inspector.
Rev. 6/30/80
dERIlFIED ONLY TO:~< ' I / _ , .' i_
By 'N~C
DESll No. 50067
SURVEY OF:
survey ~)^T~:
LAND SURVEYOR
FOItM NO.
'r()~N OF SOUTII(H,I)
'fOF/~ IIALI.
.~;OUTI~OI,D, H.Y. 1197 I
'l*l~l,:
BOARD 01" III~,^i.TII ...............
3 ,glcr.~ OF Pi,AN!;
gURVI~,Y ........................
§F, lrl' I C FORH ...................
I N.WI'I).U(:T l ON:;
ri. 'JhL'; ,')[)p)]c.';l:~o~) nxj,~l~ I~ c(~;q)le)ely £Jlle(I l)) by tylx~.)rlter or h~ h)k mvl m~l~u~lt~] to the IA,il(Ih~ hml~('tm' with
b. Plot I)lnn ~;Ix~hy$ ](~nl:~(wl ol' lot m~l of I~Hl(linR~ (.I pr(mllsen, relat, io.~fld1) lo
' I
(kX'Ul~.~:y ~dmlJ Imve I~e~l f~m,t~l by Ihe ]~Hldh~g hml~ctor.
Al'lfl,l(~l'l(~ H; Ifl~IQ~IIY t~lX~.to IJ~ l~[l(linfi I~lmrtnei~t: For the ismmnce of ~ I~ihli~g Permit: [xir~;umTl: Io the
lkJilditlg 7x~ ()txlilml~'e of the 'l'~l of ~thold~ SufFolk (~x.~ly. ~ Yod% taxi other al~)lical)le I~t~, O~xlinm~et~
re;~l;]l i(~m, n,.l t.o ~hdt: ~.~ll~)rl~ed hml~Ct'orn <~] l)rO. lnen m~l in I.~ihlln)~ For
:.:,:..:.,. -- .. ~ .... : .... - .....
(/'1;~.o ;u~l till(~ of corlx)r~He oErJcer)
IH.OT 131
APPSOVED AS NOTEO
765-1802 g AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE ,
2. ROUGH- FRAMING & PLUMBING
3. 'INSU~TION ~
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
S~ATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRU~ION ERRORS
................... I~!i.J~ Ihlly I~.ll, dnlx)!~!{; {u~i ,fly{I IIl~ll. Ir; il{ tho IJi,pI
I~ll tu y I~d)l i(: . J~ISAJCOL 3M8,~ .......
Qualified in Sufl ~llL.~UI~/ _ _ ~