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Home My WebLink About23841-z IVOI~-M NO. ~ TOWN Of ~OUTHOI, D TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE K£PT C)N THE PREMISES UNTIL FULL COMPLETION OF TIlE WORg: ^UTHORIZED) N? 23841 7' Dote ............. .~.~..~... .................. , 19.....~. Permission is hereby granted to:/~7 , ...... ~~~. ....... :~ .............. ~~, ......... ~__~....~ ....................... ~ ..................... - ......... .......................... ~.~~.~ .... ~...'.2..~... ~ ........ County Tax Mop No. 1000 Section .......... .~....~.. .....Block ....... .~... ..........Lot No..~...~': ...... pursuant to application dated .......................~.-~.../....~.. ......... , 19.?.~.., and approved by the Building Inspector. Fee $........~..: ....... ~ '¥]uildi~ ...... Rev. 6/30/80 FORH 1~O. I 'roI41~I OF ~OUTI1OJ.I) llU Il.l)] fig I)E PAR'I~IF.I~T TONI~ Il^M, sou'rllol.I). R.¥. llg/I TEl.; 765-lJl02 IIOAI(II gl; IIII, AI,'III ............... oF. rs OF PLANS ............... SII1WI~'¥ ........................ /{;IIE~,K ......................... SI~,I'TI C FOlt~I ................... HAll, TO: .................... .. 'Ibis appllcaL|c~l imnt Im c(~flele/y fillc4 h} by lYl~,~riter or in ink taxi mdxnRted to the lksllding hmlrCtor wit d. IIF~ ~1~1 of thi~ ~Rflic~dm~ lhe ltfihllng lnsl~eLor uill i~m~ ~ lblhllng Pemlt Io the nwllcn-t. Such wmil; nhnll I~ kept ~ II~ l~ani.~s nv~ll~l)le R)r ln~l~el:h~ thr~l~(~t the (tX~l~,~;y flmll have l~en ~r~l;~l 1~ tl~ ~dhlln~ hilled.or. lt~i hllng Xz~ Ordh~re of the 'l~m o[ ~itl~ld~ ~ffEflk C~ml.y, ~ ?orl% m~l olher nl~)l ieable I.~B~ grdlnm~e~ or lil~ulnl, lmn, for tl~ c(~l~l;[t~Um o[ hfihlh~g~b ~illUm~ or ~ll:erati(~% or lot ~t or (~tlLio., n~ herel. .......... ..... ............. (Si~}t~te f '~lleatl', or ~m, lC a corl~rati~O SLate *~¢ther ;q[fllc:ont is (~x-r, lessee, agenL, architect, engh~r, getmrnl c~trnct'or, electrician, plmlmr or Ixfihler (an m tim ta~ roll or latest de~l) ~ ~ ............... FEE: ............................................ ~?~v (~,~ n~l I itle of corlx~mte orr~cer~ ........... ~BB480~ 9 AM TO 4 ~0~ THE 1. FOUNDATION ~O REQUIRED l~dldern Lieen~ ~ .......................... FOR POUBEDCONCRETE Plufl~r~ l,icen~ ~o .......................... 3. ~NSU~TION Electrician, lJcen~ ~ ...................... BE COMPLETE FOR C,O. glint" ' .................... Ir*~ ~ [,Nen~ ~. ALL CONSTRUCTION SHA~' MEET THE REQUIREMENTS OF THE N,Y, I. l~'atlm o[ lam (a~ ~fich lm~r~l ~rk w[I 1 I~ ~ka~ ................. ~TAT~'CO~T~ '~ ' ~E~Y ........ ....................................... ~ ~ON~T~TJ~N ERROR~ ........ · , ....... ......... ...... Ps~lxli~islm ...................................... Villi ~hp ~) ................ lx~t ............... 0. ~{,~,~ ,,,~ ,=, (~,~,,~:, ...... ~~ .......................................................... 1,. ,,,,~,~ ,,.~ .,~ ,~o,~..~y ..... ~~ .......................................... . ................ Ilel~iir . ........... I~ll~l .... ~ ........ I~l~)l ilion ............ I I* ~[~llinl[, ~::lt~r o1: i[~l][~ll] i~:li[~ ............ l[,~l~r ol{ I [ i~ilrill~: Illlt~l' 0[' [:al'ti ....... i ............................... her PI.OT I) ¥^llll^l'l Iga:ala clca~ly a~M diari~mlly all ]]~i'hlil~l~,a, Mlelhar exlal, in8 or in'Ol'~)sed, mM i~Mical:a all aer-back dil~anaion~ ';I'A'II,~ Ill' 141't,/ ¥OIIK NO. 472~89, Term E~iren May rODErl~K VAN TUyL LICENSED LAN~SURVEYOrS GREE~IPORT NEW H. s NO ..,~L:....:'.: .'... _ S_T A__T_E~_E~_T_g[ I_.N I'__E_,N_ T_ THE WA] ER SUPPLY AND SEWAGE DISPOSAL, SYSTEMS FOr THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF' I'FtE' SUFFOLK CO, DEPT, OF HEAL~'H SERVICES {SI ............................. APPLICANT SUFFOLK COUNTY {3EP]'. OF HEAL I'H SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE: ....... H, S. REF, NO,: _~_.~."__?,:'_!:' "1.~ .................. APPROVED' _ ..... SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL., } ~,-O.) .... '" O----W-~ ADDRESS: ....................... 210(3 PAI~,I4 ] (,4