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BLDG. DEPT. FORH NO. I TOWN OF SOUTIIOLD BU[LI}I Ng DEF^RTHEN'F TOWN SOU'I'IIOI,D, N.Y. TEl,.' 755-1002 Bt)AlU} OF IIEAI,TII ............... 3 SETS OF PLAN8 ............... SURVEY ..... .~ , · * ............... CIIECK ......................... SEPT'I.g FOEH ................... ^PPI.,IgA'I'ION FOP. BUII.I}INC. FERtlIT · 1}~te ...... ! N.~'FRUCT I ~et~ of plmm, nco~rste plot pl~ to scnle. Fee scco~llug to sch~te. b. Plot plnn ~i~ l~nt[~ off lot a~ o~ i~t{tdlng. ~ praises, telatl~shlp to ~jotnt.g pt~,dses or l~bl c. 'lhe turk c~rml I~ O~ls ugdicott~, .ny sx~ I~ cm~,~l I~[ore is~,~e oE ~lJ.dl~ Pemlt. d. Ui~ old--al, o~ thlu ~tlcatt~, the I~[].d[~ Inured:or ~-H[[ iu~ n ~tlding ~mlt to the nl~li~.t. ~uch ..i[ ~lmll. I~ kep~ ~ tl~ i~n[~s nvnilnble For insl~ct[~ th~Jt the ~rk. e. ~ t~Hhllng ~,nll Im ~m~l~l or ~m~l ~. ~le or ~. ~nr~ For m~ ~ue fil~,l(~'Fl(~ [~ IEla[l~ ~Bll~ to tl~ lk~ildh~ l~Ig~rtn~nl: [or the Jsmm~e off n ~Hldlng ~emlt ~srmm-t to tl~ ihli~ 7x.~ Otxlh~e off tl~ T~ o[ ~tl~ohl, ~ffFolk Cx~m~y, ~v York, a~l outer nl~ttcabte I~., Ordi.~e. ur lp~l~icx~n, for I:1~ ~ntn~tlm o[ I~dldt~., ~Bltt~s or nlt~ral:l~., or [or rw~l or ~lltlm, ns herein I,~ln~im~n. m~l lo m~l~ m~llx}rl~l l.n~tor. ~ p~.i~n m.l i. I~lldi.~ for ~ce.~n~ (~ili~B mklress o[ a~llcn, t) rile ~sether nppl. lc~=mt tn o~er, 16s~, . nrch[tecl:, enp. u~er, ~nernl co~trnctor, electrJc~n., ph~l~er or l~hler. .............................. ~..~....' ................................................................................. .,. o~ ~ o~ ,~., ~.. ~...~..z/~: :.'z'~... :: ~.4~c... ~.~/. ............................................. (as o~ the tax ~tl or ln~e~ dec~l) [ nlqdlcom: is ~ (I~: ne , ~xl title or cx~r~nte ll'!l~dr . ........... Ib.~u(~vnI.. ............ IbilHll:lotl ............ Other ].3a]lc .............. :-.~'j ............... .(13dm:r I pt: /~ . I!::il Ji~ilLt41 (~IUI. ............ ; ............ fi.~p. .............................................. (l'() Ix~. I~lhl ()ii fl l llql lhla ill)pi 5. II: I~llllJl), IxJll~r o~ I~llh~l[ I,lil'~ ............ lllll~l- ol; ~L~lliilB llilil'~l (~l ~ll(:h flix)l' . ............... ~). If I~l~ll~zi~ cdi~ll~rchll or llll~ll ix:i:lil~il~:y, i~l~(:lf7 i~lil:lJ~fl ill~l ~xl~ll[ ~ e~(~ll I7l~ o~ IJ~ ...................... /. I)[*l~,Tlijixl. i)~ ..lul:ln8 8l'll~:[lli'~lil i~ illl~; [~[(Xl[ ................. ]~lll' . .............. j~l)lll ................. I~;ll~lll: ......................... F&"'j~L' 8~ ~L()I'IQil ...................... I~:plll .................... I~]~iE .................... ~,liX~r ()f tjl'OFl~ ............... I~:ll~ll ......................... ~l~l~l' l)~ fiLorl~ll ..................... U. ~iii~ (lf I()1.~ Irf(xlL .................... I~n[' .................... I~plh .................... I(). I~lll: (1~ I~ll'(:llll:l~ ..................... I]illQ I)~ j;olll~l' (~1~ ........................................ I'l. Itlll h;l: I~ I~llr~l .................... UIII ~lm fill I~ l'.~'~d ~rlxn [.'.nl~eh= YE~ I'~) .............. I'i. I~t lids I)~'~)lX~rLy wilhlil ~ f~ of a tlllnl ~Llmvl7 ~ YI~i .......... ~) .......... PI,OT I}IAGI{AH ,~,(~h,~,' i,,l~,'i,H' ()r cor,,~r lnu.' APPROVED AS ~OTED DATE: FEE: ~ S~,~'~ BY:pA NOTIFY BUILDING DE IE~ AT 765-1802 9 AM TO 4 ~ ~ ~E FOLLOWING INSPE~ONS: 1 FOUNDATION - ~0 REOUIRED FOR ~URED ~N~ 2, ROU~ - ~ING ~*~G 3. INSU~ON 4. FINAL - CON~U~ON MUST BE ~~ ~R C.O. ALL CON~U~ON ~ ME~ THE REOUIREMEN~ OF ~E N.Y. STATE CONS~U~ON ~ ~ERGY CODE~. N~ RESPON~IB~ ~R DESIGN OR CON~U~ li!i Not~ry Public, State of New York No. 4952248, Suffolk CounjW Term Expire~ June 12, ,/