HomeMy WebLinkAbout29943-Z FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTILX20O3
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 29943 Z Date DECEMBER 12
Permission is hereby granted to :
MILAZZO FAMILY
690 BROOKS RD
GREENPORT,NY 11944
for
CONSTRUCTION OF A NEW SINGLE FAMILY DWEL NG COVERED FRONT ENTRY
AS APPLIED FOR; FLOOD PERMIT INCLUDED
r'
at premises located at 690 BROOKS RD GREENPORT
County Tax Map No. 473889 Sect ' n 053 Block 0001 Lot No. 009
pursuant to application date NOVEMBER 14 , 2003 and approved by the
Building Inspector to expi e on JUNE 12 , 2005 .
Fee $ 265 . 30
i
Authorized Signature
f ,
ORIGINAL
Rev. 5/8/02
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE INSPECTOR.C�