HomeMy WebLinkAbout23592-ZTOWN OF Sou'rHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.° 23592 Z
Permission is hereby granted to:
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../...~...~~. ......... ~z:. ...........
.... ...... ................................................
""-/' ................. ~;'~' ............ ;~ ........ ~i .............. ~ ..................................................
at premises located at ............................ ~.~..'./.~. ....... ~/~..~.-: ................................................
~o.n~ Tax Map No. ,000 Sect,on .../l~. ............ B,~k ........ ~..~ ...... Lo, No.....I~ ............
pursuant to application dated ......~...~......~.~......C~.. .................... , 19~., and approved by t~e
Building Inspector.
Rev. 6/30/80
FOUNDAT ]~ON (2ND) ~'
ROUGH FRAHE &
PLUHBING
IF~ULAT]~ON PER N. Y.
STATE ENERGY ~1
CODE II
F I HAL il
ADDITIONAL COI'~4ENTS:
TOWN (IF SOUTIIOI.I}
J0L - § 1996 t,'_ IHIII,I) I"G I)F. PARTHF. IqT
BLDG, DEPT. SOIITIIOI,D, N.Y. 1197 I
TOWN OF SOUTHOLO I TEl,: 765 li102
Ill)Alii) OF II1,;^1,'1'11 ...... 2..'.; .'...
73 ,'if;TS {IF ['|.^NS ...............
/..' SHRVI/. ¥ ........................
,/CIIECK .........................
SIr. PT I C FORH ..... '. .............
UD'r I FY:
^I'Iq,IC~TIIIN FOIl IIIIII,III~G
I NS'I'RIICT IONS
a. 'lll|s alff)licaLical nmlst be co~qde~ely filled i. by tyl~.~riter or in ink m~l mlhnittml.to lira ~Hldin~ lns~clor ~ilh
BI~t~ Or areas, a~l givi~ a ~tail~l ~scripti~ oF la~l[, at prolmrly nlist Im drm~ al the dia~ran ~Hdl is imrt of
.'ilale ~dmtl)er,all)liconL |. (~a~er, lem~ee, agent, ardlilec[, engi~mr, get.rat contrnclor, electrieia~, i)hnl~r or I~lilder.
(ns n~ tim la~ roll or lalesl de~J)
If al~l icm~t is n COrl~[aEi~, si~t~.m of duly m~tl~n'iz~l officer.
(l"L'~ilinh, ~klress of oppllc~nl)
(N~.,.! .,.1 !itle of corlx)ta[e officer)
[k~me I%.d~er Street , ll,~nleL
I'l.{Fr |l ( A(;I{^t-I
OCCUPANCY OR
USE IS 'UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
APP. flIWID AS NOTED
FY SUILDING DEPARTMENT ~
766-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
I. FOUNDATION . TWo REQUIRED
FOR POURED CONCRETE
2. ROUGH o FRAMING & PLUMBING
3. INSULATION
4. FINAt. - CONSTRUCTION MUST
BE COMPLETE FOR C.O,
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUcTiON & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
HELENE D. HORNE
Notary Public, State of New York
No. 4951364
Qualified in Suffolk Courav
Commission Expires May 22,';1'!~
Iff Al,IH