HomeMy WebLinkAbout30168-Z
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
\JD\D
~OQ)(, N~I
~Q~e
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
30168 Z
Date MARCH
17, 2004
Permission is hereby granted to:
JOHN R & WF SPICER
208-07 42ND AVE
BAYSIDE,NY 11361
for :
BATHROOM ADDITION/ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at
470 HICKORY RD
SOUTHOLD
County Tax Map No. 473889 Section 054
Block 0006
Lot No. 009
pursuant to application dated MARCH
16, 2004 and approved by the
Building Inspector to expire on SEPTEMBER 17, 2005.
Fee $
150.00
/
(
r~.
0_\,' // --j
",/ /
/ / //
--~I // COP
Authorized Signature
j/,h11?/I' f!f'u.- '5"
C/
ORIGINAL
Rev. 5/8/02
:.
JP
..
t
FIELD INSPECTION REPORT DATE COMMENTS lU
o ~
FOUNDATION (lSn ~~
<><.'::l
'"
~-----------------------------------
- t~\ l::>
FOUNDATION (2ND) ~
, \ 3
~-
\ " ',.,
'Z
ko
.J'
0
- I.-+-~
R-[;i
ROUGH FRAMING & f~
PLUMBING
-;
t"-
~
~
INSULATION PER N. Y. U\5
STATE ENERGY CODE 0
~
.._--. -
~
(, //f" -:71.. A4 M-~c6 cJ;1'C A. I.j /"k~ C
/ / r r 1'1">0 J If .JJL~ ~'r//, :.-
/ --... / b~~/
. . ~ ./
FINAL
ADDmONAL COMMENTS U6
@
. , (0
_0
~~
::e::O
2..-
-p~
':::S ~
6.::l
V\~
=
I i'l
\ F
, '-" ..,
. - '--/ =
0
i'l
...
. ~