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FORM NO. 3
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
-
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
25596 Z
Date MARCH
11, 1999
Permission is hereby granted to:
BARBARA KUNEN
175 BURTIS PLACE
PECONIC,NY 11958
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR.
at premises located at
175 BURTIS PLACE
PECONIC
County Tax Map No. 473889 Section 067
Block 0004
Lot No. 015.001
pursuant to application dated FEBRUARY 19 1999 and approved by the
Building Inspector.
Fee $
150.00
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~~. .~
Author~gnat e
ORIGINAL
Rev. 2/19/98
J-SS70 Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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DATE
10-(1- o~
INSPECTOR ~ ~