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FORM NO.3
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.
30865 Z
Date DECEMBER 22, 2004
Permission is hereby granted to:
JAMES G NEKERMAN
PO BOX 62
NEW SUFFOLK,NY 11956
for :
UNFINISHED SECOND STROY ADDITION TO AN EXISTING 1&1/2 STORY
LOCKSMITH SHOP AS APPLIED FOR
at premises located at
6580 NEW SUFFOLK RD
NEW SUFFOLK
County Tax Map No. 473889 Section 117
Block 0004
Lot No. 033
pursuant to application dated DECEMBER 20, 2004 and approved by the
Building Inspector to expire on JUNE 22, 2006.
Fee $
200.00
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ORIGINAL
Rev. 5/8/02
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
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STATE ENERGY CODE
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