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FORM NO. 3
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
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(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
32361 Z
Date SEPTEMBER 13, 2006
permission is hereby granted to:
D & S GWYDIR
1395 ORIOLE DR
SOUTHOLD,NY 11971
for :
ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR; FOUR BEDROOM LIMIT
at premises located at
1395 ORIOLE DR
SOUTHOLD
County Tax Map No. 473889 Section 055
Block 0006
Lot No. 015.031
pursuant to application dated AUGUST
14, 2006 and approved by the
Building Inspector to expire on MARCH
13, 2008.
Fee $
704.70
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I Authorized Signature
ORIGINAL
Rev. 5/8/02
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FIELD INSPECTION REPORT DATE
COMMENTS
FOUNDATION (1ST)
------------------------------------
FOUNDATION (2ND)
. .
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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