HomeMy WebLinkAbout13084-Z 1016M N0. f
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL rl
SOUTHOLD, N. Y. U
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 13084 Z ate ..../..~.~:9..~.......~' 19..cP.~
Permission is hereby granted to:
1H ...M..P..T.s~(Y.. Cam.... ~r~
ra ......lCat`.1.~/.~~/..~~I.~G.......tdS.{f>...~'.~~2?.F.~....~ld..F//^r~~.. j...~...t.~.~f.~
at premises located at ....~Y ~....ktl.1.f~7,t4~............../.'Q.~~.F~U~~.r.7.=
County Tax Map No. 1000 Section Block ....SI.LI~.........pQLot No..S~(?L~.~7..........
pursuant to application dated ......,,f~,r~~......(~i`~ 19Q...~ and approved by the
Bui ld(ng,,`~In~spector.
Fee S.•we••
~5•••
Buildl I for
Rev. 6/30/80
~o~y,OF SOUTyp`o
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ J FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING /STRAPPING [ ]FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
REMARKS:
DATE INSPECTOR