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FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
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BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
32066 Z
Date MAY
31, 2006
Permission is hereby granted to:
DANIEL H WOOD
PO BOX 593
EAST MARION,NY 11939
for :
ADDITION WITH DECK TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at
3420 ROCKY POINT RD
EAST MARION
County Tax Map No. 473889 Section 021
Block 0004
Lot No. 008
pursuant to application dated MAY 19, 2006 and approved by the
Building Inspector to expire on NOVEMBER 31, 2007.
Fee $
357.00
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/ Authorized Signature
ORIGINAL
Rev. 5/8/02
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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
[ ] FIRE RESISTANT CONS1RUCTION [ ] FIRE RESISTANT PENETRAnON
REMARKS:
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DATE
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COMMENTS ,
FIELD INSPECTION REPORT DATE
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