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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.
33310 Z
Date AUGUST
10, 2007
"Permission is hereby granted to:
if:
ERNEST V JR LAZIO
350 BROOK LANE
SOUTHOLD,NY 11971
for :
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at
350 BROOK LA
SOUTHOLD
County Tax Map No. 473889 Section 079
Block 0005
Lot No. 016.006
pursuant to application dated JULY 25, 2007 and approved by the
Building Inspector to expire on FEBRUARY 10, 2009.
Fee $
3,993.20
ORIGINAL
Rev. 5/8/02
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FIELD INSPECTION REPORT DATE I COMMENTS
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FOUNDATION (1ST)
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ROUGH FRAMING & ~~
PLUMBING
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INSULATION PER N. Y. -- I--- !oJ
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STATE ENERGY CODE
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