HomeMy WebLinkAboutPumillo, JodyTOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] INSULATION
~.~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAH OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFOKMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 705-6145
Telephone (631) 765-1800
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 ~/ or
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Applicant Name ~,-]C ~h
Applicant Mailing Address
Non-Residential ~ $25 __
Application No. 3<~(~
Permit No.
Septic Tank or Cesspool ~ ,,/
BnefDescnptmn of Proposed Construgtion or Alteration ~~
~cation of Proposed Con~tmctig~Alt~ration:}
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Tax Map No: Section / ~3 Block
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