HomeMy WebLinkAbout17552-Z FORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CQMPLETION OF THE WORK AUTHORIZED)
N] ~17552 Z
Permission is hereby granted to:
........
..vff,...~.,......~.....~..... ....... ~..~.~. ...............................
ut premises located at ........ .~...ZO..~. ........ ~~.......Z~ .............................................
Counb/ TOx Mop NOra 1000 Section ........ /~ . .~.. Block ........... ~ ..... Lot No ........... ~ .......
pursuant to application dated ......... ./.Z?~.O~ ......................... , 19..~..(~ and approved by the
Building Inspector.
/
Rev. 6/30/80
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ]INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS: ,
DATE
INSPECTOR ~~
:-'J.'-'LD z,.._,,. :,~. ~u,, i[DATE ii COi'-f~I£~TS
FOUNDATION
(1st)
FOUNDA T I 0~'~ ( 2nd )
ROUGH FRAME &
.PLUMBING
3.
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS