HomeMy WebLinkAbout33202-ZFORM NO. 3
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. 33202 Z Date JULY 2, 2007
Permission is hereby granted to:
THOMAS J GORMAN
LAUREL LAKE
MATTITUCK,NY 11952
for :
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.THIS PERMIT REPLACES BP # 31648.
at premises located at 1875 LAUREL WAY
County Tax Map No. 473889 Section 121 Block
pursuant to application dated JULY 2, 2007
MATTITUCK
0004 Lot No. 023
and approved bythe
JANTJARY 2, 2009. f---------~
Building Inspector to expire on ....
Fee S 150.00 ~ ~ !/t
~- -A~ri_~d Signature~
ORIGINAL
Rev. 5/8/02
I~SPECTION REPORT
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRA1VII~G &
PLUMBING
PER N. Y,
INSULATION
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS