HomeMy WebLinkAbout31080-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. 31080 Z Date APRIL 26, 2005
Permission is hereby granted to:
AUBREY MEALY
460 NAKOMIS RD
SOUTHOLD,NY 11971
for :
DEMOLITION & CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING-MODULAR
PER DEC & TRUSTEES APPROVAL AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 087
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
310 MINlqEHAHA BLVD SOUTHOLD
Block 0002 Lot No. 001
19, 2005 and approved by the
26, 2006.
Fee $ 859.10
l\
Authorized Signature
ORIGINAL
Rev. 5/8/02
FIELD INSPECTION RRPORT I DATE I COMMENTS
FOUNDATION (1ST)
FOUNDATION (2ND)
PLUMBING
~S~ATION PER N. Y.
STATE ENERGY CODE
~DITION~ COMMENTS