HomeMy WebLinkAbout33207-Z FORM NO. 3
TOWN OF SOUTHOLD '~? 0 f ~
BUILDING DEPARTMENT
Town Hall
Southold, N.Y. ~ ~~
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 33207 Z Date JULY 2, 2007
Permission is hereby granted to:
ROBERT B BALLOT
PO BOX 1666
MATTITUCK,NY 11952
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING AS APPLIED FOR.
(THIS REPLACES BP #19604-Z)
at premises located at 4545 HALLOCK LA MATTITUCK
County Tax Map No. 473889 Section 112 Block 0001 Lot No. 002
pursuant to application dated JULY 2, 2007 and approved by the
Building Inspector to expire on JANUA~ /,~R
Fee $ 1,033.60
/ -- Autho~f ze _~
ORIGINAL
Rev. 5/8/02
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rZ,:LD i,,S,:.,.,,.LUJ J[DAT
FOUNDATION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
Ye
FINAL
ADDITIONA'L COMMENTS: