HomeMy WebLinkAbout34547-ZFORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town. Hall
Southold, N.Y.
BUII23ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34547 Z Date MARCH 30, 2009
Permission is hereby granted to:
JOHN C MERRILL
PO BOX 1690
SOUTHOLD,NY 11971
for :
ADDITION & ALTEP~ATION TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR. THIS PERMIT REPLACES BP 33349.
at premises located at 3600 PINE NECK RD SOUTHOLD
County Tax Map No. 473889 Section 070 Block 0012 Lot No. 004
pursuant to application dated MARCH 30, 2009 and approved by the
Building Inspector to expire on SEPTEMBER 30, 2010.
Fee $ 200.00
Aut h0~rized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING / STRAPPING [ ] FINAL
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
DATE
INSPECTOR
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUlVlBING
INSULATION PER N. Y, ---
STATE ENERGY CODE
ADDITIONAL