HomeMy WebLinkAbout35183-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. 35183 Z
Date DECEMBER 1, 2009
Permission is hereby granted to:
JENNIFER ASH
19 STUYVESANT OVAL
NEW YORK,NY 10009
for :
CONSTRUCT ACCY PERGOLA WITH SOLAR PANELS PER APPROVED PLANS AS
APPLIED FOR. 2 CO'S REQUIRED
at premises located at
County Tax Map No. 473889 Section 107
pursuant to application dated NOVEMBER
Building Inspector to expire on JUNE
5170 WICKHAM AVE
MATTITUCK
Block 0004 Lot No. 002.009
19, 2009 and approved by the
1, 2011.
Fee $ 100.00
Authorized S~ature
ORIGINAL
Rev. 5/8/02