HomeMy WebLinkAbout34778-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)
PER[4IT NO. 34778 Z Date JO-NE 15, 2009
Permission is hereby granted to:
GERARD BELLESHEIM
74 PARK AVE
BRONXVILLE,NY 10708
for :
ADDITIONS/ALTERATIONS TO ANEXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR. REPLACES EXPIRED BP # 29822
at premises located at 735 SOUNDVIEW RD ORIENT
County Tax Map No. 473889 Section 015 Block 0003 Lot No. 009
pursuant to application dated JUNE 15, 2009 and approved by the
Building Inspector to ex~ire on DECEMBER 15, 2010.
Fee $ 210.00
Authorized Signature
ORIGINAL
Rev. 5/8/02