HomeMy WebLinkAbout30791-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. 30791 Z Date NOVEMBER 22, 2004
Permission is hereby granted to:
BENJAMIN F MCCAEE
75 BANK STREET #4M
NEW YORK,NY 10014
for :
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at
630 RUCH LA GREENPORT
County Tax Map No. 473889 Section 052 Block 0002 Lot No. 026
pursuant to application dated OCTOBER 8, 2004 and approved by the
Building Inspector to expire on MAY 22, 2006.
Fees 150.00 /~
/
Si~gnature
ORIGINAL
Rev. 5/8/02