HomeMy WebLinkAboutHuzsek, Andy & Robin ~ ELiZaBETH A.
TOWN CLERK
REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER~-~
FREI,;I)O~t' ~ [. I N I:'OI(M A'I'I O N'~'O~ER
~I~ O~
~ TO~ O~ SOUTHO~
TO: Son. old To~ D~d~ Dep~em
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southeldt own~nor~hfork,net
FROM:
Linda I. Cooper, Southold Town Clerk's Office
DATED: April 15, 2004
Transmitted herewith is a copy of application No. 3307 for a Cesspool/Septic Tank Construction
Permit submitted by:
Inland Homes for Huzsek
Please review the application and location map and advise if the project has received Suffolk County
Health Departmem approval and if this office may issue the permit.
Please come, fete the form below and return it to me.
Linda J. Cooper
· · · · · · · · · · · ,
I have reviewed the apphcation and location map of the project cited above and make the following
recommendations: j
APPROVE
DISAPPROVE
Comments:
.O~]CV_~OF *rile TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk
Town Haft, 53095 Main Road
P. O, Box 1179
$outhold, New York 11971
Telephone
(5t6) 765-1801
AppliCation No. ~'3
Construction
Alteration
Residential
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee '$
DATE 3/12/04
APPLICANT NAME: _~land Homes
APPLICANT ADDRESS: PO Box l17,Mattituck,N.Y.~l1952
SEPTIC . _CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
New ,siQqle ,family dw~.l~ing
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION;
OWNER OF PROPERTY: And~¥ & Robin I~uzsek
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: McCanns Lane,Greenport
TELEPHONE NUMBER OF CONTACT PERSON:...2QR O6QR
TAX MAP NO.: Section 33 Block 3 Lot 32
CROSS STREET:
Corner of McCanns
lane and sutton place
BUILDING PERMIT' NUMBER CROSS REFERENCE:_ Denclir~q
-' ~cant-
RECEIVED BY: ,~'~'~,.. __
! / Town Clerk's O~fice --
DATE: ql l?f .