HomeMy WebLinkAboutZevitz, Joe EL~ZA~{ A. NEVILLE
/Ow
~RR~GE OFFICER
RECORDS ~AGE~ENT OFFICER
FREEDO~ OF INFO~TION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor thfork.net
TO:
FROM:
DATED:
OFFICE OF TI-[E TOWN CLEI~K
TOWN OF SOUTHOLD
Southold Town Building Department
Linda J. Cooper, Southold To~vn Clerk's Office
May 17, 2004
Transmitted herewith is a copy of application No. 3319
Permit submitted by:
for a Cesspool/Septic Tank Construction
Courtney Gal~a~her for Joe Zev[tz
Please review the application and location map and advise if the project has received Suffolk County
-Health Depart22ent approval and if this office may issue the permit.
Please complete the form below and return it to me.
Linda J. Cooper
I have reviewed the application and location map of the project cited above and make the following
recommendations: ~
APPROVE
DISAPPROVE
Si~¢~ature
'felephone
{631) 765-1800
Construction
Alteration
$?0.00 - Residehtial
$25.0O - Non-Residentia~
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLiCATiON
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee s
DATE
May 17, 2004
APPLICANT NAME: Courtlier
APPLICANT ADDRESS: 1~.0. Box 2047
Greenport, R~f 11944
SEPTIC XXX CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
~ ~--- New Cons_tr~uctipn
LOCATION MAP: Must be attached hereto before permit may be issued,
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION':'
OWNER OF PROPERTY: Joe Zevitz
OWNER MA~LING ADDRESS: 97 Baylor Ave.
~itlsdale~ MJ 07642
OWNER PROPERTY ADDRESS: West Lane
Southol~ ~ g~f 11971
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO,: Section 88 B~ock 06 Lot
BUILDING PERMIT NUMBER CROSS REFERENCE:
'~~ Of Applicant
/~oW9 Clarks Off~ce
Richard Saett_a.
18.4
N/E1/F ZEVITS, KELLY, & KATZELL