HomeMy WebLinkAboutGendot Homes .--:- ELIZABETH A. NEVILLE
TOWN CLERK
REGISTR.~ OF VIT.M~ STATISTICS
/,IARI~IAGE OFFICER
I~ECORDS ~IANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
TO:
FRO~:
: : . OFFICE OF TI-IE TOWN CLERK
~'. TOWN OF SOUTHOLD
Southold Town Btfilding Department
Linda J. Cooper, Southold Toxxm Clerk's Office
DATED: June 3, 2004
Transmitted herewith is a copy of application No. 3329
Construction Permit subnfitted by:
Gendot Homes
To~xm Hall, 53095 Main Road
I~.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoidtown, northfor k.net
for a Cesspool/Septic Tank
Please review the application and location map and advise if the project has received Suffolk County
Health Departmenkapproval and if tlfis office may issue the pem~it.
~..
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
Comments:
Dated
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTtLMt OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FR,EEDO~,~ OF INFoR'MATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Sou~hold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sou~holdtown.noffchfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD wASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PER3~IT
CESSPOOL or SEPTIC TANK
/
Residential ~ $10 I// or Non-Residential ~ $25 __
Applicant Name
Applicant Mailing Address .,~C.~
Septic T~ ~or'Cc~spool~
Brief Description of~oposed Cons~cfion or ~tcrafion
Applic ation No_ '~ 3,~ q
Permit No.
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address:
Owner Property Address:
~ aa ~one n~ o~ont~ ~on .~. ~~
T~ Map No: Section ~(~ Block ~ Lot ~
NOTE: LOCATION ~ MUST BE S~TTED ~TH ~PLICATION. ~w
Silage of ~licant Date
LOT A/~EA= 45,825 sq. fi..
GAR. ELEV.= 23.0 v~'~l' 12
LOT ~U~
C~ED ONLY TO:
~ ~ ~66 WADING R~ER--~NOR RO. WADING R~ER.