HomeMy WebLinkAboutJered Motel Corp ,I /iii__-
L ,,��,o��SaFFOL,I _
dP
JUDITH T.TERRY 1 C yet Town Hall, 53095 Main Road
TOWN CLERK Z ti W % P.O.Box 1179
REGISTRAR OF VITAL STATISTICS ,�O .F',� Southold,New York 11971
MARRIAGE OFFICER �`4* At.0 Fax(516)765-1823
RECORDS MANAGEMENT OFFICER cm 41 *0-8, 10 Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER ••••",, ,i"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 58 N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner JgitRED MOTEL CORP.
Mailing Address 1 (SUNSET MOTEL)
NORTH ROAD
City St Zip GREENPORT NY 11944
Property Address 1 NORTH ROAD
City St Zip GREENPORT NY 11944
Tax Map No. section 44.00 block 1 lot 1 .000
Cross Street CHAPEL LANE
Building Permit Number Cross Reference:
Issue Date: 6/01/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
v ,
_-,- t(= r,7-,) ./)-,, c)/(_,)
JUDITH T. TERRY. : !� owi 11, 53095 Main Road
TOWN CLERK : v tri : P.O. Box 1179
IP �6 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ‘---V. * e° Fax (516) 765-1823
MARRIAGE OFFICER _ .�O .1 Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER -. 1 + 0".
FREEDOM OF INFORMATION OFFICER =�,������,,,0�
OFFICE OF THE TOWN CLERK /�f
TOWN OF SOUTHOLD Z�C `
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's OfficeIC2
DATED: May 23, 1995 ^`�
�1
Transmitted herewith is a copy of application No. 1390 for an
4.-
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool Service for Jack Levin - Sunset Motel
Please review the application and location map and advise if this office may
issue the permit. 1
Please complete the form below and return it to this office.
Thank you.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - 4.--------
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
RELINED Aileir — ,
Sign.tu -
MAY 3 1 1995
r,-,‘A 5--
town clerk Southold►
Date
3.s1),t-
•
.- • •
OFFICE OF THE TOWN CLERK ,,,'"',„” .
Town of Southold ,.'' �
. c 1:UL/( = Application No. /3 (-)Judith T. Terry, Town Clerk , ��,
Town Hall, 53095 Main Road ;� �C; Construction
P. 0. Box 1179 a ac ; Alteration
Southold, New York 11971 ‘•:.00)
tJ'� �;
t y
• `
•
•