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HomeMy WebLinkAboutAltman, Steve ,I•,,�OStfFO(�co JUDITH T.TERRY ��_ :c Town Hall, 53095 Main Road TOWN CLERK ; y Z P.O. Box 1179 v. Southold,New York 11971 REGISTRAR OF VITAL STATISTICS G Fax(516) 765-1823 MARRIAGE OFFICER :1/4y4, %W./ RECORDS MANAGEMENT OFFICER 01 * „.. Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER .�����,,,••�� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1461 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : STANLEY F. SKREZEC Address 1 : 50 GULL POND LANE City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration ADDITION OF TWO DRAINAGE RINGS TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner ALTMAN, STEVE Mailing Address 1 P. O. BOX 445 City St Zip LAUREL NY 11948 Property Address 1 805 NORTH OAKWOOD ROAD City St Zip LAUREL NY 11948 Tax Map No. section 127.00 block 7 lot 13.000 Cross Street PECONIC BAY BLVD. Building Permit Number Cross Reference: Issue Date: 4/18/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) ,�� 00.411,4/............ / ��oft oFFO(,� / p'' %; JUDITH T.TERRY t1 o r4; Town Hall, 53095 Main Road TOWN CLERK ` y = 1 P.O. Box 1179 T Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER `.yifJ 0- �1�' Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER R! 4 -0„.0Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER i� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: April 15, 1996 Transmitted herewith is a copy of application No. 1521 for an ALTERATION PERMIT for a cesspool or septic system submitted by Stanley Skrezec for Steve Altman Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to this office. Thank you. thf-4X- 1--"c-' 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. riat_____i _ � -cA. 1 APR 1,1 Si• ature / BLDG.DEPT. 0,� 7/� TOWN OF SQTL;p Date T OFFICE OF THE TOWN CLERK ""'• Town- of Southold .,044F /5021 Judith T. Terry, Town Clerk �� OGy Application No. Town Hall, 53095 Main Road = Construction P. O. Box 1179 Southold, New York 11971 %$j ; Alteration Telephone $10.00 - Residential (516) Residential(516) 65-1801 4/4/ 46 s)t '� ,,,, ' $25.00 - Non-Residential •TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE /S`/9'67 APPLICANT NAME: .T viJL 5f F. S( s L APPLICANT ADDRESS: (fir-6— r9'.te''-p°rr/ aJ , Y l l c til� SEPTIC CESSPOOL X DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Okkif(>w6' C e-S`rro l_ .-1400 14- L•.i t frt.-. 2- 4, 2i,, 4,1 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:/vw0., o,� e OWNER OF PROPERTY: s ,,.Q AL-I-IV, p4 ( LA(9io 4- ..0057-764" OWNER MAILING ADDRESS: p �. pj� 44 LA.0✓�L-1 - YE5 OWNER PROPERTY ADDRESS: 8©S Klo-r p04, (CwaUcQ 415%-v,c..e e ; A.1 • Y TELEPHONE NUMBER OF CONTACT PERSON: 4` 1 -1- / 2 2 TAX MAP NO. : Section Block 1 Lot I3 CROSS STREET : -Pe�or..r;L jA'.f U { vv'ii-�� BUILDING PERMIT NUMBER CROSS REFERENCE: Si nature o Applicant RECEIVED BY: - Townlerk's Office DATE: 'jam /57-9 c_.-, 80S— N • O A1Cw c)c.t' { fltix g1/40.40 I k �,,?Oati ?rote -4:7 _ ~ /44..i-NI W N t