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Home My WebLink AboutBerkoski,Stanley ��,� FOL 4, -_,_ OTS, ELIZABETH A. NEVILLE 'h`Z` Gym Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 ti Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS v' ` Fax (516) 765-1823 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER �� Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER , Qzrr. OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1808 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : CARY TABOR Address 1 : 680 NAVY STREET City St Zip ORIENT NY 11957 Descripton of Proposed Construction or Alteration ADDITION OF CESSPOOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner BERKOSKI, STANLEY Mailing Address 1 43545 ROUTE 25 City St Zip PECONIC NY 11958 Property Address 1 43545 ROUTE 25 City St Zip PECONIC NY 11958 Tax Map No. section 75.00 block 1 lot 19.000 Cross Street PECONIC LANE Building Permit Number Cross Reference: Issue Date: 2/11/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 6-d k 0° \,°S�fFO14-co. G. ELIZABETH A.NEVILLE �•�`1` yam►�` Town Hall, 53095 Main Road TOWN CLERK : p -� % P.O. Box 1179 2 % Southold, New York 11971 REGISTRAR OF VITAL STATISTICS , Fax�'�1 Fax(516) 765-1823 MARRIAGE OFFICER :: V - r1 RECORDS MANAGEMENT OFFICER : �Rl ��..' Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER if- OFFICE OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: February 9, 1998 Transmitted herewith is a copy of application No. 1882 for an ALTERATION PERMIT for a cesspool or septic system submitted by Gary Tabor for Stanley Berkoski . 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. _ 146Clee Linda J. Cooper * * * * * * * * * * * * * I have reviewed the application and location map of the project listed above and make the following recommendation: APPROVE - 17"- DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. . -..?3-C"...".../.....4.-4...-A-"------, gnature 4- 1c / cq Date OFFICE OF THE TOWN CLERK iso" Town of Southold .10. �FFD(K`' Judith T. Terry, Town Clerk �� OG� Application No. Town Hall, 53095 Main Road Z :GI Construction Vic. P. O. Box 1179 Southold, New York 11971 tt� Alteration v _ Telephone �y0,j� .�� 1 , $10.00 - Residential. v4__ (516) 765-1801 : �l 4 ,, $25.00 - Non-Residential ,I • -. TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE -� 7 p APPLICANT NAME: y 2 10. Q c`° -- APPLICANT ADDRESS: 19 0 �' S ��_ ' v 7 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION : OWNER OF PROPERTY : ,.. c 1 !9 l+•,r'�4+i �C" Y' )1 D OWNER MAILING ADDRESS: ,r`�jQ C' Tom, OWNER PROPERTY ADDRESS: <`S .✓'�'t TELEPHONE NUMBER OF CONTACT PERSON: 3 c" ' v- 64 7 TAX MAP NO. : Section 7 5 Block / Lot ) CROSS STREET: 1` ' C_ BUILDING PERMIT NUMBER CROSS REFERENCE: 7gnature of Applicant RECEIVED BY : � Town Clerk's OTtci e DATE: (:) /-? X • • ♦ a1 &Z..?, -7'6-4rpeeP c-G�'7, G 0© ) `may' © ,,vw fo 0 J iFo )42 cji.