HomeMy WebLinkAboutBrodies, Harold ow.0"•
0111 OFFat A�0
ELIZABETH A.NEVILLE 41/4. *_-�N Town Hall, 53095 Main Road
TOWN CLERK ; ti P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ‘‘% . Y• Fax (516) 765-1823
MARRIAGE OFFICER :‘y
RECORDS MANAGEMENT OFFICER *�l �� � 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. 1853 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
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 BRODIES, HAROLD
Mailing Address 1 435 EASTWOOD COURT
City St Zip MATTITUCK NY 11952
Property Address 1 435 EASTWOOD COURT
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 7 lot 9.000
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 4/29/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
► � �� iii �
ElphdETH A.NEVILLE 1' 0G.f��� Town Hall, 53095 Main Road
TOWN CLERKt1'11
,�`1p -4 P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % Fax Fax (516) 765-1823
MARRIAGE OFFICER L- 444� sol
1 Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER 0 d 11
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 28, 1998
Transmitted herewith is a copy of application No. 1927 for a Cesspool/
Septic Tank Construction Permit submitted by:
Morris Cesspool for Harold Brodies
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following
rec mmendations:
APPROVE
DISAPPROVE
Comments:
S'gnature
q
Dated �� K 5 S
.
,. OmCB OF THE TOWN CLERK I O 4
TOWN orsoursow `1•'w1 - Application`
E,iznssrH A.NBvtttB.TOWN CURE
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 + Alteration /—
Telephone = ' ra, �/ $10.00 - Residential
(516) 765-1801 '
$25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE ,„.?d /PP8
APPLICANT NAME: mieeJ
APPLICANT ADDRESS: 2?'i 1 J41/f� eo-tj`j2,?
i 4sJ�.e
SEPTIC CESSPOOL. .
DESCRIPTION OF ROPOSED CONSTRUCTION OR ALTERATION
r/17e1 •
LOCATION MAP: Must be attached hereto before Permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /74a &Dr',is
OWNER MAILING ADDRESS: L
3� �l�S�rcepoo40 c7`
OWNER ..PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 7e( ,.73c9-0
TAX MAP NO. : Section /J5 Block 7 Lot 9
CROSS STREET: grk -ts4-- 0:r
BUILDING PERMIT NUMBER CROSS REFERENCE:
lY1)64 `,14
Signature of Applicant
RECEIVED BY:
rk s Office
DATE: L./l 1-- J ,
1 ►
*kir. 6}_eg)
. 21:
--/Ai-Wfiatelele--x5r4)pe)c0 er