HomeMy WebLinkAboutCallahan, Gail „iH
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ELIZABETH A.NEVILLE
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4 �� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � Fax (516) 765-1823
MARRIAGE OFFICER :� 4i 1
RECORDS MANAGEMENT OFFICER : *0j ��0 /�/ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER W 0.1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1840 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : STEPHEN & CAROL O'CONNOR
Address 1 : 1425 SKUNK LANE
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-98-0027
Name Of Owner CALLAHAN, GAIL
Mailing Address 1 82 PORTLAND ROAD
City St Zip SUMMIT NY 7901
Property Address 1 1195 SHIPS DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 3 lot 36.000
Cross Street NORTH BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 4/16/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE
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TOWN CLERK 4 P.O. Box 1179
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c4 = Southold,New York 11971
REGISTRAR OF VITAL STATISTICS V' �'� Fax (516) 765-1823
MARRIAGE OFFICER LOyO ���1 Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER '
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 9, 1998
Transmitted herewith is a copy of application No. 1914 for a Cesspool/
Septic Tank Construction Permit submitted by:
Stephen & Carol O'Connor for GAil Callahan •
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 recommendations:
APPROVE
DISAPPROVE
Comments:
L Sign re
• - 1998 Dated
BLDG.DEPT P,t1
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(516) 765- 1801 ~' Non Residential
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APPLICANT
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LOCATION MN`: Must be attached hereto before permit way be Issued.
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LOCATION OF PROPOSED CONST RUC OR[ /\L0�ION [B� ION: ((�^
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OWNER MAILING ADDRESS: -0-- .__ _
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TELEPHONE NUMBER OF ( )NT/\C|. PERSON :
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RECEIVED BY : / 0/ / ~=
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DATE : '1>//it/ _ •
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