HomeMy WebLinkAboutEdson, Lewis ,I�,�o\O$UFFO�,tC0
ELIZABETH A.NEVII.LE � y` Town Hall, 53095 Main Road
TOWN CLERK ; p 1 P.O. Box 1179
y Z t Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
%,10 PP/ 1 Fax(516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER ".#1*
1i��l #9.11. , 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. 1792 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : STEPHEN TETTELBACH
Address 1 : 134 MORICHES AVENUE
City St Zip MASTIC NY 11950
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 #R10-97-0186
Name Of Owner EDSON, LEWIS
Mailing Address 1 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 CROWN LAND LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 102.00 block 7 lot 9.000
Cross Street SPUR ROAD
Building Permit Number Cross Reference:
Issue Date: 1/12/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
cow"PO / 77;L _
01StFFO�,�c
ELIZABETH A.NEVILLE ��`1Q y� Town Hall, 53095 Main Road
TOWN CLERK p . P.O.Box 1179
ti Z Southold, New York 11971
riv
REGISTRAR OF VITAL STATISTICS Fax 0 Fax(516) 765-1823
MARRIAGE OFFICER
'O! �aQ,0 Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER II���
�•.. woo
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 7, 1998
Transmitted herewith is a copy of application No. 1866 for a Cesspool/
Septic Tank Construction Permit submitted by:
Stephen Tettelbach (Lewis Edson - owner)
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.
4t4L4 -
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following rec mendations:
P M1
AP ROVE
DISAPPROVE
Comments:
RECEIVED
JAN 3 1998
S' natur
5°`A'‘'"
Southold Town Clerk t. ` g 19
Dated
its/mutt
UI:l:lCIi OF THE TOWN CLERK CI\VrOtit"„ •
Town of Southold
Application Flo.
ludit14, T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
tnTJ
P. 0. flux 1179 e Alteration
Southold, New York 11971 - 14/ •
Telephone °I 44 di( • • Residential
(516) 765- 1001
Non -Residential. . .
TOWN OF sounioLD
•
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
tor
CONSTRUCT ION or ALT ER AT ION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit
Fee, $
DATEti
APPLICANT NAME: -S4CfiNt lt1/2442-160.1‘
APPLICANT ADDRESS: 13({ tAoirtda-C.......ASK&
SEPT CX CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERA.TION
(Sw•IA/ itetfoge. — SA,Pktlf
_ .
LOCATION MAP: Must he attached hereto helore permit may be Issued.
•
LOCATION OF PROPOSED CONS 1.RUC ION OR A LT ERA T ION :
44vity ow(ha-t cvre-tet-b Wiatet
OWNER OF PROPER TY :. .......5.4...4.00,•ArtisAt.. .7tcAtA,g,kkri,„
1.41441k
OWNER MAILING ADDRESS: j3c.k. itt‘^
Wis5/.0 ...5C.V.449. NV Will
OWNER PROPERTY ADDRESS :
TELEPHONE N UMBER OF CONTACT PER SON :57.i..G2.77:31...‹ : ilsh_ts•-.1.444,.:reAtiktd#
FAX MAI' NO. : Section 1012.. Block Lot
CROSS. STREET :
BUILDING PERMIT NUMBER CROSS REFERENCE :
•
• tire )1Tcant
RECEIVED BY
/ Town Clerk's Oflice
DATE •
7
•
•
. .. ..-
....:
X/ 7.aFu4404pTo
li
\ N,_ :
o�16'/2'2OE8v3✓ .rrt� c tir.._. � ti.
." , .��.
knertt
�- � r71i/' ^
_
/B/.77' j F'. 4�K��c;�'r' V E'� ^�'MS
-
p. ` r PIm.."'�'t'rIFM:?MARS;FROM DATE.or AsipRovAL
11 tv
N• /Z /3
.11
ft
•.W.driL
•we-4.t. •
`
I
i
6a
:k............. ±...._.......... X\
lel
4141
7 N .q‘------ ,,,., A6°''e il t\.)
O
0
ocE p
/e95-171
X52• /
Av
'u dile• - ty , �DW/V L `+s�0 uNO+` y:
r
DEC 18 `� y�- *'Is '��,
199 v t- o •<
,, qtyjath / Z �� p
11
:s v,��.1rer/tw .v rII/ P TrEGBAGy vIll c
/Z�i10G1PQ��.CO/f/NLANDG9 �1�gpt`�Zd9 \ Os NEw Y"'A
»drv'eareamee.o;.brrwaF w' AYY. ,4JT•r/G.vy y!/•LEX/.QiYOoivski'
I \ 140147 Meyer/ac