HomeMy WebLinkAboutFessman, Linda C
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JUDITH T.TERRY �� y1 Town Hall, 53095 Main Road
TOWN CLERK ; ti x P.O. Box 1179
1� Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
Fax(516) 765-1823
MARRIAGE OFFICER ` � N� '
RECORDS MANAGEMENT OFFICER �l -NY
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. 1521 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : EAST ISLE CUSTOM BUILDERS
Address 1 : 278 JAMAICA AVNEUE
City St Zip MEDFORD NY 11763
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-96-0066
Name Of Owner FESSMAN, LINDA
Mailing Address 1 C/O EAST ISLE CUSTOM BUILDERS
278 JAMAICA AVENUE
City St Zip MEDFORD NY 11763
Property Address 1 CARDINAL DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 6 lot 1 .000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 8/12/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ' y1 ; Town Hall, 53095 Main Road
TOWN CLERK y Z % P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(516)765-1823
MARRIAGE OFFICER � O)* of
RECORDS MANAGEMENT OFFICER * `*1.1" Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER - ,s"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 5, 1996
Transmitted herewith is a copy of application No. 1587 for a Cesspool/
Septic Tank Construction Permit submitted by:
East Isle Custom Builders for Linda Fessman
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.
44,1,0,c/
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE (�
DISAPPROVE
Comments: p-efi-Lry„2,./„€„-frn (5--C/4/O p _ In s
Signatu e
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v'. t
t , • a
OFFICE OF THE TOWN CLERK VFO(,rC /Z 7
Town of Southold �� QtAC.1)
';, Application No.
Judith T. Terry, Town Clerk .Town Hall, 53095 Main Road •
$10.00 - Residential
P. 0. Box 1179 cn : $25.00 - Non-Residential
Southold, New York 11971O`0 *.$
Telephone .( i `ge '"
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATEFf DISPOSAL DISTRICT
APPLICATION
for
CONSrtacl /49/44)
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ tO
DATE July 31, 1996
OWNER NAME: Linda Fessman
etei Sr /SLE GuSreen $uf�Pez,5
OWNER MAILING ADDRESS: c/o 278 Jamaica Avenue,
Mcdford, NY 11763
PROPERTY ADDRESS: n/s Cardinal Drive _
Mattituck, NY
OWNER TELEPHONE NUMBER: unknown
TAX MAP NO. : Section 115 Block 6 Lotl
CROSS STREET: Main Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New X Existing
Residential X Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
A / of distance, approximately, to building and closest road.)
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Sign• re o :Tr"
Richard Op": -ano, President
RECEIVED BY:
Town Clerk's Office
DATE:
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