HomeMy WebLinkAboutFriedberg, F Paul _ow MI
ELIZABETH A.NEVILLE , Town Hall, 53095 Main Road
TOWN CLERK • -� P.O. Box 1179
Southold, New York 11971
Pri
REGISTRAR OF VITAL STATISTICS %%‘411- # Fax (516) 765-1823
MARRIAGE OFFICER : 4'
RECORDS MANAGEMENT OFFICER -- ol ��� o�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1830 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GENDOT ASSOCIATES INC.
Address 1 : P. O. BOX 847
City St Zip WADING RIVER NY 11792
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 #R10-96-0081
Name Of Owner FRIEDBERG, F. PAUL
Mailing Address 1 1000 SPRINGS FIREPLACE ROAD
City St Zip EAST MARION NY 11939
Property Address 1 SELAH LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 9 lot 4.005
Cross Street COX NECK ROAD
Building Permit Number Cross Reference:
„ a/7,2.4_
Issue Date: 3/26/98 E izabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
���or MI
• ,� OFFOt�c
ELIZABETH A.NEVILLE Is 1 % �t; Town Hall, 53095 Main Road
TOWN CLERK ; p e - . P.O. Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • V'
O • Fax (516) 765-1823
MARRIAGE OFFICER : 1i ��
RECORDS MANAGEMENT OFFICER : �gl * 0,,� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER � ,a"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 25, 1998
Transmitted herewith is a copy of application No. 1903 for a Cesspool/
Septic Tank Construction Permit submitted by:
Gendot Assotictes Inc. for F. Paul Friedberg
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 recom ndations:
APPROVE
DISAPPROVE
Comments:
- uL�
Signat e
Dated
• OFFICE OF THE TOWN CLERK ,so"" •
Town of Southold ��''�`',FV()Lir1
Judith T. Terry, Town Clerk to %� vl/ Application No. /9,3
Town Hall, 53095 Main Road ��� ". �'
P. O. Box 1179 ' `• ' Construction
Southold,
New York 11971rT1c �•' Alteration i
Telephone O,y'�� t root $10.00 - Residential
(516) 765-1801 1 4 I • $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
d
DATE �j 7
APPLICANT NAME: GCA% C� JJ
APPLICANT ADDRESS: "11', ,t` "r f q 7
r A4 iiiisY. //79 --.
SEPTIC ;I CESSPOOL t./
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �, / 2
OWNER MAILING ADDRESS: /4; 140-07 ./,•,' Gam=
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OWNER PROPERTY ADDRESS:,)�� - .1, ' ee,4 geljel
TELEPHONE NUMBER OF CONTACT PERSON: L5-1‘ ' 9;e9V #/310
TAX MAP NO. : Section M (o _ Block 9 Lot `7" J
CROSS STREET: % .
BUILDING PERMIT NUMBER CROSS REFERENCE:
�Z / IfIt-fe-"I-e-J>--
Si Fature of Applicant
RECEIVED BY : 1�.CL is----
To n Clerk's Office
DATE: /2 ci /CIJ
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NOTES:
l< Guarantees Wielded hereon shr,
arty to the person for vMom the r.,
1.LOT WO'S,.„REFER TO,6/g1"5 .1`..4 1.1 SUBD IV I S I ON - PRO PeR Tv •
.1 bs prepared.and on his behalf to•
. _ tale company.oovenvnental arc
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2 'unclog insist/Om listed hereon a, ,
HAP OF' PRO P E r21"Y su-gv_ t _____,___ED Ma' OWL. rat CC00E12C7 FI LED 1 N THE,
r r 0 to the cssijnees cf the lending 0 1
SUFF.C_,.,_t?, _ ,- •ME AS KO' NO,5 31 ... tut:on Gua-an::::n are not(met(
SUI?VEYE 0 FOR 2•014170.4.0 12151:02.irI MEANS, EAi Levet,t.tc!V.P, (A to add•t“-.nal insi+Z.Itons of Subie
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