HomeMy WebLinkAboutFriedberg, F Paul (2) • �'4.gUFFO�
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ELIZABETH A.NEVILLE t°13-
°h3 �Gy��` Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS %%O 4•� Fax (516) 765-1823
MARRIAGE OFFICER . 4. X0.1 Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER 1
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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. 1862 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GENDOT ASSOCIATES INC.
Address 1 : P. 0. 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 #R10-98-0065
Name Of Owner FRIEDBERG, F. PAUL
Mailing Address 1 C/O GENDOT ASSOCIATES
P. 0. BOX 847
City St Zip WADING RIVER NY 11792
Property Address 1 SELAH LANA
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 9 lot 46.000
Cross Street COX NECK LANE
Building Permit Number Cross Reference:
Issue Date: 5/18/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE I,`Z` yam►��` ;T6.vn Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
y 2 % Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O Fax Fax(516) 765-1823
MARRIAGE OFFICER L # 1
RECORDS MANAGEMENT OFFICER : �l Telephone(516) 765-1800
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FREEDOM OF INFORMATION OFFICER4,0
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OFFICE OF THE: TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 13, 1998
Transmitted herewith is a copy of application No. 1 g 4 for a Cesspool/
Septic Tank Construction Permit submitted by:
GenDot Associates 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 recommendations:
APPROVE ✓
DISAPPROVE
Comments:
ignati
Dated sIitjilg
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off=OFME'MAN CLERK f SoUTRoLD *.t:c�Ost UL/( =1,' . •
TOWNApplication No/ 9 �_�
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a v"r'.c z .��,'' ';r,; Constri irtinn�
P.O.SOX 1174 � r.�� �` �� •� �
$OUTHOLb,i`EWYOR14119?: =, % 1,, ; % r" Alteration
, ' $10.00 Residential
Telephone "'_'rta1 . %iv-
(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 ..e
APPLICANT NAME: a'' ' 't ' / // G1& •
APPLICANT ADDRESS:,�le,- / Z --
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SEPTIC ICESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION _
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION CF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Z4.,_ 1-e}ii___
OWNER MAILING ADDRESS:_642_ p.µ
_1, ._..L. 1 7.0 _ • '1.171 v,►
OWNER PROPERTY ADDRESS: ".
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�vTELEPHONE NUMBER OF CONTACT PERSON:, 1�.�a_9 1� .._.--
TAX MAP NO. : Sections `6.4, Block_ et. Lot 110
CROSS STREET:_61.,i1,4e !W
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Sis (tore of Applicant
RECEIVED bY
Town Clerk's Office-
DAT E: _......__....
GREEK Ct'HURC H
WELI-
Received `
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COX NECK ROAD
JOB NO. 98- 154 FILE NO. WEST MILL
,,t O,roi'5 lv- 0,!AENSIONS) GU"AmNTEca ,hUiI.AICL hcnc...
,HOWN HEREON FROM THE SHALL RUN ONLY TO THE PERSON SURVEYED FOR
;TRUCTURES TO THE PROPERTY FOR WHOM THE SURVEY IS PRE-
!NES ARE POR A SPECIFIC FUR- PARED, AND ON INS BEHALF TO
'OSE AND USE AND THEREFORE THE TITLE COMPANY, GOVERNMEN- LOT NO. 4
\RE NOT INTENDED TO GUIDE THE TAL AGENCY AND LENDING NMI-
RECTION OF FENCES, RETAINING TUTION LISTED HEREON, AND TO MAP OF WEST MILL SUBDIVISION
Nµ15, POOLS, PATIOS, PLANTING THE ASSIGNEES OF THE LENDING
♦REAS, ADDITION TO BUILDINGS INSTITUTION. GUARANTEES ARE
T)WAMY OTHER CONSTRUCT DN NOT TRANSFERABLE TO ADDITIONAL SITUATED AT MATT I T UC K
INSTITUTIONS OR SUBSEQUENT
JNAUTHORIZED ALTERATION OR OWNERS.
ADDITION TO THIS SURVEY IS A TOWN OF SOUTHOLD- SUFFOLK COUNTY N.Y.
'IOLATTON OF SECTION 7201 OF COPIES OF THIS SURVEY MAP NOT
HE NEW YORK STATE FOUCATIO11 IBEARING NKED SEAL EORANb EP OSSSDY SEALSCALE 1" = 40' DATE 3 -25-1998
AW.
SHALL...NOTBE—CONSIDERED TO BE FILED MAP N0.9539 DATE 7- 20- 1994
GUARANTEE76,10e.st �1Qf NEW yTAX MAP NO. 1000-106-9- 46 (REF. ONLY) DISK 18(
S RAIv O�÷ —
. c'' HAROLD F. TRANCHON JR. P.C.
v LAND SURVEYOR
,....0-.. 1866 WADING RIVER-MANOR RD. WADING RIVER,
i F ��4�j2 c;' NEW YORK, 11792
HAROLD F. TRANC b NO 51� - LI O. 048992E 516-929-4695
PENN. LIC. NO. 21115-E