HomeMy WebLinkAboutHaurus, Barbara { o,O��S�FFO(,�C
JUDITH T.TERRY is_ftt Town Hall, 53095 Main Road
TOWN CLERK ; y • P.O. Box 1179
• 00 P.P7i Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER y� ��/ Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER : �l `�►a �� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER •Pa
•, ���•'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1540 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS
BUILDINGS, AND PROPERTY LINES. EXCAVATION INSPECTION REQUIRED.
Name Of Owner HAURUS, BARBARA
Mailing Address 1 25025 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 24975 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 1 lot 21 .000
Cross Street ALVAHS LANE
Building Permit Number Cross Reference:
Issue Date: 9/16/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
G �
JUDITH T.TERRY ���_� yt Town Hall, 53095 Main Road
TOWN CLERK y = P.O. Box 1179
T $ Southold,New York 11971
REGISTRAR OF VITAL STATISTICS �Oy ��� Fax(516) 765-1823
MARRIAGE OFFICER '=40 0��ii� Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER _ 1 �`
FREEDOM OF INFORMATION OFFICER ,01
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: September 10, 1996
Transmitted herewith is a copy of application No. A1606 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool Service for Barbara Haurus •
Please review the application and location map and advise if this office may
issue the permit.
Please complete the form below and return it to this office.
Thank you.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the foll� recommendation:
APPROVE
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
;�f� ,
Signatur• iJ
Date/V9,4
91
OFFICE OF THE TOWN CLERK ,,,
Town of Southold
Judith T. Terry, Town Clerk � Application No./4/6
Town Hall, 53095 Main Road44 It+ Construction
P. O. Box 1179 k../;
Southold, New York 11971 a + Alteration
Tele hone #,' $10.00 —Residential ,,7
(516) 765-1801 4It ,
0
�' $25.00 -Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
/ 9,9yr APPLICATION
%% /9 Artift/fAA for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ n
DATE &0015-4e /p /29G
APPLICANT NAME: Ae/1 S T ill s 41 I
APPLICANT ADDRESS: 2 ?‘
SEPTIC CESSPOt
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: APArhiQ,A9 i _a
OWNER MAILING ADDRESS: , rM 25'n 2.5" /i7 z,,'4
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /(,) g Block / Lot •e/
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE: 0,014-A-3
Signature of Applicant
RECEIVED BY: 46
Town lerk's Office
DATE: V/D7 4(
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