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HomeMy WebLinkAboutHughes, Peter �,, OSUFFO( ELIZABETH A.NEVILLE •�`Z` GZ\ Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 y Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS % V' PPI ` �� Fax (516) 765-1823 MARRIAGE OFFICER ` 4. N• RECORDS MANAGEMENT OFFICER ��! 0 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. 1890 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : PETER J. HUGHES Address 1 : 845 COREY CREEK LANE City St Zip SOUTHOLD NY 11971 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 #R10-98-0048 Name Of Owner HUGHES, PETER AND EILEEN Mailing Address 1 845 COREY CREEK LANE City St Zip SOUTHOLD NY 11971 Property Address 1 HILL ROAD WEST City St Zip SOUTHOLD NY 11971 Tax Map No. section 63.00 block 7 lot 17.003 Cross Street WELLS AVENUE Building Permit Number Cross Reference: Issue Date: 7/10/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ��el %%FF04 /l��,0 - ELIZABETH A.NEVILLE t,g OA; ; Town Hall, 53095 Main Road TOWN CLERK ; p :4 % P.O. Box 1179 y Southold, New York 11971 REGISTRAR OF VITAL STATISTICS % . 1t1 Fax (516) 765-1823 MARRIAGE OFFICER ,%, y RECORDS MANAGEMENT OFFICER : 4'o 40 i I�� Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER S �. '1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 19, 1998 Transmitted herewith is a copy of application No. 1964 for a Cesspool/ Septic Tank Construction Permit submitted by: Peter J. Hughes 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 4/ DISAPPROVE Comments: Ag-na- - l. 1 "-)-- ip g Dated oma.OF THE TOWN CLERK ,.' Ffaire----... 16WN&SOUTHOLD s'� 5� QApplication.No. /9 4 EUZABEm A.NEVILLE.TOWN CLERK �, cf„, ► P.O.BOX 1179 % Construction L------SOUTHOLD,NEW YORK 11971 ; Alteration Telephone �yO,j' �0-i $10.00 - Residential (516) 765-1801 • --- i l �of'�� $25.00 -Non-Residential 4 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT i APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. , Fee .$ DATE • (07/?, I --( ,. APPLICANT NAME: f e 2 1L Xe_ APPLICANT ADDRESS: iS �^r LL .sic,64.t ka / ,' iv. Y // 711 SEPTIC • CESSPOOL ✓ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Si 4t.7 tam.- f%C.40c.i // & I/t i 7 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY : P,L--e i a` r< 1 e e -4 14. • /-�c,. lies s nn / OWNER MAILING ADDRESS: 17('-rCc ,r€ @eeeif- �- . , Y j OWNER PROPERTY ADDRESS: /. E TELEPHONE NUMBER OF CONTACT PERSON: 7t ,T40a/ . TAX MAP NO. : Section " 3 Block © 7 Lot / 7 o O 3 CROSS STREET: W-e (i A ✓ e <f- �7 t If teo c Jr--r f BUILDING PERMIT NUMBER CROSS REFERENCE: r ,, t,_, ,i,/ c2 / ,, ‘, Signa re of A./leant RECEIVED BY: ' lj�/' C' /Town Clerk's Office DATE: (e ( ( ( f S • } UIFFOLIt,UNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL OF CONSTRUCTIg ,`SINGLE FAMILY RESIDEN ONLY / )ATE ..—, i HS . -.NO. I A • D�1 APPROVED ' C' P �p/�CE' kN3 11 • FOR MAXIMUM OF :4, •• • OOMS .. _ :::.-1.:' EXPIRES THREE YEARS FROM DATE QP OVAL -/.,, •-- Akv. /c�S�o al h ~ , li , .. \ kc) , c-,.—' ,.,, ›.. © $ 4 � ki V� vs. .( : .- — w ti P,e6A ys in-ic,e !✓�/E� V . / •-z y / \a i -c GO E r h k l� o �L. -T 1 L $ ' . "r.-- . ri_ of ;.,_ '- roto LA 40 �` �6• N, _tI1. 1E4,� *G.` W614 i .,.�'���� °tom ` , z `�C�' `�� fir' `+ / V -A w369g Op hew VO - • �scrpr r-oc �/«//7/e., ,iFs A�vri�WJY W LEw�i✓�ws�1 , A0,069,4/4/8 tor•a * G'z ' sae �Ya e ,�„ac.0 v. ,rA4S,o/ i.. r recriyrY,A4 : rniecci,A i //Q'7 a- 4,0•.e`D:"S otTs7- ex ev,./e . 7 .r,-.✓�rtsvx/,vim-e,4eAct-Q0.aa 4, ,, .Y • • MAR 2 6 1998 • • �etrar/2R R l.0a Ui�B C`vias} �: rt:v-mt` y 1114.41LC•/veir Od