HomeMy WebLinkAboutKane, Joseph ofFOL '
JUDITH T.TERRY e < • Town Hall, 53095 Main Road
TOWN CLERK co3P.O. Box 1179
rrySouthold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER y O� Fax(516) 765-1823
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RECORDS MANAGEMENT OFFICER : .( * ,,• Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ..�� .0°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1447 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOSEPH KANE
Address 1 : 21 SOUTH END AVENUE
City St Zip NEW YORK NY 10280
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. #R10-95-0146
Name Of Owner KANE, JOSEPH
Mailing Address 1 21 SOUTH END AVENUE
City St Zip NEW YROK NY 10280
Property Address 1 3100 SOUND DRIVE
City St Zip GREENPORT NY 11944
Tax Map No. section 33.00 block 1 lot 8.000
Cross Street MOORE'S LANE NORTH
Building Permit Number Cross Reference:
Issue Date: 3/21/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ; o c % Town Hall,53095 Main Road
TOWN CLERK % ti Z % P.O. Box 1179
�1 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS1 Fax(516)765-1823
MARRIAGE OFFICER 9;fr aeo
RECORDS MANAGEMENT OFFICER VI jig *II1111/
Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER �...•, •i"
OFFICE OF THE TOWN CLERKi M
TOWN OF SOUTHOLD
MAR - 1
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office �,t 'DEFT
p Tn?arr4 OP CO/sY4011)
DATED: March 6, 1996
Transmitted herewith is a copy of application No. 154 for a Cesspool/
Septic Tank Construction Permit submitted by:
Joseph Kane •
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: 5-'�'t� ",�� - J z �, TS — c)/C`:
Signat e
Date/2 1
s
OFFICE OF THE TOWN CLERK ,. .
Town of Southold �,s" If purr r
_ Application No./JO �—
Judith T. Terry, Town Clerk �� % l/ f p
Town Hall, 53095 Main Road f 1 �_• .-7:-4, %
Construction
P. 0. Box 1179 ' ~
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'c
Southold, New York 11971 .i �; ;� iAlteration
Telephone .:%V° ' F.et $10.00 - Residential `�
(516) 765-1801 - .1 4' ' $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE •- e-,d .26 /99
APPLICANT NAME: �Q5.
,4 41--1/q n.e.....
APPLICANT ADDRESS: 21 --- oid/ 4 CI AU r,-
A/-44_J /1/C.4"6‘. Aly /028 a
SEPTIC CESSPOOL
DESCRIPTION OF PROPOS D CONSTRUCTION OR ALTERATION
u!il//1 iti iix.L_
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRU TION OR ALTERRATTI N:
OWNER OF PROPERTY : C 7 417e...
OWNER MAILING ADDRESS: Z / 5 I 6 a" /Ye
A/Pt-et,., yo eh, i /0 2Aa
OWNER PROPERTY ADDRESS: `
3�c�n .SG�/.� �rwe
Gv.e,/71oO,--/ , A/Y
TELEPHONE NUMBER OF CONTACT PERSON : 2/2 76C 0 6--(5Y
TAX MAP NO. :
Section 33 Block / Lot 8
CROSS STREET: ^ p 3„.--,-, Q___ ,p A�,,�
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BUILDING PERMIT NUMBER CROSS REFERENCE : ((
/ ilit.
rnatu 'e of App icant
RECEIVED BY : / / / ' 41
Town Clerk's Office
DATE:
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COUNTYDEPARTMENT OF HEALTH SERVICES
. 0.� SUFFOLK
t ' I ; F `110 Cli : FOR APPROVAL'OF CONSTOUCTION OF
F~ ' I '' , SINGLE FAMILY RESIDENCE ONLY
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,,,,,,. ..i.,•"'/ -- 1 •: --I ''' a - � �;,� DATE JAN 0 11 5. HS REF. '. 1 I i- - 4'0/V4 F
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g' $ ao> 9 ��r APPROVED a.A A .
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oG �y . EXPIRES THREE YEARS FROM DATE OF APPROVAL
Surveyed Dee. 10,1995
c.:) rL.� ROD RICK VAN TUYL.P.C,
•
LICENSED LAND SURVEYORS
~` GREENPORT NEW YORK
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