HomeMy WebLinkAboutKerr & Greissman OFF04
JUDITH T.TERRY ,1� t‘• Town Hall, 53095 Main Road
TOWN CLERK ; y P. O. Box 1179
i• • Southold, New York 11971
REGISTRAR OF VITAL STATISTICS %%%°41
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MARRIAGE OFFICER ��1/ Fax (516) 765-1823
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RECORDS MANAGEMENT OFFICER O.( `1►k X11 Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER `/•fi• g
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1776 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CATHERINE MESIANO
Address 1 : 12 MILL POND LANE
City St Zip EAST MORICHES NY 11940
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 #R10-08-0171
Name Of Owner KERR & GREISSMAN
Mailing Address 1 (MANNING & FRIESEN - CONTRACT
VENDEE)
City St Zip 0000
Property Address 1 ORCHARD STRRET
City St Zip ORIENT NY 11957
Tax Map No. section 27.00 block 3 lot 3.002
Cross Street KING STREET
Building Permit Number Cross Reference:
Issue Date: 12/08/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ���_� Town Hall, 53095 Main Road
TOWN CLERK
1=1
= P.O. Box 1179
�'�� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ;
1. �1 Fax(516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER l 'T►a,d. Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ,•��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 2, 1997
Transmitted herewith is a copy of application No. 1850 for a Cesspool/
Septic Tank Construction Permit submitted by:
Catherine Mesiano for Ed Manning & Jane Friesen (contract vendee)
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 reco mendations:
APPROVE
DISAPPROVE
Comments:
RECEIVED
Q EC ; 1997 •
nature
Southold Town Clerk / 2.. /ci -7
Dated
OFFICE OF THE TOWN .CLERK ,i" '.'—'
Town of Southold �,�'1, \FF
Town Clerk
Judith T. Terry, �� 5
Cil/ Application No. 4.
; �;
Town Hall, 53095 Main Road ;; :41 Construction c�
P. O. Box 1179
Southold, New York 11971 :171 Alteration_-----��--
Telephone ,r O ��'� $10.00 - Residential
(516) 765-1801 -y�l ��
$25.00 - Non-Residential ,
r /
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 62.1.0._'97 - --- —
/• CO n4 r4 c.t
APPLICANT NAME:
APPLICANT ADDRESS: mat ciol.,Q
E. nil - Vt_S I 0 -b
SEPTIC X CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Sox 4v
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : Vex,- Com. f t�srr,�.�_
--
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: 51 QRcHA-Lb S-T. 15562 twAlK sf,
TELEPHONE NUMBER OF CONTACT PERSON: e _1?- .r 395/
TAX MAP NO. : Section 0/1 Block 3 Lot 3 .,Y
CROSS STREET: crrc, Sr • , _
BUILDING PERMIT NUMBER CROSS REFERENCE:
2cLl��vws, `_
Signature of Applicant
RECEIVED BY: RECEIVED
Town Clerk's Offic
DATE: DEC 1997
Southold Town Clerk
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U ATFI0R2ED ALTERATION OR ADOTTION
i'.: TO THIS SURVEY IS A VIOLATION OF
• �ATION 0OF THE NEW YORK STATE
` SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ;pPIEs OF '11#5.SURVEY IAN; NOT BEARING
-
• NNE'1AND SURVEYOR'S INKED.SEAL OR
+ 3ABOSSED SEAL SNAIL NOT BE CONSIDERED
PERI T FOR APPROVAL OF CO UC flON FOR A - 1.3 BE A,VALID TRUE COPY: •
Sat E x . '"► 14N' ONLY icai s-IridcAtEa` eriEaN N .SHAM. RUN
4 MY TO THE PERSON FOR WHOW:THE SURVEY
DATE ///2. (o 97- I ;CT. , 7
. i fa"' -a/ s PI EPAREO• ANp oN HIS.BEHALF TD THE
rm:E caMPANY, covE�Ei+TAI AOEI+c�r A!D
,w, �s • .ENDING LISTED HEREON: Mer
APPROVED :,ii.„4/P, d .JO-THE �OF THE LENDING I NSfl
} minor( CERTIF .AT10N4 ARE NOT TRANSFERABLE.
- � FOR MAXIMUM CP 3 BEDROOMS .,r:.
A i ANCE..Of,RRaR OF WAYS
• EXPIRES THREE YEARS FROM DATE OF APPROVAL
� ,; AND OR'•t:'ASEMENTS OF,RECORD,.�'. • ,
SHOWN ARE NOT CUARA/REED.
•
-,,Friecto----m--)14 ACCORDANCE WITH THE MINIMUM
aifMRCS FOR TILE-SURVEYS AS ESTABLISHED .a
AND APPROVED AND ADOPTED Jos A,i .in no _
- • USE _ .
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Tee/ Land .
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�'�; Title Surveys .Subdivv1Qna -- S1te Plans i- }Construction
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•'. if PHONE (516)727-2090 • - fax (516)7225093
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P OFFlCES LOCATED AT. , t+fAIL NC S
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