HomeMy WebLinkAboutMilner, Fred 10 OOOOOOOOOO
r I� Town Hall, 53095 Main Road
�- P.O. Box 1179
.0/� Southold, New York 11971
JUDITH T.TERRY ; �i�0° TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1737 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : FRED AND MARY MILNER
Address 1 : 870 BRAY AVNEUE
City St Zip LAUREL NY 11948
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 #R10-96-0097
Name Of Owner MILNER, FRED AND MARY
Mailing Address 1 870 BRAY AVENUE
City St Zip LAUREL NY 11948
Property Address 1 WHITE EAGLE DRIVE
GOLDEN VIEW ESTATES LOT 22
City St Zip LAUREL NY 11948
Tax Map No. section 127.00 block 9 lot 22.000
Cross Street CONDOR COURT
Building Permit Number Cross Reference:
Issue Date: 9/29/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY �t�_� 'fes`� Town Hall, 53095 Main Road
TOWN CLERK ; y 2 P.O. Box 1179
t v. n, t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS . Gy ����1, Fax(516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER `-. O.( 4 .040.�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER .0 , •
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 26, 1997
Transmitted herewith is a copy of application No. 1811 for a Cesspool/
Septic Tank Construction Permit submitted by:
Fred and Mary Milner
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.
44--'14-61.4.--
Linda
im- ' "'Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following rec mmendations:
APPROVE
DISAPPROVE
Comments:
gnatur ` // ci
Dated
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.., liFFICIF S. OTHE TOWN CLERK P. c.311111.4e,
' Town or soothow V ""'* *_....k.
Application 141-.77
Judith r. Terry, Town Clerk P-,•,' ' '" ' -.04' .
Town Heil, 53095 Main Road , :. -17.- 4 .
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1). 0. Box 1179 , I
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Alteration
Southold, tlew York 11911 •Cee:dk*,--aliipp, ts.. .
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Telephone . "0 * ‘ktif . • Residential
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(516) 765-- 1001 Non •Residential.... ... __. . .
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TOWN OF sooTHoLo
souTmot..o WASTEWATER DISPOSAL DISTRICT
. APPLICATION
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CONSTRUCT ION or ALT ER AT ION PERMIT
. , . SEPT IC TANK or CESSPOOL
Permit No, •
Fee $
DATE ) C.) ..q 11
APPLICANT
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APPLICANT ADDRESS: 1O c-- \.)
____..........hatAri YU (-1
sErncc) CESSPOOL !U
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• DESCRIPTION OF p1301N3OSED CON --rityCTION OR nun:RATION
LOCATION MAP: Must be attached hereto before permit may be Issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : 1--/A-eJ A.- Vkik arc\
OWNER MAILING ADDRESS: SI 0 ". (-Y., A.J _.1U -tA
OWNER PROPERTY ADDRESS: COVO,40 Vi,s-e•AAY C. *" -e...,5..
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TELEPHONE NUMBER OF CONTACT PERSON: oct&- “s-av
TAX MAP NO. : Section ) .,..-7 111.:k 1 Lot Jia.
CROSS STREET: 10D\IVe--
BUILDING PERMIT NUMBER CROSS REFERENCE. :.................. ....._________ _ _ ........ . . . ,:,
191(1.........
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sVIT'J 11\114 '
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RECEIVED BY : "IICIMMVIO '
siii-a4,0 eieric's Office
1997
DATE :
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SUFFOLK CO. HEALTH DEPT. APPROVAL
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, PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
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