HomeMy WebLinkAboutMilo, Lou -
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JUDITH T.TERRY �� � y< Town Hall, 53095 Main Road
TOWN CLERK t 4 P.O. Box 1179
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Southold, New York 11971
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REGISTRAR OF VITAL STATISTICS � �, Fax(516) 765-1823
MARRIAGE OFFICER aO�(1
RECORDS MANAGEMENT OFFICER �.( '►01 1 Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICERS ••��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1434 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LAWRENCE GORMAN
Address 1 : 225 SUNSET AVENUE
City St Zip MATTITUCK NY 11952
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. #51-3-3.2
Name Of Owner MILO, LOU
Mailing Address 1 465 MARCELLUS ROAD
City St Zip MINEOLA NY 0000
Property Address 1 CHABLIS PATH
(LOT 2)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 51 .00 block 3 lot 3.002
Cross Street SOUNDVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 1/10/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ; C Town Hall,53095 Main Road
TOWN CLERK ti Z ; P.O.Box 1179
�� *-$ Southold,New York 11971
-
REGISTRAR OF VITAL STATISTICS � 4' g Fax(516)765-1823
RECORDS MANAGEMENT OFFICER
MARRIAGE OFFICER ��1 * a��ii i$� Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER i•"
OFFICE OF THE TOWN CLERK /ij r - 0
TOWN OF SOUTHOLD
JAN — 91996
TO: Southold Town Building Department
T.
FROM: Linda J. Cooper, Southold Town Clerk's Office ,-� O -
{� WNN OOF F SOl9THpf r_.
DATED: January 5, 1996
Transmitted herewith is a copy of application No. 1 490 for a Cesspool/
Septic Tank Construction Permit submitted by:
Lawrence Gorman •
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: %����" SC 3/_3 a-
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OFFICE OF THE TOWN CLERK 00 "r'•••.,
Town of Southold �'•'1',C,�IfOtA C'U Application
Judith T. Terry, Town Clerk • - l/ PP No./ SYG
Town Hall, 53095 Main Road ,�• .• +t. •y�: Construction
P. 0. Box 1179 .: ti
Southold, New York 11971 `,'.• . yc$ Alteration
Telephone "...‘V .� �_'o $10.00 - Residential
(516) 765-1801 -1-... (J l '; ' $25.00 - Non-Residential
• �_ . _ I
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE / - 96
APPLICANT NAME: Lel-khe-e:Ve. C3 Ce/t...t.4.4.)
APPLICANT ADDRESS: 0 a6---- cas4.,
• / 14i777 Z,c( , xf, , 71, 4'5--
SEPTIC
lS5jSEPTIC CESSPOOL 14,
DESCRIPTIONESOF PROPOSED CONST : UCTION OR ALTERATION /V/q/
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PRVOSED CONSTR CTION OR ALTERATION:
OWNER OF PROPERTY: tL /�f9'i
t,40
OWNER MAILING ADDRESS: 4.6.;" Aig.44ez",,,e,444•5 4
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OWNER PROPERTY ADDRESS: r V (�.��i�.7-,z./$' ;�
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4,7,2.,
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TELEPHONE NUMBER OF CONTACT PERSON: 676-, cal�C� • 3/
TAX MAP NO. : Section �j7 Block 3 Lot 34 o
CROSS STREET: _ .� _ \ V I
BUILDING PERMIT NUMBER CROSS REFERENCE:
nature of Applicant
i
RECEIVED BY : / A -C
Town Clerk's Office
DATE: 5/9/�
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Date; C:I' ? 0 14115 H.S., Ref,No 1 5 I 0- 9 °/V 1 112111.
OCC RES, OCC. RES,
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SINLIE FAMILY CELLNG 0 (WELL) (WELL) ---,
-.-`,.cPtriE!..3 THREE YEARS FRlkil DATE OF APPROVAL
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PROPOSED HOUSE -17'
56 ----1" 500' LOCATION , Co
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..3$ FF 38,0
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Area or Plot 40,000 S.F.
SPgE Prop. 1st Floor 2,312 S.F.
OPE
Prop. 2nd Floor 2,312 S.F.N Prop. Basement 2,312 S.F.
Prop. Garage NONE
. Assumed Datum MOOD 1929
.
There are no surface waters within
300 feet of this parcel.
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