HomeMy WebLinkAboutNoble, Joseph °
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JUDITH T.TERRY ��� 'y ��
� � Town Hall, 53095 Main Road
TOWN CLERK ; y 2 P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS O �1
MARRIAGE OFFICER `‘ y % �1 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER ;'Q( **se"
*se l� Fax
(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. 1615 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : EAST ISLE CUSTOM BUILDERS, INC
Address 1 : 278 JAMAICA AVENUE
City St Zip MEDFORD NY 11763
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. SCHD REF. #R10-97-0005
Name Of Owner NOBLE, JOSEPH & CAMILLE
Mailing Address 1 C/O BUILDER
278 JAMAICA AVENUE
City St Zip MEDFORD NY 11763
Property Address 1 WELLS ROAD
City St Zip LAUREL NY 11948
Tax Map No. section 126.00 block 9 lot 3.000
Cross Street ALBO DRIVE
Building Permit Number Cross Reference:
Issue Date: 3/20/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ��ifOff' *A Town Hall, 53095 Main Road
TOWN CLERK y Z P.O. Box 1179
rft � Southold,New York 11971
REGISTRAR OF VITAL STATISTICS `
MARRIAGE OFFICER ` 0N./� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER O! jigg `1►a 0 Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ,01°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 21 , 1997
Transmitted herewith is a copy of application No. 1673 for a Cesspool/
Septic Tank Construction Permit submitted by:
East Isle Custom Builders for Harkoff/Noble .
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 r/
DISAPPROVE
Comments:
RECEIVED
MAR 2 ') 1997 gnatur / `
Southold Town C rnf.
Dated J3/ /1/�
N.
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OFFICE OF THE TOWN CLERK ,C��`FOL,Ai''-
Town of Southolds . CQ ' Application No. /6 73
Judith T. Terry, Town Clerk .` Gy
Town Hall, 53095 Main Road a ;� $10.00 - Residential
P. O. Box 1179 En AR; $25.00 - Non-Residential
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Southold, New York 11971 ' ��`
Telephone �,� * øi ' ;iE t5nUM
(516) 765-1801 '- 3
FEB 2 01997
TOWN OF SOUTHOLD
BLDG' -)P
SOUTHOLD WASTEWATER DISPOSAL DISTR.ICTr`= .*'
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ 10
DATE January 21, 1997
OWNER NAME: Doris Harkoff (will be Joseph & Camille Noble)
OWNER MAILING ADDRESS: c/o Builder - 278 Jamaica Ave. , Medford, NY 11763
OWNER PROPERTY ADDRESS: e/s Wells Road
Lain-poi NY
OWNER TELEPHONE NUMBER: c/o builder 516-727-6023
TAX MAP NO. : Section 126 Block 9 Lot 3
CROSS STREET: 200' s/o Albo Drive
TYPE OF SYSTEM: Septic Tank New X Existing
Cesspool New x Existing
Residential X Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
! ‘ /
Sig TT�VA.02.4,
��' :` • pplicant
Richard Op•-• `. o, President
EAST ISLE I •. BUILDERS, INC.
RECEIVED BY:
Town Clerk's Office
DATE:
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