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EItIZABETH A.NEVILLE ,``tom y � Town Hall, 53095 Main Road
TOWN CLERK �, p 1 P.O. Box 1179
y Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS I Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER % 01 4 **p���� Telephone(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. 1885 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JAMES E. FITZGERALD
Address 1 : P. O. BOX 617
City St Zip CUTCHOGUE NY 11935
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 #R10-98-0080
Name Of Owner OLIVER, LLOYD -CONTRACT VENDEE
Mailing Address 1 734 E. MINNEHAHA PARKWAY
City St Zip MINNEAPOLIS MN 55417
Property Address 1 HARBOR LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 1 lot 20.012
Cross Street PIERCE ROAD
Building Permit Number Cross Reference:
Issue Date: 7/10/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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�,iiii OFFO(,,c / (.,
- ELIZABETH A.NEVILLF o#1°.\*.' '
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� � yam► �` Town Hal], 53095 Main Road
TOWN CLERK % p 4 % P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS •W T Southold, New York 11971
MARRIAGE OFFICER %Oy �1� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER -V �' •� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER :�.4 � 081
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 15, 1998
Transmitted herewith is a copy of application No. 1959 for a Cesspool/
Septic Tank Construction Permit submitted by:
James E. Fitzgerald Jr. for Lloyd Oliver .
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.
4(..---y___4;ted_ ii.- 0-64-9-- --)
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following re mmendations:
APPROVE
DISAPPROVE
Comments:
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Dated
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OFFICE OF THE TOWN CLERK ,,,
Town of Southold
Judith T. Terry, Town Clerk ; C�l/ Application No. ! p
Town Hall, 53095 Main Road .G Construction L-
P. O. Box 1179 o •=r, �
Southold, New York 11971 tl� Alteration
$10.00 - Residential
Telephone w0 �Q�le'
(516) 65-180101at .
'' $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE June 12, 1998
APPLICANT NAME: James E. Fitzgerald, Jr. for Lloyd Oliver
APPLICANT ADDRESS: PO Box 617
Cutchogue NY 11935
SEPTIC X CESSPOOL g
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Construction of new private residence
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
(Owner: Dalchet Corp)
OWNER OF PROPERTY: Lloyd 0i iverl, contract vendee
OWNER MAILING ADDRESS: 734 E. Minnehaha Parkway
Minneapolis MN 55417
OWNER PROPERTY ADDRESS: (No number) Harbor Lane, Cutchogue
TELEPHONE NUMBER OF CONTACT PERSON: 516-734-5800 (Fitzgerald)
TAX MAP NO. : Section 103 Block 1 Lot 20.12
CROSS STREET : Pierce Road
BUILDING PERMIT NUMBER CROSS REFERENCE: idai
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)%.7,40!: /704 AdiffiffifibANIeW %, . .j .
ignature . . ; •Iicant
RECEIVED BY: fi
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DATE: / X19'
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Minimum distance between well or _ I
and cesspool is to be 150 feet. P
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MINOP SUECa/ISION PPEPAPEP FOP
I EAPEAPA 501,‘,N51,
FILED MAY - '01'11
FILE NUMBED 1,01
SUFFOLK COUNTY DEPARTMENT OF HEALTH SBRVTCBS,-
VOGO/1! I.
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE F.IMZLY RESIDENCE ONLY
DATE . lorD 8O
S'• NO.4'.i
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A PROVED 4,„,�_
SURVEY OF LOT 5
FOR MIIJUMtJM OF_$.f ROOMs SUBDIVISION MAP OF
EXPIRES THREE YEARS FROM DATE OF APPROVAL "HARBOR PARK HOMES"
SITUATE CUTCHO6UE
N),_F TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
■ PE NOTES N'r7Nl1MENT-O!1NC: ..
C,ENOrES PIPE FOUNC%
APER BOOOO SF
ELE`/ATIONS PEFEPENGE
SUFFOLI COUNTY TOPO MAPS
,c*,OF NEW yo
SUEYE7 04-80-lb qP C
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SUFFOLK COUNTY TAX MAP
1000 105 I 20.12 1
CERTIFIED TO. IV
LLOYD OLIVER `' .��
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