HomeMy WebLinkAboutRaia, Craig /',t\�StFFO1,,co
JUDITH T.TERRY ; Town Hall, 53095 Main Road
TOWN CLERK ` y P.O. Box 1179
rrt 1 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ` �/� Fax (516) 765-1823
MARRIAGE OFFICER L y 1
RECORDS MANAGEMENT OFFICER = ,( �,�0�1�� Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER 0:9111.-
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1735 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner RAIA, CRAIG
Mailing Address 1 2175 HYATT ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 2175 HYATT ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 1 lot 32.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 9/24/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ti_P *AN
Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
�• fv, Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
?i Fax(516) 765-1823
MARRIAGE OFFICER � � 0.1
RECORDS MANAGEMENT OFFICER �,( ifg oil Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER �o's
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: September 23, 1997
Transmitted herewith is a copy of application No. 1808 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Graiq Raia
Please review the application and location map and advise if this office may
issue the permit.
Please complete the form below and return it to this office.
Thank you.
Linda J. Cooper
* * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - ✓
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
IAAIA
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Date
OI`-FICE OF THE TOWN CLERK ,,''',, "''-
Town of Southold • �'' �F01.kI' (�07
Judith T. Terry, Town Clerk ;�� '
Application No.
Town Hall, 53095 Main Road ;� ;�; Construction
P. O. Box 1179 : o r4"; Alteration
Southold, New York 11971 ;�
Telephone O,r $10.00 - Residential
(516) 765-1801 = l �, $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /��
DATE P'' QP /
APPLICANT NAME: ,4'C) (i'` S''rre
APPLICANT ADDRESS: 2_X0 Y/4"1,'/,�c6IT J
x'04 if-/e.0 , y
SEPTIC CESSPOOL'S
DESCRIPTION OF P OPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: e �,•? ie./4//g
OWNER MAILING ADDRESS: 'l 7f ii//71/I` ,d2
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 2C
TAX MAP NO. : Section �1 Block / Lot 5 Z
CROSS STREET :
BUILDING PERMIT NUMBER CROSS REFERENCE:
; ; 24:1 ,4Y /0Zerzt:
Signature of Applicant
RECEIVED BY :
TonanninggrOffice
DATE: SEP 2 - 7_
I own Clerk Soutnoln
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