HomeMy WebLinkAboutSchoenfeld, Rivka ���.0.
t 0° •11 UFFOL,•co
E;.IZABETH A.NEVII.LE
•,�� t..4.1
y��` Town Hall, 53095 Main Road
TOWN CLERK -� , P.O. Box 1179
% 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICSO � Fax (516) 765-1823
MARRIAGE OFFICER : ifi
RECORDS MANAGEMENT OFFICER - �Ol -0,��'I� Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER
s
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1880 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : STANLEY F. SKREZEC
Address 1 : 50 GULL POND LANE
City St Zip GREENPORT NY 11944
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 SCHOENFELD, RIVKA
Mailing Address 1 800 SALT MARSH LANE
City St Zip PECONIC NY 11958
Property Address 1 800 SALT MARSH LANE
City St Zip PECONIC NY 11958
Tax Map No. section 68.00 block 3 lot 8.002
Cross Street HENRY'S LANE
Building Permit Number Cross Reference:
Issue Date: 6/03/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
lir ea 04.0 at...4.....
/&--
ELIZAhETH A. NEVILLE t°h`ZOp Town Hall, 53095 Main Road
TOWN CLERK p 1 P.O. Box 1179
ti Z t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �,� Fax (516) 765-1823
MARRIAGE OFFICER : y
RECORDS MANAGEMENT OFFICER ./� %��'1�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER :-41% SO
lei
litIOw"1
OFFICE OF THE TOWN CLERK 1 U
TOWN OF SOUTHOLD
TO: Southold Town Building Department
BLDG. DEPT.
FROM: Linda Cooper, Southold Town Clerk's Office TOWN OF SOUTHOLD
DATED: June 1 , 1998
Transmitted herewith is a copy of application No. 1954 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Stanley Skrezec for Rivka Schoenfeld .
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.
3,,V
Linda J. Cooper l"
* * * * * * * * * * * * *
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.
zs;)
ignatur
Date
•
OFFICE OF.1:HtTOWN CLERK ,, ULK
TOwNOFSOUTHOLD � v �1�QG Application No. / 95
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 ;'� Construction
SOUTHOLD,NEW YORK 11971
Alteration
s‘s'
Telephone .j' PO
$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 , 79 eg
APPLICANT NAME: y S t ae c
APPLICANT ADDRESS: ' Gai L
1-1 ti . y 1 \94
SEPTIC CESSPOOL ✓
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION I 2
Pre c, C.e s SF 1 .-� At Dc()- ti �e 41-
1,;946?-w\
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: R.0101 SC\AOEN F Z-,�
OWNER MAILING ADDRESS: S
OWNER PROPERTY ADDRESS: CP) c _i INS S
?E.c i- _
TELEPHONE NUMBER OF CONTACT PERSON: Lk - t €2Z
TAX MAP NO. : Section 06,6,0o Block (73• p Lot (j (De , co
CROSS STREET: e-i\- \ R- 7 ‘ S
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signat ret of A li nt
9 PP
RECEIVED BY: Al( //1-44-t--zA-L,
Town Clerk's Office
DATE:
Q
0
crsiD
too
to
14A cr
11
-eD