HomeMy WebLinkAboutSinning, John Jr I09,i\,SAF FO(,�ee
JUDITH T.TERRY � = y` Town Hall, 53095 Main Road
TOWN CLERK % ti = P.O. Box 1179
v. T ,
\: I Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O
MARRIAGE OFFICER y '
ijJ '1111Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER Ml *0sol 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. 1488 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JOHN D. SINNING JR.
Address 1 : P.O. BOX 1493
City St Zip SOUTHOLD NY 11971
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. #R10-95-0031
Name Of Owner SINNING, JOHN D. JR. AND
Mailing Address 1 DOROSKI, TONI ANN
P. O. BOX 1493
City St Zip SOUTHOLD NY 11971
Property Address 1 3608 OLD NORTH ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 2 lot 25.005
Cross Street NT. BEULAH AVE.
Building Permit Number Cross Reference:
Issue Date: 6/07/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
_+rte.
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•
JUDITH T.TERRY
i/•,• G1'1• Town Hall, 53095 Main Road
TOWN CLERK y Z , P.O. Box 1179
v. � � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O
MARRIAGE OFFICER O:yifJ , ,c• i� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER _ �l ilig 1►�,d Fax
(516) 765-1800
FREEDOM OF INFORMATION OFFICER —..,,, .'1"
J
OFFICE OF THE TOWN CLERK � ' f - 0 \ ` ,
TOWN OF SOUTHOLD 1 i I
J MAY ,2p1996 i
TO: Southold Town Building Department j t
FROM: Linda J. Cooper, Southold Town Clerk's Office BLDG.DEPT
,._TOWN OF SOU A=
DATED: May 30, 1996 •
Transmitted herewith is a copy of application No. 1553 for a Cesspool/
Septic Tank Construction Permit submitted by:
John D. Sinning. Jr. F Toni Ann fnrncki •
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 G/
DISAPPROVE
Comments:
/
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AsiiPlor'4119'
Signa ure �'
Dated
OFFICE OF THE TOWN CLERK ,,'",,,•"'•-
Town of Southold
Application No.
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ; Construction
P. O. Box 1179 ; 1=1
-r="
Southold, New York 11971 tl� ; Alteration
Telephone '-°6 , � �' $10.00 - Residential
(516) 765-1801 -_ �l l;, ' $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 May 361 /9ff.
APPLICANT NAME: .John - S ?nr)i")) 'Jr.•
APPLICANT ADDRESS: ,CC'S Beek 1c cr PoZ I`t(13
J
SEPTIC CESSPOOL ✓
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION AA./
('2Sid�.v►�-ic LO SPruc 4co ,-- -Single A n;ly al.rae.11:net •
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 3chf S ;nhih. 3r acs, 74.11 Ann Ieit•S,k;
OWNER MAILING ADDRESS: ca 13)t-t. Jr, __ f b 0L /Y93
-- _ c,AcNvArt.,N Y I L9 Scot�11e ,N'1' I II la
OWNER PROPERTY ADDRESS: 3GO% 014 JJor;'4, RA.
.504t11.e111, NY t I 00 I
TELEPHONE NUMBER OF CONTACT PERSON: (5-/C) 731i- 71.5 di
TAX MAP NO. : Section .SS Block Lot .2 t-•
CROSS STREET :__Mi- eu10oL Ave. — - --_
BUILDING PERMIT NUMBER CROSS REFERENCE:_ PIMA eel �J
"'.":ture of Ail. T' . t
RECEIVED BY: /I ALe
Town Clerk's Office
DATE: �� l2 / ij _
O4,0 "`•-• .I /
1 , I' i H. S. NO.
il
iilIFOLK COLINTY ccEss i• • , 1
1.5
_OF HEALTH -,E.RVICES Poot. I .1 1 f
tERHEAD NY 11901
, I
s'•90‘ -- 4 fY cC
- SINGLE FAMILY DWELLNG ONLY '-
X
FEB -8 11 :26 / • EXPI"ES THREE YEARS FROM DATE OF APPROVN:
AN' -,
Po --.,
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•D .
/ STATEMENT OF INTENT
1 i Ii..;`-- z. N'..•,,,
TI-iE WATER SUPPLY AND SEWAGE DI
$
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CONFORMSYSTEMS FT0oR TRTEHISsTARNEDSAIDREDNsCE
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t2..95 . ; SERVICES — FOR APPROVAL
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Wage.Q
' sr t.314j .K.I.fr;IENIT i CONSTRUCTION ONLY
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i DATE. MAR 0 8 1995
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SUFFOLK CO. TAX MAP DE GNAT:
/ ' ' ' - , . , DIST SECT. BLOCK
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P OF PROPERTY 1000 55 2
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SOZVEYP, Forz.
i OWNERS ADDRESS:
I
4225 REQUASH AVE.
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