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HomeMy WebLinkAboutSkrezec, Stanley %OF F014, O\' JUDITH T.TERRY �•= G'yJ► Town Hall, 53095 Main Road TOWN CLERK ; y 2 P.O. Box 1179 ivy 1 Southold,New York 11971 MARRIAGE OFFICER REGISTRAR OF VITAL STATISTICS ` 1 1 �1 Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER = .( * +•111 Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER •� ,•I" OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1640 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : STANLEY SKREZEC Address 1 : P. O. BOX 94 City St Zip GREENPORT NY 11944 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. #R10-97-0072 Name Of Owner SKREZEC, STANLEY & ALLISON Mailing Address 1 P. O. BOX 94 City St Zip GREENPORT NY 11944 Property Address 1 SOUNDVIEW DRIVE City St Zip ORIENT NY 11957 Tax Map No. section 18.00 block 2 lot 8.026 Cross Street HILL CREST DRIVE Building Permit Number Cross Reference: Issue Date: 4/22/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) /6 cFOIC 111, /6 c W. APR Town Hall, 53095 Main Road 1� �� P.O. Box 1179 Its ill � : ��-===--.. .Southold, New York 11971 JUDITH T.TERRY / 1��.�`1 _ = ' TELEPHONE TOWN CLERK "�� (516) 765-1801 REGISTRAR OE VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: April 9, 1997 Transmitted herewith is a copy of application No. 1710 for a Cesspool! Septi: Tank Construction Permit submitted by: Stanley Skrezec . 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 DISAPPROVE Comments: RECEIVED 7.4 APR 2 7 1997 Signature 7 7/rG77,2 Southold Town r7:- Dated , c - OFFICE OF THE TOWN CLERK �,, Town of Southold OF01rc = 77 Judith T. Terry, Town Clerk * Application No,� Town Hall, 53095 Main Road Construction `� (� P. O. Box 1179 Southold, New York 11971 � � Alteration Tele hone ,r ��' $10.00 - Residential P (516) 765-1801 ----Wei Nt;, $25.00 -Non-Residential •TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCT ION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE APPLICANT NAME: ��C y S(C-re2,oC APPLICANT ADDRESS: `P- 3 'o at "f / RAI�`T f ti >` - �\ ut SEPTIC V CESSPOOL V DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION N J''''J X.r 5u- 4O C(C- Co S e G S LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ' Cd.zo.iLry k‘A..-k,Sa1.. c „c OWNER MAILING ADDRESS: o • Qj6)( �( C4 Gre1(rfi , ti OWNER PROPERTY ADDRESS: ZoLrA"-DV't ' Pf% c°2 f cti - y. \ \9 s 7 TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section 1 Block 0 2- Lot c2D r Z CROSS STREET : � C r1 ; BUILDING PERMIT NUMBER CROSS REFERENCE: el., �.i�.., 'g awure Applican RECEIVED BY : A '• �. To n C e k's Office DATE: .1. vaisummumws _____„--------------314A2 KAISTIHA 114 6LL •":4 / . 212.81) •?' c- K �•• • iIVC. ?Vt.. fLf �, • CoscR CAir 2A.N aL w. e. eLKIA -b t.M OL � � �� 1;4 L CpING[RAiE [N..aCr 1111" :isolow 1".6 Silt I kat.lacan CRorY &Law wt.tiS ante.• u .. rYrKwl. I 111 1,000 GAL. SE.PfIC TANK fad.**btANK6 toot dim Kw% bud Cavus \ — _ 11 GAADt ` j. I 1 rpm / 4 U*t%ul i Pic tilt. ! • r l fattinf G0.4dt.L • % y LLACto .. Ria- \ 1 Lii 6..Salo bAGFi1LL • DO lAct --- N. \ 1 10 -0 r 0 llPICAI 1. ACHING. POOL. -.C.:117, �. X ►iu. rj h� RESERVED FOR. SUF.FOL F. CaDNTY HeALTH DEPT nor. , EXCA kTION INSPECTION REQUIRED SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES • ., PERMIT FOR APPROVAL OF CONSTRUCTION FOR A f ��� ANGLE FAMILY RESIDENCE ONLY DATEAR 3 HS F. ' 1 O--Gl ©7Z MAR 26 1997 IED APPROVED a C^TM • - - ,,,,...nt Heath Setvla. io B .` ` i DATE lir mut,bioJ /0 7 I Go7: z 1 3 Ie. APPROV D___,_, _,_ r. D �r POR MAXIMUM O'~ElI[)ROO'hiS ----------- A 2 L L'XPIRESTHREETEARSFRON[IIATE OP PPROVAI. loll -4 D HILL CREST DRIvE. X- 0r, 711 ..\ ' ri D ii il i P v r._ N. 42° 31' 50" L.A. _ 125.00 .1 7C A ' 7 i w%` z i G N N A3 ,1U O – `, b Z - \� nNN N1 $j en [3_,_•----- I CT‘ .--. \\, ,....._.___ /...___, 1 .... 1C11 .7 a 11 1—.....-11 R r�y 381 ‹. — -----..-----E- X›. .< , E1 70 N O O_ 0 70 E. C� i ft, lj . .. ,.. , rI a Io, l d / I `- I ~ ,