HomeMy WebLinkAboutStandish, Gregory 'os FiO�
ELIZABETH A.NEVILLE ty Town Hall, 53095 Main Road
TOWN CLERK � p �� P.O. Box 1179
t ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • Fax*. Fax (516) 765-1823
MARRIAGE OFFICER �` ** ON �1 Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER Q1 �� 60
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FREEDOM OF INFORMATION OFFICERI
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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. 1799 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GREGORY S. STANDISH
Address 1 : P. O. BOX 584
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. REF #R10-95-0110
Name Of Owner STANDISH, GREGORY S.
Mailing Address 1 P. O. BOX 584
City St Zip GREENPORT NY 11944
Property Address 1 ROCKY POINT ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 2 lot 12.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
•
Issue Date: 1/29/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
, gtFF014.
ELIZABETH A.NEVILLE fya Town Hall, 53095 Main Road
� p .- , P.O. Box 1179
TOWN CLERK
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v' /V' Fax (516) 765-1823
MARRIAGE OFFICER �O'O* ��0)"' Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER % 01 jig
FREEDOM OF INFORMATION OFFICER 'i
•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 22, 1998
Transmitted herewith is a copy of application No. 1872 for a Cesspool/
Septic Tank Construction Permit submitted by:
Gregory S. Standish
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.
G -v;1-``'
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recomm dations:
APPROVE •
DISAPPROVE
Comments:
ignature
Dated
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�/|�F|[E WF ll/E TOWN CLERK
l - � Southold
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/`/N |`� T. Terry, Town Clerk •
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Town Hall, 5]U95 Main � Construction
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Southold, /New York � � 1
Alteration
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CONSTRUCT ION or A|]l]R/\T|(>N PERMIT
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Permit No
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APPLICANT NAME: ( ~re S. Vla������
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DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAI': Must be ai(md`aJ hereto before permit may be Issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : S
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OWNER MAILING ADDRESS: T ��
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PROPERTY A|)DRESS' ~7�-�ml
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TELEPHONE NUMBER OF CONTACT PERSON : �J�~ 5-
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T/\X MAI' NO. : Section3Lot
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CROSS. STREET :
HUMMING PERMIT NUMBER CROSS REFERENCE : �-
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RECEIVED DV '
Town��-Cleric's
Office
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DATE :
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SJFFOLI: COi1h'iY DEPARTMENT OF HEALTH VICES I' 1 t'' *vz, W 7A07.S6et
FOR APPROVAL OF CONSTRUCTION OF l.` `` - ,a i'-a-4 o.Qc'r
Sifdc:_ FAMILY RESIDENCE ONLY 14.1 , z
AUG 29 1995 o=
DATE SEP 11 1Z5HS REF. NO. r I C -(1-S--- I`ll O
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