HomeMy WebLinkAboutTannenbaum, Martin %C��EFON i`s�1
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i Town Hall, 53095 Main Road
,e„ Obi P.O. Box 1179
. Southold, New York 11971
JUDITH T.TERRY �� ` � = TELEPHONE
TOWN CLERK •
(516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1579 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MARTIN J. TANNENBAUM
Address 1 : 3535 COX NECK ROAD
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF 4' X 8' RING AND COVER TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS
BUILDINGS, PROPERTY LINES, AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED. APPROVAL IS FOR SEASONAL COTTAGE ONLY
Name Of Owner TANNENBAUM, MARTIN J.
Mailing Address 1 P. O. BOX 847
City St Zip MATTITUCK NY 11952
Property Address 1 3535 COX NECK ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 3 lot 3.001
Cross Street ROSEWOOD DRIVE
Building Permit Number Cross Reference:
Issue Date: 12/17/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY � � �c Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
v. T ,i Southold,New York 11971
REGISTRAR OF VITAL STATISTICS G
��� Fax(516) 765-1823
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MARRIAGE OFFICER ?J .0:6•800 Telephone Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER 1 4 �`
FREEDOM OF INFORMATION OFFICER , •���
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD - 9
TO: Southold Town Building Department BEC
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: December 9, 1996
Transmitted herewith is a copy of application No. 1646 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Martin J. Tannenbaum (work by Ray Nine)
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 i44.04.449-icne 7e°
v
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
RECEIVED
'12,0-r*.‘"?'
DEC 171991 Signatupt
•,04/96
Southold Town Clerk Dat
N,
OFFICE OF THE TOWN CLERK is" " -.
Town of Southold .1114f��KI'
�� DQGy= Application No./ �,,
Judith T. Terry, Town Clerk ;�,
Town Hall, 53095 Main Road � Construction
P. O. Box 1179 , Alteration c....------
Southold,
/Southold, New York 11971
Telephone -20,y ����..` $10.00 - Residential
(516) 765-1801 = �l ' $25.00 Non Residential
-- • . 01
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ Q /
DATE ,O 9 77,(O
�/� ,,/ y /�f ��� (RP
6,o, -i< 8 fAPPLICANT NAME: /F/-7-M J - 7/ ��0 )Vd '�/// Y N£)L-
APPLICANT ADDRESS: 3 f 3j < O7e- .ilm , /CA
,i/j,"--177 ise,C,6 14'_____zzg___.___)--__—
SEPTIC /CESSPOOL_
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : J7/7 6' -
OWNER MAILING ADDRESS: fi O e Y 7 mf--777T '
OWNER PROPERTY ADDRESS: ,S"7i. CO ,u EC < P O-
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TELEPHONE NUMBER OF CONTACT PERSON: �.0 - sl–s-, Y6 177-
TAX MAP NO. : Section / 0 3 Block 3 Lot -3 , /
CROSS STREET : k D S b 0 Q _ /)A} P6--
BUILDING PERMIT NUMBER CROSS REFERENCE:
Si!IL
ature of Applicant
RECEIVED BY : _
�� Town Clerk's Office
DATE: _ _c,/_
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