HomeMy WebLinkAboutRoberts Custom Homes (2) •••sotFFOUr
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ELIZABETH A.NEVILLE �� y ` Town Hall, 53095 Main Road
C/3 = P.O. Box 1179
TOWN CLERK
REGISTRAR OF VITAL STATISTICS O t1ivy
, Southold, New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 'y�-1 lig 17- Fax
Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,,ss southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3257 R Residential x Non-Residential
Fee $ 100.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERT'S CUSTOM HOMES
Address 1: P 0 BOX 372
City St Zip WADING RIVER NY 11972
Descripton of Proposed Construction or Alteration
CONSTURCTION OF A NEW SINGLE FAMILY RESIDENCE
FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner ROBERTS CUSTOM HOMES
Mailing Address 1 P 0 BOX 372
City St Zip WADING RIVER NY 11972
Property Address 1 HEATH DRIVE
City St Zip ORIENT NY 11957
7ax Map No. section 130.00 block 2 lot 8.033
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 1/27/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
32 5-7
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ELIZABETH A. NEVILLE ' � Town Hall, 53095 Main Road
TOWN CLERK ; y Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � � Southold, New York 11971
MARRIAGE OFFICER � 4)./ Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =�491 `1►a,�►� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
6 ?AA TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 16, 2004
Transmitted herewith is a copy of application No. 3400 for a Cesspool/Septic Tank Construction
Permit submitted by:
Robert's Custom Homes
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
•
Comments: ,� e_: r;_ ' � ��
Signature
1' °,
Dated
Il/llpl�/'OJFO`j
ET1IZABETH A.NEVILLE e' •`lam Town Hall,53095 Main Road
TOWN CLERK
a P.O. Box 1179
REGISTRAR OF VITAL STATISTICS : y? ,' Southold, New York 11971
MARRIAGE OFFICER : Oa. �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 'v111� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ---_. -4 *sol southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 V or Non-Residential @$25 Application No.a
cisoo
Permit No.
Applicant NamesD13 QHS &8 °'� +(O01 e3
Applicant Mailing Address Po '3X 37 Z
Wo di n R \J.e k) Lc-0 ?--
Septic
Septic Tank or Cesspool
Brief Description of Proposef Construction or Alteration CO C to in Oe
i(N.e,i A) S f i 1-e 4ck ri,;.,JC LI reef'"di)._ vv P�
Location of Proposed Construction/Alteration:
Owner of Property: -o D-er* C.l o -(-a✓- .. -Ch c_.S
Owner Mailing Address: P O Po o Y `3 Z
(Jo4_c, m.0...-L R l vl en -. k.)•-( ( ( 7 q
Owner Property Address: / f,., 1'�
Name and phone number of contact person v 1 c.1-‹t +h c9 3' ..)-a /ci
Tax Map No: Section I ' 7 Block (2 Lot S-) 33
Cross Street \Cu'(' RGL. C)r t
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WIT ALT 'H�DEPARTMENT APPROVAL
\( akr k . 1 c .40 (04
Signature of Applicant Date
(JO/W--2Received by: _
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pERMIT FOR A T,-;ill/t I.IX':.,(*;N:=T:III:TtON 7..-311 A
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0 ' .-...•-..:..01. (631) 581-1688 Fax. (631) 581-1691
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