HomeMy WebLinkAboutSolomon, Ed (2) %OF SOO*o
ELIZABETH A.NEVILLE / '`� 4 \ Town Hall, 53095 Main Road
TOWN CLERK l 1 ; P.O. Box 1179
va y� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G @
MARRIAGE OFFICER . �O �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � %1�'`, ., ii•' Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER OUNT`I, ���� southoldtown.northfork.net
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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. 3370 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SAMUELS & STEELAMN ARCHITECTS
Address 1: 25235 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
-NEW FOUR BEDRRCYI RESIDENCE
-FINAL APPROVAL REQUIRED FRCM SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner ED SOLCMON
Mailing Address 1 508 HARTUNG DRIVE
City St Zip WYCKOFF NJ 7480
Property Address 1 1205 POINT PLEASENT ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 114.00 block 1 lot 4.000
Cross Street WESTPHALIA AVE
Building Permit Number Cross Reference:
Issue Date: 9/28/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK 4 lig2 7 2005 -J P.O. Box 1179
cn Sou old, New York 11971
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REGISTRAOF VITAL STATISTICS G • �� j
MARRIAGE OFFICER � 19 • ax (631) 765-6145
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RECORDS MANAGEMENT OFFICER :�lit ,mI r:-`0 hone (631) 765-1800
FREEDOM OF INFORMATION OFFICER C�U''�I,+ of southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 23, 2005
Transmitted herewith is a copy of application No. 3517 for a Cesspool/Septic Tank Construction
Permit submitted by:
Samuels & Steelman (owner Ed Solomon)
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:
Signature
,,,A4Km---ZteLz
Dated
OFFICE OF THE TOWN CLERK '•,�rr�rrrrr��r��'
TOWN OF SOUTHOLD ,••�O���FO�k%. Application No.?�
ELIZABETH A.NEVA.IF,TOWN CLERK : O. ` �C
P.O.BOX 1179 : Construction
SOUTHOLD,NEW YORK 11971 1-411
til Alteration
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Telephone �• $10.00 - Residential
(631) 765-1800 : �.� ••
•
$25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. /_
Fee .$
DATE
APPLICANT NAME: itiiiktita7C-62 c ' SreTCAN 4 (7'EL1n
APPLICANT ADDRESS: c2 35 -[iV leC,4
at-Ira-00{1e, At y
SEPTIC VCESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Nad 4 6t-o,'ocyn taf oaa
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: El) &WAON
OWNER MAILING ADDRESS: 81 f{.4/{8. N6 Dra/C
i v(te krofFF AJ J 074a
OWNER PROPERTY ADDRESS: ` c6-- Pdl,(i7 /t t4CL4NT
MiTtrUCT, Akcp, (f9-c2-
TELEPHONE
f 2TELEPHONE NUMBER OF CONTACT PERSON: 7N- 64LO5
TAX MAP NO. : Section '4 Block / Lot `4
CROSS STREET: aSrP174'L7f fiVE.
BUILDING PERMIT NUMBER CROSS REFERENCE:
%• �O
Signature of Applicant
RECEIVED BY: r1
Town CJ,erk's Office
DATE: I a3la
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� SITE: EA.7011.47 EQ.FT. ■2.1711 ACRES
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FOR MAxIMt+b 0 BEDROOMS — sem,
ZONING: R•a
`�T > 4 OS" SURVEYOR: JOSEPH A.WOEGNO
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