HomeMy WebLinkAboutMautner, Richard f ,
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ELIZABETH A.NEVILLE 1' '` l0 ; Town Hall, 53095 Main Road
TOWN CLERK ; 4 * P.O. Box 1179
N Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER 'rrV o' Telephone(631) 765-1800
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FREEDOM OF INFORMATION OFFICER DUB 1 1+••0 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. 3428 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : COASTLINE CESSPOOL
Address 1: 4225 BRIDGE LANE
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
- ADDING OVERFLOW ONTO SYSTEM
-MAINTAINED REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, WATER
BODIES, AND PROPERTY LINE.
Name Of Owner RICHARD MAUTNER
Mailing Address 1 2055 BAYSHORE ROAD
City St Zip GREENPORT NY 11944
Property Address 1 SAME AS ABOVE
City St Zip 0000
Tax Map No. section 53.00 block 4 lot 12.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 4/27/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE �� '` Ol0
� Town Hall, 53095 Main Road
TOWN CLERK 4 4g t P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �`G Q ,i Southold, New York 11971
RIAGE-9FELCBR ;� �0,�� Fax(631) 765-6145
RECORDS NtANAGEIVIINT"OFT�I R : l�C Telephone (631) 765-1800
FREEDOM OF INFORMATION_(IFFICEki southoldtown.northfork.net
i/
APR - 7T ; 1
OFFICE OF THE TOWN CLERK
! TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Michelle L. Martocchia, Southold Town Clerk's Office
DATED: April 6, 2006
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3583 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Coastline Cesspool & Drain Service
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 me. Thank you.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
� r
Comments:
moi...
Signature
57/0/0
lv
Dated
ELIZABETH A.NEVILLE /h`1` VGy\ Town Hall, 53095 Main Road
TOWN CLERK g -r4 I P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ` W Southold, New York 11971
MARRIAGE OFFICER : O '�` �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =y— 06 oil Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ' * ," southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 Y/ or Non-Residential @ $25 Applicati, o. '--lb 3
Permit •.8
c
Applicant Name CCS \\ c C e ssco\ cA C-c- k r1 �c C\I k Cee
Applicant Mailing Address es c1 1j,Q \,..0(- 2_
e c o \\C\-3
Septic Tank or Cesspool k/
Brief Description of Proposed Construction or Alteration 3.C-Vi 1� Ovec\O V,1
L _` .
Location of Proposed Construction/Alteration:
Owner of Property: q\C_Y(Ic(j \rt10,<DA cQ C
Owner Mailing Address: �j� &X) r C �'.
C�ce.e C1n;�C'.\-- . \\Q2—a 4
Owner Property Address:
Name and phone number of contact person
Tax Map No: Section ECM 5 Block Lot \L
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES - -VEY WITH HEALTH DEPARTMENT APPROVAL
(--- -)\\-3\-,-' ___, _i_.,.__,___
-�-�� n
i�natUre of Applicant Date
Received by: -'01O'`'-CCCk...._
ELIZABETH A.NEVILLE / 0
0 o4\, Town Hall, 53095 Main Road
TOWN CLERK ! 2. Box 1179
a Z ; Southold New York 11971
REGISTRAR OF VITAL STATISTICS ;l O ,, '
MARRIAGE OFFICER . Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER \yjff0 a0'el Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER = 'I 4 4 01 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 or Non-Residential $25 A li►.tion No35 o 3
@ @ pp
`\ Pe► it No.
N, L
Applicant Name -.. c,?.9•B6 GWTjt/,2 r 00,...6tti_.:__Q)
Applicant Mailing Addre' O 5 ��� a c ,e
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24: tpt,,z,- r / 9/ '
S tic Tank or Cess ool
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Brief Description of Proposed Cons ction or Alt: ation ��6d7 /Err'P' tZW
Location of Proposed Construction/Alterat'
Owner of Property: ,/»L' iOUE
Owner Mailing Address:
Owner Property Address:
Name and phone n ber of contact person _
Tax Map N . Section 496e/3 Block
A �/mZ
Cross Stree
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLIC, TION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMEN • 'PROVALAef- TH
Signature of Applicant Date
Received by Ca,......
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