HomeMy WebLinkAboutCassel Truck Leasing Corp ,,//Ii/,ilii
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JUDITH T. TERRY % : Town Hall, 53095 Main Road
TOWN CLERK T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER Fax (516) 765-1823
41b) �1� � Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1043 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : CAROL CASSEL
Address 1 : 233 PRIVATE ROAD
City St Zip EAST PATCHOGUE NY 11772
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 8/18/93. REF. #92-S0-106
Name Of Owner CASSEL TRUCK LEASING CORP.
Mailing Address 1 550 NORTH OCEAN AVNEUE
City St Zip PATCHOGUE NY 11772
Property Address 1 WILLOW POINT ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 56.00 block 5 lot 40.000
Cross Street BAY HOME ROAD
Building Permit Number Cross Reference:
Issue Date: 9/09/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY ; Z : Town Hall, 53095 Main Road
TOWN CLERK z T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER =:�Q O�' * Fax (516) 765-1823Jig 1 ,rr� Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD ) Jt
til\\, SEP - 2
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's 0 'ceTOw c .,•
DATED: September 2, 1993
Transmitted herewith is a copy of application No. 1073 for a Cesspool/
Septic Tank Construction Permit submitted by:
Daniel J. Sullivan
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: - Q� 62eAll -44/2
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Signatur-
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OFFICE OF THE TOWN CLERK •
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• Town of Southold . �� .- `•Oi " •
Judith T. Terry te:• t . may ,. • Application No..1673
Town Clerk �' • r" �-_
Town Hall, 53095 Main Road Construction
P. 0. Box 1179
Southold, New York 11971 Alteration
Telephone s lybfl Residential
(516) 765- 1301 "� Non-Residential
•
TOWN OF SOUTHOLD • .
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
•
APPLICATION
•
for
•
CONSTRUCTION or ALTERATION PERMIT ••
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee $
•
DATE SC/7%
APPLICANT NAME: �/ � �/ c 'C t v� �i
APPLICANT ADDRESS: / /y 4�'/�t �' /�� G f'� ��c��r� //-/Y,?
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: fir'/ / / 3
• OWNER OF PROPERTY: lig.r/ ft" G S .' - 1j /leo/
. • OWNER MAILING ADDRESS: l' S1 /Q ,i �iVrr` S ,P. �./ '�c-,,r r '/J �3
OWNER. PROPERTY ADDRESS: �tG � �a 19 , `Q ti„Jv jV A .14 .
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TELEPHONE NUMBER OF CONTACT. PERSON: ,c/C $ j Z Pc/ ,(j rnr-
TAX MAP NO. : Section 1' 3 • Block 7 Lot / 7,.
CROSS STREET: W 1-1 / 6 L
•
BUILDING PERMIT NUMBER CROSS REFERENCE:..
•
•
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SLi�i'c of Applicant
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RECEIVED BY:
Town Clerk's Office
DATE: 0_3 •
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4./ •SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FOR APPROVAL.OF CONSTRUCTION OF
NGL F .RIL'�' HE SIDEs1JCE ONLY -R
DATE
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APPROVED _ �- `
EXPIRES THREE YEARS FROM DATE OF APPROVAL A4C
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