HomeMy WebLinkAboutCrowley, Thomas 044,�o��FF OUt'ct,_;
5 ; Town Hall, 53095 Main Road
W$ P.O. Box 1179
O .a��6 Southold, New York 11971
JUDITH T.TERRY -au r TELEPHONE
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TOWN CLERK „,•��oo�r (516) 765-1801
REGISTRAR OH VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 408 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : CROWLEY, THOMAS AND PATRICIA
Address 1 : 745 CEDAR DRIVE
City St Zip EAST MARION NY 11939
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY SUFFOLK COUNTY DEPARTMENT OF
HEALTH SERVICES.
Name Of Owner CROWLEY, THOMAS AND PATRICIA
Mailing Address 1 745 CEDAR DRIVE
City St Zip EAST MARION NY 11939
Property Address 1 GRAND VIEW DRIVE
City St Zip ORIENT NY 11957
Tax Map No. section 14.00 block 2 lot 3.002
Cross Street MULFORD COURT
Building Permit Number Cross Reference:
Issue Date: 10/06/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
•
ECEIVE1°541C
OCT - 988 ►to
n
� to r �
�` �' Town Hall, 53095 Main Road
BLDG. DEPT. :`''Q �-- (r P.O. Box 1179
TOWN OF SOUTHOLD '� `
'�� � . `'� Southold, New York 11971
JUDITH T.TERRY f
`�171zZ�` TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR Of VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: October 4, 1988
Transmitted herewith is a copy of application No. 415 for a Cesspool/
Septic Tank Construction Permit submitted by:
Thomas and Patricia Crowley
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.
cte
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE /n
Comments: Q.� .,, ca a�, Co-" Rita&AIL
ec a-v-\
Signature
Dated
•
OFFICE OF THE TOWN CLERK c.31FUL4 C
, /
Town of Southold OQ Application No. 71,�/
Judith T. Terry, Town Clerk .�
Town Hall, 53095 Main Road gConstruction '
P. 0. Box 1179
Alteration
Southold, New York 11971 * Ory`,
Telephone _01 Aft �� �� Residential
(516) 765-1801 Non-Residential
''TOWN OF SO—UiOLD
I7
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 91//Zi4
�
APPLICANT NAME: 1-454,m /an(� &Pi
APPLICANT ADDRESS: 41. ale �lkje
ilit4(14A v.y.
SEPTIC ✓ CESSPOOL ✓ r
DESCRI'TION OF PROPOSED CONSTRUCTION OR ALTERATION ,,rte,
- c• AA A.Aiii_Aa_ *4/0 +L. 1 'T1s. :. S _�� ,. S
h . UM past.- Seprec ,rye_
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION RR ALTERL N•
OWNER OF PROPERTY: 5,44/5 f1147046/4
OWNER MAILING ADDRESS: ikag
gAist- ilLtsi;dt. PA( ( (c
OWNER PROPERTY ADDRESS: &IAA V(6k 6li1t
TELEPHONE NUMBER OF C/4TACT PERSON: li1�Z2ltj
��x • 2_
TAX MAP NO. : Section Block Z Lot .3 Z
CROSS STREET: U X1 Cb
BUILDING PERMIT NUMBER CROSS REFERENCE:
fill ,.r I. A
Signatu"e o Appli If t
RECEIVED BY: , Q.,.,A, Q. �1 44)
REQ Town erk's Office
DATE: �1;�• � �,r 19$3
• Town Clerk Southold
SL;f--EOL CO. HEAL :Et:To APPROVAL
I' P- t -r � H S. N .
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t . C.'<F U �' ( INGL Fns?IL`r nv�r�l N �"'ILY
�� _---_ r=J_ �:, EKPIRE� TWO Y�AfiS Ff�Jn�! D'}, fi r'�Ff"RCiJA— _— _ ! /\3 ..�. �— Ott ��1 fL.
\\ (7D COU2T M1 f r�e‘,A/Ii ` r STATEMENT OF INTENT
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MULF'O "-_ -._ THE WATER SUPPLY AND SEWAGE DISPOSAL
N 47 OQ E. 95 61 AT SYSTEMS FOR THIS RESIDENCE WILL
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, 1 I r I• —I CONFORM TO THE STANDARDS OF THE
�.(�i E��.} .
e" • o _ SUFFOLK CO. DEPT. OF HEALTH SERVICES.
` II! i�T � Q:'2C" l.,1' lam/ I wN )F '-it rf HQI: , I�l.Y, (S)
APPLICANT
Cj (i' J Q Q,G • /� V ;h SUFFOLK COUNTY DEPT. OF HEALTH
i Q` w ` SERVICES FOR APPROVAL OF
i \. f,�, w r •tf S CONSTRUCTION ONLY �i
J,1•a F.1"1 '' Ai rl v ) `.i DATE: --7-8
It / t`f / , // H.S.REF. NO.: _D / 4 APPROVED: '�/�7l , —
�peq6. `SLS t7 / SUFFOLK CO.TAX MAP DE ION:
If t d '' DIST. SECT. BLOCK P
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�� OWNERS ADDRESS:
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TITLE U A INSUr�A!!C CO(7.P. i.:. �'' ��,�\
.OFNliby,A, CV7i{� `,/ Af;St1t1VFYD MAY14, ,97 ilec
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1 . 1 ' ! .'; - ' GREENPORT NEW YORK
ir^YM POST .iur t70
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