HomeMy WebLinkAboutAebisher, Peter •
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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK : p Fri
P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS �� Southold, New York 11971
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MARRIAGE OFFICER C- �/ Fax (516) 765-1823
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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. 898 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MILDRED AND PETER AEBISHER
Address 1 : 15 OLD NORTHPORT ROAD
City St Zip HUNTINGTON NY 11743
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH SANITARY SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 7/9/92.
Name Of Owner AEBISHER, PETER AND MILDRED
Mailing Address 1 15 OLD NORTHPORT ROAD
City St Zip HUNTINGTON NY 11743
Property Address 1 CABOTS WOODS ROAD
City St Zip PECONIC NY 11958
Tax Map No. section 73.00 block 4 lot 2.001
Cross Street NORTH FORD
Building Permit Number Cross Reference:
Issue Date: 8/25/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY . �. Town Hall, 53095 Main Road
TOWN CLERK t rrn P.O. Box 1 179
REGISTRAR OF VITAL STATISTICSto Southold, New York 11971
MARRIAGE OFFICER ;O4 -13
��0�••��� Telephone Fax 1(516)5765-1801
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OFFICE OF THE TOWN CLERKFP
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TOWN OF SOUTHOLD
AUG 1 7 t992
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 17, 1992
Transmitted herewith is a copy of application No. 922 for a Cesspool/
Septic Tank Construction Permit submitted by:
Mildred and Peter Aebisher •
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 s Cole ,\c
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Signature
c\\ci\�.
Dated
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OFFICE OF THE TOWN CLERK �c�VrF0/A-C,•
Town of Southold
Judith T. Terry, Town Clerk Application No.
Town Hall, 53095Main Road ;� Construction t/
P. O. Box 1179 tet?
Southold, New York 11971y� Alteration
Telephone 0l k 1y�Of� Residential
(516) 765-1801 n
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 9A 5_, •
Fee •$ 1
DATE
APPLICANT NAME: ( � PftrJ
�1tier
APPLICANT ADDRESS: LS- O Ll I , 1st. C;
SEPTIC CESSPOOL -
DESCRIPTION OFA PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: P114 L ( j fielo
/ ev
OWNER MAILING ADDRESS: `'; Pt( /) /1 60 fe
OWNER PROPERTY ADDRESS: l� . •
TELEPHONE NUMBER OF CONTACT PERSON: (5k) q; l o '
TAX MAP NO. : Section 0 73 Block _ Lot
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CROSS STREET: jJO { tl 11-6'''‘ 4) 4 t j
BUILDING PERMIT NUMBER CROSS REFERENCE:_.
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;Signature .f Applicant
RECEIVED BY: 4,--t /Le-
/ Town Clerk's Office
DATE: (7 '7/yi1J
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SUFFOLK CO.HEALTH DEPT.APPROVAL
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4)sp„ t„jerry ' 1•Akt,..4.? . H S. NO. , .$
MAP OF PROPEQTY
• ------ -I_ .,..„, SINGLE FAMILY DWELLING ONLY ,
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‘ U1,-.NEY ED, R:71 . EXPIRES 3 YEARS FROM DATE OF APPROVAL . .---'- - -L--. (>3 E• -----4?4•1__
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PETER 0 MIL12E AEB151-1E12.
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,. STATEMENT OF INTENT
PL-.-CONIC THE WATER SUPPLY AND SEWAGE DISPOSAL
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SYSTEMS FOR THIS RESIDENCE WILL
1.-1-_L- '--aS 7 . -1?-.. ' • Is, i \/1'4 OF 5OUTHQLG N'( CONFORM TO THE STANDARDS OF THE
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. 4 sA SUFFOLTJ1nT. HE T R VICES.
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SERVICES - FOR APPROVAL OF
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CONSTRUCTION ONLY
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I DATE: JUL_09 pe
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LICENSED LAND SURVEYORS N.: L A
GREENPORT NEW YORK
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