HomeMy WebLinkAboutAnnabel, Vincent •
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JUDITH T. TERRY �� • L Town Hall, 53095 Main Road
TOWN CLERK Z
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS : O f71,i Southold, New York 11971
MARRIAGE OFFICER ' Fax (516) 765-1823
�� ����'�� Telephone (516) 765-1801
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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. 674 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : VINCENT ANNABEL
Address 1 : 4300 STILLWATER AVENUE
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
ADDITION OF A NEW POOL FOR AN ACCESSORY APARTMENT.
APPROVED AS SUBMITTED. EXCAVATION AND HOOK-UP INSPECTION REQUIRED
BEFORE BACK-FILLING. CALL THE BUILDING DEPARTMENT (765-1802) FOR AN
APPOINTMENT.
Name Of Owner ANNABEL, VINCENT AND OTHERS
Mailing Address 1 4300 STILLWATER AVENUE
City St Zip CUTCHOGUE NY 11935
Property Address 1 4300 STILLWATER AVENUE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 137.00 block 2 lot 21 .000
Cross Street TRACK ROAD
Building Permit Number Cross Reference: 19135
Issue Date: 1/14/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK
Town of Southold Application No.(p
Judith T. Terry, Town Clerk � � G
Town Hail, 53095 Main Road Z ; .; Construction
P. O. Box 1179
Southold, New York 11971 ss ct's ll Alteration
Telephone '�aArn
$10.00 - Residential
(516) 765-1801 1
�' $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 /?6 fO
APPLICANT NAME:
APPLICANT ADDRESS: A.3 C9® ST/LL �/ 7"L72 V/L
Curc/ 06 v6 /Y. / / 93s'
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Ac-C4S's /.Y P
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: b/Yc y Af/V/` i1 3 L `q aj/tRS
OWNER MAILING ADDRESS: I/30 sT/L'. w47E,2 /(
C v7Glf D �v F /YeY, /7!
OWNER PROPERTY ADDRESS: SAME
TELEPHONE NUMBER OF CONTACT PERSON: VO/ee-/r1. /7/Y/Y46;
TAX MAP NO. : Section /37 Block at Lot 02/
CROSS STREET: .71orc-x--
BUILDING PERMIT NUMBER CROSS REFERENCE: /9/3.
a,-7,-4
Signature of Applicant
RECEIVED BY: (j.1.42---
wn
Clerk's Office -_
DATE: Cl
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