HomeMy WebLinkAboutAnticev, Marko 40 4P ‘
JUDITH T. TERRY �� y� Town Hall, 53095 Main Road
TOWN CLERK _ P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS Z r1'+ Southold, New York 11971
MARRIAGE OFFICER y ` Fax (516) 765-1823
it • 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. 723 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LAW BROS. HOMES, INC.
Address 1 : 2749 SUNRISE HIGHWAY
City St Zip ISLIP TERRACE NY 11752
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 5/22/91 .
Name Of Owner ANTICEV, MARKO
Mailing Address 1 1024 64TH STREET
City St Zip BROOKLYN NY 11219
Property Address 1 OLD NORTH ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 3 lot 26.002
Cross Street LIGHTHOUSE ROAD
Building Permit Number Cross Reference:
eigedezassiroarr.
Issue Date: 6/06/91 Judith T. Terr
Southold Town Clerk
(TOWN SEAL)
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MAY 2 41991 1 °£ •
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7
2 ,J.) (1 Town Hall, 53095 Main Road
'- '; •z i P.O. Box 1179
1 '' ,,, / Southold, New York 11971
JUDITH T.TERRY .__.`: TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR 01-VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: May 24, 1991
Transmitted herewith is a copy of application No. 741 for a Cesspool/
Septic Tank Construction Permit submitted by:
Law Bros. Homes, Inc. for Marko Anticev
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.
•
"c
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X
DISAPPROVE `� -
Comments: 4-0 du,e 4 Oy �3�M, b, cLert..th,J,
..52,..), 1
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\C..;.%)...1..DeratiL
Signature
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.3.42/4 /
Dated
OFFICE OF THE TOWN CLERK SUFrOt,
Town of Southold sJ
Judith T. Terry, Town Clerk e_. Y Application No.
Town Hall, 53095 Main Road c fir., Construction r�
tr) / it
P. 0. Box 1179 0. 3 ° '
Southold, New York 11971 It
�• Alteration
Telephone Iol r t St% Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee $
DATE 'N-7
APPLICANT NAME: ,G,r9Gef /g,Zo.,s, o•y, "j
APPLICANT ADDRESS: ` -<'74/Y
SEPTIC / CESSPOOL /
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
c94c) a /
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 43e2'? moi►-/l�.Er
OWNER MAILING ADDRESS: /d
// ' /9
OWNER PROPERTY ADDRESS: // 2/c/A i Ai
F o#.0/1r//®-os. 'ter. ,f415‘...,-110/es/
TELEPHONE NUMBER OF CO�NT,ACT PERSON: .-.4/-4/vzc�
L5 `TAX MAP NO. : Section] Block 3 Lot ,e‘,Z__ .
CROSS STREET: `ri/ I� e>coic,,c mmo/
BUILDING PERMIT NUMBER CROSS REFERENCE:.
_4 / r _ =
Signature of Applicant
RECEIVED BY:
W `
To n Clerk's Office
DATE: 51 �j
• SUFFOLK CO.HEALTH DEPT.APPROYAI. 4
40 (Fr�slp�nrc�) MAP: OF P.2OPEI2T4'
} `- SL)1 VE.Y UV F02
X
, ' MA1?.....16v LINDA ANTIC.EV
'+/ELL,--O -- :..._.,.., - Al- STATEMENT OF INTENT
• • `.._ THE WATER SUPPLY AND SEWAGE DIS'OSAL •'
�, .fo' rJk.)rE'{GLC, SYSTEMS FOR THIS RESIDENCE WILL ''
`k) V O' 'TUWNI or' cx.�TEfUL.c.) N.Y CONFORM (TO T. STANDARDS OF ,THE
• L3�.EF•ret pc&-,E•c.Ho) LAW BROS. SUFFOLK(CO, PT. •. TSERVICES .fit'
• HOMES, INC. csI :J. . 27.. I
2749 SUNRISE HIGHWAY •
•- SCANT
- as --' , \ ISLIP TERRACE,N.Y.11752 -?s
O SUFFOLK COUNTY DEPT. OF HEALTH
_ SQ. N > 581-4U20 r{
j ` . _� \v/
SERVICES FOR APP130VAL .;OF
i] CONSTRUCTION L
4 I Y .21991
(._L'A:..4'NT) e . DATE:
. J H.S.REF.NO.: L i —_3 1
`\ . (VACANI) N t _ � 1.'..tl!l/_ °c
1. .� CO APPROVED:
IR 11 t `w — X11,, , =I i SUFFOLK CO.TAX MAP DESIGNATION::
C( y• -0,.120N PI • D1ST. SECT. BLOCK. PCL .•,:i
>rn '. :� • �' Atd! A 2702 AC• IOUO ra¢ 3 ;'21x2
c' m l y OWNERS ADDRESS:
, • C) D ESS:
-� Z :�. 1024 64TH.STRETT x
0•- \ �PSEpTK i {I#' > ""� ____ BROOICWN,N.Y..(I219.
�, ( .' 45�-�'`"�� `GQ�U _ 2(2 998-2935.
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