HomeMy WebLinkAboutBaker, Charles r/row,,...-�
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g �,`� Town Hall, 53095 Main Road
O P.O. Box 1179Ol .ilit �����'�' Southold, New York 11971
JUDITH T.TERRY '.
_ TELEPHONE
TOWN CLERK I������///'I (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 415 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : BAKER, LAURA H.
Address 1 : P. O. BOX 350
City St Zip ORIENT NY 11957
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY RESIDENCE WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED. EXISTING HOUSE AND SEPTIC TO BE PROPERLY
DESTROYED BEFORE ISSUANCE OF C.O. ON NEW HOUSE AND SYSTEM.
Name Of Owner BAKER, CHARLES E. AND LAURA H.
Mailing Address 1 P. O. BOX 350
City St Zip ORIENT NY 11957
Property Address 1 ROUTE 25
City St Zip ORIENT NY 11957
Tax Map No. section 19.00 block 1 lot 14.001
Cross Street NARROW RIVER ROAD
Building Permit Number Cross Reference:
Issue Date: 10/18/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
^r e 7 1988 '��c�FF 01 -�®
4,17
sou HOLD • v" �* .>,` �
Town Hall, 53095 Main Road
`'Q ��- P.O. Box 1 179
' 77-/- Southold, New York 11971
JUDITH T.TERRY 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 17, 1988
Transmitted herewith is a copy of application No. 421 for a Cesspool/
Septic Tank Construction Permit submitted by:
Charles and Laura Baker
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 nn ^
Comments: q,41 �,. 1X+�c��o� � : ()Oa c da tJ . . 1
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Signature
Dated
OFFICE OF THE TOWN CLERK 4c0WC
Town of SoutholdApplication No. '7 ')
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 �,y, O�•�J Alteration
Telephone 'l ��; �� Residential
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(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERAT ION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
OCTOBER til, 1988
DATE
APPLICANT NAME: LAURA H. BAKER
APPLICANT ADDRESS: POB 350, ORIENT, NY. 11957
SEPTIC CESSPOOL XXX
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
NEW HOUSE CONSTRUCTION WITH TWO SHALLOW POOLS AS NOTED.
SEE SURVEY AND BUILDING PERMIT ATTACHED.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: CHARLES E. and LAURA H. BAKER
OWNER MAILING ADDRESS: POB 350, ORIENT, NY. 11957
OWNER PROPERTY ADDRESS: RT 25, ORIENT, SOUTH SIDE OF ROAD
ACROSS FROM CHARLES ROSE AIRFIELD
TELEPHONE NUMBER OF CONTACT PERSON: 323-2573
TAX MAP NO. : Section 019 Block 1 Lot P/0 14. 1
CROSS STREET: NARROW RIVER ROAD IS NEAREST CROSS ON SAME SIDE
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
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SignaIure of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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