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Home My WebLink AboutBarker, Lois 4 ; Town Hall, 53095 Main Road � `� P.O. Box 1 179 O �0 �' Southold, New York 11971 JUDITH T.TERRY _ 01 i�� TELEPHONE OWN CLERK � ��/ (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. 399 R Residential X Non-Residential Fee $ 10. 00 Septic Cesspool X PERMIT ISSUED TO: Name : BARKER, LOIS AND ROBERT Address 1: P. O. BOX 1458 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED. Name Of Owner BARKER, LOIS AND ROBERT Mailing Address 1 P. O. BOX 1458 City St Zip MATTITUCK NY 11952 Property Address 1 920 LUPTONS POINT City St Zip MATTITUCK NY 11952 Tax Map No. section 115.00 block 11 lot 14. 000 Cross Street MARATOOK ROAD Building Permit Number Cross Reference: Issue Date: 9/27/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK COFO(k : JudithTerry,Southold Town Clerk Application No. .17Cer ..� Town Hall, 53095 Main Road Construction ✓ P. O. Box 1179 �w Alteration Southold, New York 11971 Telephone 0_1t.�� 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 $ /6 DATE APPLICANT NAME: �Q.r;/ J41414..64, APPLICANT ADDRESS: /8.0. /S/Si /43 2222 " cif SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: et- /41121v1:- Vfah OWNER MAILING ADDRESS:#Q, # ,F P/,, 4274-2,,, /-� 2l-, N.y OWNER PROPERTY ADDRESS: --�-''�_��1� "'.. �� , / / TELEPHONE NUMBER OF CONTACT PERSON: _5'74, ,,„ .9,e, ef, TAX MAP NO. : Section ] Block W. Lot l y CROSS STREET: 7'n BUILDING PERMIT NUMBER CROSS REFERENCE: • i4t4)0/1)48444(4--4- Signature of Applicant RECEIVED BY:G 71ka( SCc Oki) 9 7141 d aci Town Clerk's Off ce DATE: 4l1. Ccsr fr8 int, djt,r)2442.h.ce,,L, • • %9 1 (4%' r f VI' y � ..,>.. G'r t r' n le t' 1�+t i:.7.-..,, 3 �r ,\ j C1 Q'*q''`., (re6%1 •o _\ o u�efl , 0 .(ft ell \ Itli . ."*" s 9 , .y' a .46" �. �' ° d> _ _ 300.0 IU >. . y. e0VeriC 015410.q.,- - . '. dfiiterw—r5d' d'Y,;. : defQCkSr Lf \ • x • d�?t it 4 ' 'i /_'t R \ !� t 'ti l r1 `ad- r1 1 a� • ° of '� Q • t� 1 I , lAp CSF' PR PE -r A - �� as T i% t* ''. H V' o i/.// -' - 6U/2V1 .TSD F© 04R 1, !do' .,t. Ce $ i,016 .8/4:--1)QkET2 ' , . k - A7" LI i ;',1fif* %i+. r.'!, Ni G: MI I Oi HEALTHSIRVICIS / 1� !3 l rrn irrt GY�t' o7t' 'Por:nor OF parr r; ,_ - _�. '_ ;r n� �z llSrfr.r�n. /3S'�?-�4 1j- t. •r� 1I , • orf+ VFl1_ a 1s • 40 "-:, j " ;G. r+�. - __. _!0 C, i r- vr,pi"ES Tye) YEAPS FROM DATE OF PPeP,4vAl. ...«.�.<..._ eii i', ' /.7.,' .-1 r-r s........+►.w�,wr..,.swnwM.w+..... n.w.-.•+»«w._.�•,ww•�.rw........rr re.. — 'r• P -+ a /41'tvrC1fO 1ti iCfotrbi:;e iil% [4 .lr(l nr 1 1^1N'11 l vcrfr"n rr 6 re74o rrt orr 4ealevel, D E p J, • � xts. res (,n dar� Y _L9 ' � _..fr' [t 1,54 VI) date/in, �. , giber;ded dc?tt. ? 1968 'Ir7i /9.' IIt'Vetied ..1L./i; 108.E nnr.rr ir-w v ri Al Tl lvl P C'.