HomeMy WebLinkAboutBogden, Michael 1,��,�o��FFOU(C��
Town Hall, 53095 Main Road
W$ P.O. Box 1179
.. 'Ol it ����is� Southold, New York 11971
JUDITH T.TERRY
;70/11,1°.
TELEPHONE
roww cIeRI: (516) 765-1801
REGISTRAR OE VITAL STATISTICS OFFICE OTOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 424 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : BOGDON, MICHAEL JR.
Address 1 : 600 KING STREET
City St Zip ORIENT NY 11957
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES 8/5/88.
Name Of Owner BOGDON, MICHAEL
Mailing Address 1 600 KING STREET
City St Zip ORIENT NY 11957
Property Address 1 ORCHARD STREET
City St Zip ORIENT NY 11957
Tax Map No. section 25.00 block 4 lot 13.004
Cross Street NAVY STREET
Building Permit Number Cross Reference:
Issue Date: 11/17/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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•
cn Town Hall, 53095 Main Road
`'Q,��GG �� .% P.O. Box 1179
_�lol of' Southold,Southold, New York 11971
JUDITH T.TERRY „„III�� 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: November 10, 1988
Transmitted herewith is a copy of application No. 431 for a Cesspool/
Septic Tank Construction Permit submitted by:
Michael Bogden, Jr. .
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 x
•
DISAPPROVE
Comments: QA .wJ.c c.cLI,A. o n ck..Lt y t
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L\ :V< QA3. I ICA- e• i1 Sly
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Signature
IfiRibY
Dated
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OFFICE OF THE TOWN CLERK QC,\\FULk
'
Town of Southold
Judith T. Terry, Town Clerk �. ' r Application No. 1+3/
Town Hall, 53095 Main Road mac Construction 1,./
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone *04( 0-
04t0 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 $ / 0_ O J
DATE 1146 S
APPLICANT NAME: ( e/j4L ( Go C ® id,
APPLICANT ADDRESS: k,4)- C7 S T Vii; T
OR , /T A).),/ 93
SEPTIC (/ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
5 f `4 T-6 !fey
.i odd OI J e_ _ IA)e_I
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /4/ lc/MEL a C1 p46',1)
OWNER MAILING ADDRESS:
iic57
OWNER PROPERTY ADDRESS: S
TELEPHONE NUMBER OF CONTACT PERSON: 3Z 3 -
TAX MAP NO. : Section O ZSR Block O 7 Lot 0/3 ,y
CROSS STREET: .\) /4-4Le
BUILDING PERMIT NUMBER CROSS REFERENCE:_.
F
Signareof Applica t
RECEIVED BY:
r er"s Office
DATE: 1/ /P/C
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STATEMENT OF INTENT
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