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HomeMy WebLinkAboutBrawner, David I 1110/.i,ii 0°6C3If Wire T % Town Hall, 53095 Main Road s IP $ P.O. Box 1179 --Ai 4iik �►�sto roe' Southold, New York 11971 JUDITH T.TERRY / + ,,, FAX(516)765-1823 '''''' ,/,11/11 TELEPHONE(516)765-1801 TOWN CLERK 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. 572 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : BOB KEHL'S HOME IMPROV. INC. Address 1 : P. O. BOX 520 City St Zip SOUTHOLD NY 11971 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 ON 12/4/89. Name Of Owner BRAWNER, DAVID Mailing Address 1 MAIN ROAD City St Zip ORIENT NY 11957 Property Address 1 PRIVATE ROAD OFF ROUTE 25 LITTLE BAY ESTATES City St Zip ORIENT NY 11957 Tax Map No. section 15.00 block 8 lot 31 .004 Cross Street MAIN ROAD Building Permit Number Cross Reference: ____Aigietzte... Issue Date: 1/10/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) n m ar-gal T)) ,0### ' ! � - 81989 ,`. / S \ v"� ; Town Hall, 53095 Main Road T ,`Y©,� ®�����• P.O. Box 1179 -_ �.I f-� �°a,�� Southold, New York 11971 JUDITH T.TERRY .. ,„Ar„ A" 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: December 8, 1989 Transmitted herewith is a copy of application No. 585 for •a Cesspool/ Septic Tank Construction Permit submitted by: Bob Kehl's Home Improv. Inc. for David Brawner 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: o,., �S),'` Cl � Cam -acY tx-04,\ J g tr ,c�ca-c. cl:::21.„.0........12_ Si nature DEC 261969 Dated \ Town Clerk Rout**, C OFFICE OF THE TOWN CLERK 'S Town of Southold S Judith T. Terry, Town Clerk ' ' Application No.., rig. t Town Hail, 53095 Main Road ,. Construction P. O. Box 1179 giro .“ Alteration Southold, New York 119710�s Telephone 1 * �� . 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 $ /Q - - DATE TI2 jc9 c APPLICANT NAME: APPLICANT ADDRESS: iv . - SINIPI SEPTIC !CESSPOOL ./r • DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION .5--/ 4/6-1E > X1 [ 11_______2) 6J-e. ///5 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: V( b ��- �n OWNER MAILING ADDRESS: Malt (jam NI (a to51 OWNER PROPERTY ADDRESS: M/ii e0,413 Era 5 h 4/v 441. ,CAO k#/E y,e ' TELEPHONE NUMBER OF CONTACT PERSON: 37,3 --3511 TAX MAP NO. : Section IS Block ? Lot A 4. ,,44 CROSS STREET: x(11.11 Pnl C-( '1 BUILDING PERMIT NUMBER CROSS REFERENCE: 9- ,eLP Yfito . Signa re of Applicant RECEIVED BY: 04-11..cc - . own erk s O ice DATE: DEC 19bi . Town Clerk Soda ,/,/,=• 4,.ere. A ll 5/0•i6'Zo"E . ...".." 4*-2"."----Ist41*----.....V.-- - V • � 4c r TEST# hi V1 �'3 /1.10Scr‘ 1� ^j - N ��• crarY.440e- 2,l ;: V • - Yl n40:94,-.410 N - . ,2' .R Q l Nk iiN e79'y . - ‘\\ - *, 3%7Z ' /'IA 9i7 /o•/rs' 24•1":11/ • "\ , SUF!OLK COUNTY DEPART( /woer o,P DAY/O 5p�4`ove:e Glo S` Z477; add/4,40 l eP/Wit/cwtW'621 o" 4.O0 �2.-. _- �r �7r�8�r��r,'�-ate LGCArj�,4/.G,e/E,lllT)34vO/CAXJr.y444 ../?- * i : u,- t I v' Ott PROt __---- -- jI • a• • 7T 3a89A i/9.vr� y Is Ler�.9.voa/;"�,t�/ Atm.. .c����9 t 0. GAtvo oared-Atte. T�'lij� C¢i3br,/g/76., Op N E W , -- rs�xo ,4/,y, ,�-E,,,��o•,ter.�.�9 . .e6'Ey4i 10` • :0041:.cr r ›)-z zo :Me.00 ' mrFAT(. . + MEM 41•111111b . lig ' • i \) 4.0 < • ;�- . F h • v 0 A 4 ;a.. k \ . vo _ ki % —six O • pre � we�c. Avarli- ®ZIa.c D.©0' 4F J1, Y •- Ar!►itovararT •14.£/55Z OF HEALTH SERVIC .3 • (So- , k ; - --- C) BOB KEHLs HOME IMPROV. INC. P. O. BOX 620 SOUTHOLD, NY 11971 -)‘::. - 32-3 - 35 --7