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HomeMy WebLinkAboutSound Design Homes svlf® at ELIZABETH A.NEVILLE �� � Town Hall, 53095 Main Road TOWN CLERK `4 P.O.Box 1179 PIPY Southold, New York 11971 REGISTRAR OF VITAL STATISTICS :% O (' Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER _�®� ,,..s�22�,, �� i��, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER - `as' .....iii OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4017-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner SOUND DESIGN HOMES Mailing Address 1 P 0 BOX 605 Mailing Address 2 _ City St Zip CALVERTON NY 11933-0000 Property Address 1 LLOYD'S LANE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 631-727-2299 Tax Map No. section 99.00 block 3 lot 4.009 Cross Street SOUND VIEW DRIVE Issue Date: 5/12/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 4 i OFFICELOFFICE OF THE TOWN CLERK �„F31 � FFD TOWN OF SOUTHOLD 0� �COt Application No. 4 /7 ELIZABETH A.NEVILLE,TOWN CLERK ` � � $10.00 - Residential 6,./P.O.BOX 1179 SOUTHOLD,NEW YORK 11971 �'�`� $25.00 - Non-Residential : - -- Telephone 7 _ ( * ' 'I" (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION - for - - OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ t® .DD • DATE 3( 1310 OWNER NAME: Sv urv' D-d f�1 OWNER MAILING ADDRESS: Pa 2 bk (p O S Ca_krU e -�,r, ,P 11i 3.3 OWNER PROPERTY ADDRESS: OWNER TELEPHONE NUMBER: —7a ') — a 9-9 6- 11o) TAX MAP NO. : Section ° Block 3 Lot ' . 009 CROSS STREET: Sr, a U � � TYPE OF SYSTEM: Septic Tank New Existing _ Cesspool New Existing - Residential -- ✓ - Non-Residential �. a03 LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) (VAI-1-10 Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: - oiestfFOLt ELIZABETH A.NEVILLE 1� O -� ����.\` Town Hall, 53095 Main Road TOWN CLERK - ..c P.O. Box 1179 • ti e Southold,New York 11971 REGISTRAR OF VITAL STATISTICS >yrri MARRIAGE OFFICER `^'` 4 1� Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER \`� ?f ON- 1 Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER l '0 . ��1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2035 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SOUND DESIGN HOMES INC Address 1 : PO BOX 605 City St Zip CALVERTON NY 11933 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-99-0151 Name Of Owner GOLD, CAROL ANN Mailing Address 1 5815 ROYAL LAKE CIRCLE City St Zip BOYNTON BEACH FL 33437 Property Address 1 LLOYD'S LANE City St Zip MATTITUCK NY 11952 Tax Map No. section 99.00 block 3 lot 4.009 Cross Street SOUNDVIEW DRIVE Building Permit Number Cross Reference: /tzt/4' Issue Date: 3/10/99 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL)