HomeMy WebLinkAboutKings Bay Partners /,f,,,,,,,Ili
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t, Town Hall, 53095 Main Road
�+0 `� P.O. Box 1179
_ � . ��` Southold, New York 11971
JUDITH T.TERRY 1TELEPHONE
TOWN 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. 367 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : THOMPSON, ELIZABETH, A.I .A.
Address 1: 316 MOTT STREET, APT. 3B
City St Zip NEW YORK NY 10012
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS PER SUFFOLK COUNTY HEALTH DEPARTMENT
APPROVAL 9/30/87 .
Name Of Owner KINGS BAY PARTNERS
Mailing Address 1 316 MOTT STREET, APT. 3B
City St Zip NEW YORK NY 10012
Property Address 1 ROW OFF KING STREET
City St Zip ORIENT NY 11957
Tax Map No. section 27.00 block 3 lot 4.000
Cross Street OLD FARM ROAD
Building Permit Number Cross Reference:
Issue Date: 7/06/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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BLDG. DEPT. Town Hall, 53095 Main Road
TOWN OF SOUTHOLD r M<
1.0 �r l P.O. Box 1179
1.,-in' -- ' �� Southold New York 11971
JUDITH T.TERRY ��••��������i��.� 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: July 5, 1988
Transmitted herewith is a copy of application No. 370 for a Cesspool/
Septic Tank Construction Permit submitted by:
Elizabeth Thompson for Kings Bay Partners .
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
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Signature
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Dated
r
OFFICE OF THE TOWN CLERK
Town of Southold Application No. 3 7a
��
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ` a Construction
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone * 01$ Residential
(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 $ � �--
DATE NiUt.`( cl J9 (
APPLICANT NAME: f LAz lserH SIN +F'Sat.) / Q • ( • •
APPLICANT ADDRESS: 31b Mot" ST. Arr. 33
t\) ‘( (� `� Ico1Z
SEPTIC CESSPOOL XC
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Mew R.ESi'Ds-Ua,
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: k-ItvgS 6A`( MYEAK
OWNER MAILING ADDRESS: 31 f Mon ST • APT-- 3g
M.Y. N Y .
OWNER PROPERTY ADDRESS: KtrotAS BAI ESTATES
Off K-t uI STRLET O 24 Elk.T
TELEPHONE NUMBER OF CONTACT PERSON: ZIZ-1 ,-
TAX MAP NO. : Section On Block 3 Lot 3'v'c.r eV.) 4
CROSS STREET: )c-tti4 ST( -g'T'
BUILDING PERMIT NUMBER CROSS REFERENCE:
44,1W--. IA
Signature of Applican
RECEIVED BY.
Town ier1512-6WCe
RICIIVID
DATE:
JUL 05 19u8
Town CM WWI
--^ i r SUFFOLK CO.HEALTH DEPT. APPROVAL
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o GREENPORT NEW YORK /AFD`'-.
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