HomeMy WebLinkAboutKyle, Ascension �CitC_e cC.. C.L, cec"G
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JUDITH T. TERRY �,, _; Town Hall, 53095 Main Road
TOWN CLERK •
. v T P.O. Box 1179
�!'� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = Va �. e'� Fax (516) 765-1823
MARRIAGE OFFICER ' -49 .w � Fax
(516) 765-1801
RECORDS MANAGEMENT OFFICER 4 / so.°
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1229 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SOUTH BAY CONSTRUCTION INC.
Address 1 : 63 WAVECREST DRIVE
City St Zip MASTIC BEACH NY 11951
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES.
Name Of Owner KYLE, ASCENSION AND KEVIN
Mailing Address 1 P. O. BOX 1295
City St Zip SOUTHOLD NY 11971
Property Address 1 815 PARK AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 56.00 block 1 lot 2.004
Cross Street LONG CREEK DRIVE
Building Permit Number Cross Reference:
Issue Date: 10/24/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY :,' Town Hall, 53095 Main Road
TOWN CLERK : p P.O.: P.O. Box 1179
U1 � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = . �� Fax (516) 765-1823
MARRIAGE OFFICER 4 I' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER ---.. f 4. �I00
FREEDOM OF INFORMATION OFFICER ,,/
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1289 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SOUTH BAY CONSTRUCTION INC.
Address 1 : 63 WAVECREST DRIVE
City St Zip MASTIC BEACH NY 11951
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES.
Name Of Owner KYLE, ASCENSION AND KEVIN
Mailing Address 1 P. O. BOX 1295
City St Zip SOUTHOLD NY 11971
Property Address 1 815 PARK AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 56.00 block 1 lot 2.004
Cross Street LONG CREEK DRIVE
Building Permit Number Cross Reference:
Issue Date: 10/24/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
JUDITH T. TERRY : Z ;L ; Town Hall, 53095 Main Road
TOWN CLERK : o T ; P.O. Box 1179
t % Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = VO �. ��� Fax (516) 765-1823
MARRIAGE OFFICER .,�'j� ,�O ," Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER '='4/•� i'
FREEDOM OF INFORMATION OFFICER =�..,iiiiii'��
OFFICE OF THE TOWN CLERK -
TOWN OF SOUTHOLD
i 31994
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 12, 1994
Transmitted herewith is a copy of application No. 1273 for a Cesspool/
Septic Tank Construction Permit submitted by:
South Bay Construction Inc. for Ascension and Kevin Kyle •
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:re
APPROVE [/
DISAPPROVE7
/�
Comments: CO / 504) gist/ .
MOVED -
.., , 6k--z- de 4
cis-
Signature
1
OCT ^ ' 1994 /o 9 fe
Town Clerk SOuthOld Dated
711111111
OFFICE OF THE TOWN CLERKc�VFF0L4 -" _
Town of
thold
Judith T. Town Clerk , D� •
Town Hall, 53095Application N 5
o.`�,�
Terry, -` V
Main Road �,:-:`:' • j�C Construction
P. O. Box 1179 *- J
Southold, New York 11971 �. Alteration
Telephone -4Ol 2 l ��O �.. Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: (�
_-�n �k-h IJcui
APPLICANT ADDRESS: L, L'Javj.CnuA- L
yl YYl cam__ Y 1 151
SEPTIC I CESSPOOL I (�
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
��_ /v.Lw Ilfrvut—bAmti.11 (\L4 c.ataAL,et.) Gtry, LI.7. 5 )t 6 2 $
fs* �; 0-nS P.j.c (1.. &naq 2)37)
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: (°;-rxS{-r ci-t -r.R
OWNER OF PROPERTY: A S c eiv► 5 i s--r tit- at V.A1= r` VI le_
OWNER MAILING ADDRESS: ,.PO X (2 q5 1
5ou�h�ld Y1i
1 )q ,-?
OWNER PROPERTY ADDRESS: B1 Pc r) AU-e-
Sobrik1( 10 ( i I q�') (
Sekk- SQ,A`Acwl- (jw;1&AA- S"31 t
TELEPHONE NUMBER OF CONTACT PERSON: •74,5- 5
TAX MAP NO. : Section 5 L Block Lot a,y
CROSS STREET: e-sn eL �r� 4�
BUILDING PERMIT NUMBER CROSS REFERENCE:
�[� Si. . . re of App ant
RECEIVED BY : N'► XL-L
Town Clerk' Office
DATE: /O// t7/9/
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SURVEYED FOR:- ,�C� / c. ,7 4,..ret,•,rxi t,,• ,-yam T.,� '. res
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LOCATED AT 7t�.w 9� .. 9�vc� •/�Vr..•1 / <.rr' Z../ ��"�'
LOT /44. .
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MAP OF � Cill AR
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����� r a HcALI H SERVICE
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't' '+"uGystems for this re,;idencn will conform WILLIAM S. SIMMONS SI 1 E
to the standards of the Suffolk County ns WEST MAIN STREET
Department of Health Services. SUP,1,.,I..N.Y. - {,.
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