HomeMy WebLinkAboutLindner, Fred 1 /,�,, ilii�•••
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JUDITH T.TERRY 4 Town Hall,53095 Main Road
TOWN CLERK 4 N Z P.O.Box 1179
REGISTRAR OF VITAL STATISTICS %O �, Southold,New York 11971
MARRIAGE OFFICER yiJJ Q� ��� Fax(516)765-1823
RECORDS MANAGEMENT OFFICER �.( � Fax
Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER ,pis'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1195 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : EAST ISLE CUSTOM BUILDERS INC.
Address 1 : 278 JAMAICA AVENUE
City St Zip MEDFORD NY 11763
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 LINDNER, FRED
Mailing Address 1 C/O EAST ISLE CUSTOM BUILDERS
278 JAMAICA AVENUE
City St Zip MEDFORD NY 11763
Property Address 1 DONNA DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 15 lot 26.000
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 9/07/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY : .4. ; Town Hall, 53095 Main Road
TOWN CLERK : =v .Z 1 P.O. Box 1179
U' W � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ‘0404, Fax
°� Fax (516) 765-1823
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MARRIAGE OFFICER =_.,' � Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER _ 1 ,••
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FREEDOM OF INFORMATION OFFICER =�.....,,,,,,,,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 26, 1994
Transmitted herewith is a copy of application No. 1240 for a Cesspool/
Septic Tank Construction Permit submitted by:
East Isle Custom Builders, Inc. for Fred Lindner .
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. la 6
c
let
Linda J. Cooper '
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: OC//2)
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RECLINED
SEP 1994 RECEIVED Signatur 4."z"./ "7 14f/
ion Quit footholdDa
9/13 /9"
SEP - 1994
Town Clock Emboli
OFFICE OF THE TOWN CLERK
Town of Southold r Q Application No./. -- r
Judith T. Terry, Town Clerk ! �/
Town Hall, 53095 Main Road ! Construction
P. O. Box 1179 9 6Alteration
Southold, New York 11971 1
Telephone BLDG.DEPT. Residential
TOWN OF SOUTHOLD I
(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: 5G: at 5r6zC- —&e.
APPLICANT ADDRESS:-7-7 4,4- 41c4
H&---()POR---- 1`1 � - / 7403
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED(n� CON RUCTION OR ALTERATION
S//�o GC r I Ly 4z3 G(e ✓ til e,
LOCATION MAP: Must be attached hereto before permit may .be issued.
LOCATION OF PROPOSED CONSTRUCT IO.N OR ALTERATION:
OWNER OF PROPERTY: CYC 40..Z/a iLitg Lt/a0u t
OWNER MAILING ADDRESS: %,/o -- �j2'rtf>s
- -7 --1/9/(A/4,-CcA 'cEZFoA N7i/76,,
OWNER PROPERTY ADDRESS:.nt0C',--Pb.(M4` R I
Svc, 1 L ( L
TELEPHONE NUMBER OF CONTACT PERSON: 7 z-7--
TAX MAP NO. : Section // Block 1 S Lot z 6
CROSS STREET: /V G.L& oki --
BUILDING PERMIT NUMBER CROSS REFERENCE:
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tctio4-moic r /5Ro - ,
RECEIVED BY: X7/44-1>-7c_c
Town Clerk's Office
DATE: ?/' y
i
6uR✓EyEo FOR /Y)/c,L/,EL 0 CARMEL,4 XoHLER Sc.T/n. do. /000-//,5-/5-26
PRoPERTy LocATEO A7 /✓Tarr/Tuck
MAP of ,OEEP RoL E CREE/r Es7ATE5 4/4c� The water supply and sewage disposal systems for '
for 22 V`�G ANT c):
this residence will conform to the standards of
F/LEO JANc/ARy 24 /965; F/LE A/0. 1256 67(/c+A., ,�° the Suffolk County Department of Health Services.
Toww of Sour ioc o e0,,, ��� o°
5Qfife,LK Coun/Ty, NEW yoRK 6-4,,p.,�� �v w '
A/QeA = 21, 767 .SF. �k S'Bse y) (`x,s 'v vE '
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APPRez
of 44
Q 0icorf
u ,vrct T�L nauthorbed.dteration nr addition In thic cure.} is a .io'•ahnn _of Section_?09 of the Ness Furs State fdue.tion I aw (�•C m
Copies of this carves map not hearing the land Sun evor•inked �-I I
seal or embossed seal shall not he c nnsidered to he a said Inc 7
cony.
Guarantees or certiivaUonS indicated hereon shall run nnk r' TEST�O[E / 3 rA , IOp�NT'Q,N
the person for whom the curves is prepared and on his behalf to o .,
TOPSo/L ,,
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the title company, gosernmental agenr s and lending t I ton "-- •:
listed herrn and k the a.ciFuec ur tl finins,, t ,n f�OlJn7 zi �� .�.P°'oeSEO
(.guarantees nr certtu anonc are not transtectble t addition Loi-- � •� OR,YE�q',9
❑sttuttMS ns subsequent issvners " o y•w 'p j'
$oN0 RES/oEN rr ° Q W x, •°
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