HomeMy WebLinkAboutLongo, Vincent ,,
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JUDITH T.TERRY , = d Town Hall, 53095 Main Road
TOWN CLERK y Z P.O.Box 1179
REGISTRAR OF VITAL STATISTICS ��, Southold,New York 11971
OFFICER 4. � Fax(516)765-1823
MARRIAGE
RECORDS MANAGEMENT OFFICER .� * 1► ,�� Telephone(516)765-1800
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. 1429 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : BOB KEHL'S HOME IMPROVEMENTS
Address 1 : 28545 MAIN ROAD
City St Zip ORIENT NY 11957
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. SCHD REF. #R10-95-0105
Name Of Owner LONGO, VINCENT AND WIFE
Mailing Address 1 1037 VIRGINIA AVENUE
City St Zip BRONX NY 10472
Property Address 1 STARS ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 4 lot 3.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 12/20/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ,' 0 1 Town Hall, 53095 Main Road
TOWN CLERK y _ P.O.Box 1179
rrt ,
REGISTRAR OF VITAL STATISTICS �� Southold,New York 11971
MARRIAGE OFFICER 4, Q ,1 Fax(516)765-1823
RECORDS MANAGEMENT OFFICER �.( * *, Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER . . ,, ,""�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
3
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 13, 1995
Transmitted herewith is a copy of application No. 1484 for a Cesspool/
Septic Tank Construction Permit submitted by:
Bob Kehls Home Improvements Inc. for Mr. F, Mrs. Vincent I nngn•
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 ,/
Comments: yeee„-loie--/07.4JC%
Si.natur=
Dated
4
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OFFICE OF THE TOWN CLERK ,r,'""
Town of Southold ,'111 FF01.Kt' Application No. Nr54
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ;t ' Construction
P. 0. Box 1179 PR
Southold, New York 11971 `; Alteration
Telephone '
$10.00 - Residential
• ����
(516) 765-1801 _ 1 It �' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE Ia — )E3 - q5
APPLICANT NAME:-63b Kehls q-ciyve eT_\--Aprove_vve_yts1 h
APPLICANT ADDRESS: & Sl-('S (q‘43ve Cll
(ThatT NY) ( 161Sq
SEPTIC CESSPOOL
DESCRIPTION OF PR POSED CONSTRUCTION OR ALTERATION
i\(' ` UU b\h/ en\)(1
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR LTERATION:
OWNER OF PROPERTY: MY I H YS V I,v c ri Loney C
OWNER MAILING ADDRESS: ( C)3'? V I' ,}1 j Ave
`- roY1X 1 IV 1 o 14 7"
OWNER PROPERTY ADDRESS: ,,� ►(2 S e.
cAsT manor) , qc),Y
TELEPHONE NUMBER OF CONTACT PERSON: 3 a 3- 3•5. �?
TAX MAP NO. : Section 31 Block Li Lot 8
CROSS STREET: PLeU:I.J
BUILDING PERMIT NUMBER CROSS REFERENCE:
1/ .
nature of • p. ' cant)
RECEIVED BY: ljC1
T wn Clerk's Office
DATE: l��
H.S. NO.r ..
'1AP OF PROPERTY
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tja4r`' a J iEZ ¢ V! �FNT LOGO i _ ;� ��
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�+�-�O �`rrSTATEMENT OF IN T ENTiI
•1{If _ _ J �y��tnC�i tL AT r l i THE WATER SUPrLY AND SEWAGE DIS?057�i.t - ��`� I arVi a74/4 \ 4 EAST MA ION SYSTEMS FOR THIS RESIDENCE WILL
0 r J.Q ''\ V A f CONFORM TO THE STANDARDS OF THE
50• t- T` o T'e" •
OWN OF SOUTHOLD , tVY i `
SUFFOLK`5 LK CO. DEPT. OF HEALTH SERVICES.
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r APPLICANT
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II �-�' �•E 199.37 r`� ' i SUFFOLK COUNTY DEPT. OF HEALTH
Q SERVICES - FOR APPROVAL FOR
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CI 40 —.- �•� Pi2oP. WO 6AL.SE9TnC TAA1K, H.S.REF.NO.: i► 10 -IP 0
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