HomeMy WebLinkAboutLoring, Micharl S
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PT 1 Town Hall, 53095 Main Road
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Southold, New York 11971
JUDITH T.TERRY
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TELEPHONE1801
TOWN CLERK
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. 467 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LORING, MICHAEL A. & TERU ANN
Address 1 : 77 SCHOOL STREET
City St Zip HAMPTON BAYS NY 11946
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 2/10/89.
Name Of Owner LORING, MICHAEL A. & TERU ANN
Mailing Address 1 77 SCHOOL STREET
City St Zip HAMPTON BAYS NY 11946
Property Address 1 1695 PRIVATE ROAD #3
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 108.00 block 3 lot 8.008
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 2/22/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
FEB 2 ! 989
BLDG.DEPT• • Town Hall, 53095 Main Road
TOWN OF SOUTHOLD `' �'
20 �- •�� P.O. Box 1179
_ 0.#0Southold, 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: February 21, 1989
Transmitted herewith is a copy of application No. 477 for a Cesspool/
Septic Tank Construction Permit submitted by:
OT Michael A. and Teru Ann Loring
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 recoi Thendations:
APPROVE
DISAPPROVE
•
Comments: C- cJvl C-1 1 if7) .t,t.LtAli eyttex042.
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Signature
Dated
OFFICE OF THE TOWN CLERK
Town of Southold � �jf
Judith T. Terry, Town Clerk .
Application No. / 71
Town Hall, 53095 Main Road a Construction ,✓
P. O. Box 1179
Southold, New York 11971 ,y� *-•
$ Alteration
`�l � '• Residential
Telephone Ol ��i
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No. 2/ -2 7
�c7
Fee $ /0 . q
DATE e:› '
APPLICANT NAME: Michael A. Loring & Teru Ann Loring
APPLICANT ADDRESS:77 School Street
Hampton Bays, NY 11946
SEPTIC X CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Residential dwelling with pool .
LOCATION MAP: Must be attached hereto before permit may be issued.
*See attached
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Michael A. & Teru Ann Loring
OWNER MAILING ADDRESS: 77 School Street
Hampton Bays, NY 11946
OWNER PROPERTY ADDRESS: Main Road
Mattituck, NY
TELEPHONE NUMBER OF CONTACT PERSON: 718-353-1757 or 516-728-8267
TAX MAP NO. : Section 108.00 Block 03.00 Lot 008.01
CROSS STREET: !Iain Road (Between Elijahs Lane and Alvahs Lane)
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Si. .t re o Ap ' t
RECEIVED BY: _
Town Clerk's Office
DATE:
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