HomeMy WebLinkAbout170 Moores Lane Corp e"
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ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK c P.O. Box 1179
ti Southold, New York 11971
REGISTRAR OF VITAL STATISTICS tee
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MARRIAGE OFFICER : ` 1� Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER `:**D a%�,�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ' * , s'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 92 N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : 170 MOORES LANE CORP.
Address 1 : PO BOX 1
City St Zip SHELTER ISLAND NY 11964
Descripton of Proposed Construction or Alteration
ADDITION OF CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner 170 MOORES LANE CORP.
Mailing Address 1 PO BOX 1
City St Zip SHELTER ISLAND NY 11964
Property Address 1 170 MOORES LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 45.00 block 7 lot 3.000
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 5/25/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
ice.
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E1".IZABETH A.NEVILLE $1 y0 Gym
Town Hall, 53095 Main Road
TOWN CLERK P.O.4=1 t P.O. Box 1179
t y x 4 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �'� Fax (516) 765-1823
MARRIAGE OFFICER -1014 Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER y�IJOl �0�di
FREEDOM OF INFORMATION OFFICER -
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: May 18, 1999
Transmitted herewith is a copy of application No. NR 2167 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
170 Moores Lane Corp.
Please review the application and location map and advise if this office may
issue the permit.
Please complete the form below and return it to this office.
Thank you.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - ./
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
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Date
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OFFICE OI'THE TOWN CLERK •'�``��
.TOWNOFSOUTHOLD �� '7�' _ Application NoP2«
ELIZABETH A.NEVILLE,TOWN CLERK % / 4�y I'
r P.O.BOX 1179 !� . Construction
SOUTHOLD,NEW YORK 11971 Z‘,Vt "t ,W
t%/---,...Alteration
Telephone 0 4r./ $10.00 -Residential
(516) 765-1801
,' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. !V 2 q
Fee $
DATE J~1/0
APPLICANT NAME: / 7 /loi'ec Lg 3)e-- C. ry9•
APPLICANT ADDRESS: / 70 /11D/JY¢c 1 e>u-e-
(Y N,$24 r-f- i N'/ /47 '
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSFD CONSTRUCTION OR ALTERATION
441 x¢.-4- c P ssy u,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: J fi i'.ec Aid ,,,G C-077
OWNER MAILING ADDRESS: 101 2eo� /
(5Ae//er is .i. / /vk // y
OWNER PROPERTY ADDRESS: /70 hzlrcf ,Z4z-)-`-•
6.o”ep,L ptv1- f 't I / /9,L/
TELEPHONE NUMBER OF CONTACT PERSON: 6/77— - ry
TAX MAP NO. : Section 1(S /Block 7 Lot
CROSS STREET: ,� k ;/
BUILDING PERMIT NUMBER CROSS REFERENCE:
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RECEIVED BY: --___S
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DATE:
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