HomeMy WebLinkAboutVoelkel, Robert Jr G %
ELIZABETH A. NEVILLE �� 1: Town Hall, 53095 Main Road
TOWN CLERK % H Z % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � �'�� Southold, New York 11971
MARRIAGE OFFICER �� y �1 Fax(631) 765 6145
RECORDS MANAGEMENT OFFICER =_'�O1 *�0.��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,•1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2444 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERT VOELKEL JR.
Address 1 : 92 PINE TREE ROAD
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW TO EXISTING SYSTEM.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner VOELKEL JR, ROBERT J
Mailing Address 1 95 PINE TREE ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 95 PINE TREE ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 6 lot 5.000
Cross Street SKUNK LANE
Building Permit Number Cross Reference:
Issue Date: 10/30/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE •�= y.d. Town Hall, 53095 Main Road
TOWN CLERK • y - •
•
t P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER �� y 0!,,1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �_ 46.11 i4%„,,I Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
.018,
OFFICE
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 25, 2000
Transmitted herewith is a copy of application No. 2532 for a Cesspool/Septic Tank
ALTERATION Permit submitted by:
Robert J. Voelkej, Jr.
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
ignature
is 5/G0
Dated
OFFICE OF THE TOWN CLERK 00' ie.''',,
Town of Southold ,'��'0�����f�ixev Application No. �.�� `Z
Judith T. Terry, Town Clerk ; y�
Town Hall, 53095 Main Road Construction
P. 0. Box 1179 v T
Southold, New York 11971 :r� i/) Alteration r�
p
Tele hone 4 ,� $10.00 - Residential
(516) 765-18011 I,, O.' $25.00
$25.00 - Non-Residential
• -. .,# ii
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: �O (2-f )\oG1. L_ �2 •` _
APPLICANT ADDRESS: Qs rit T C RSO.
SEPTICCESSPOOL_`
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
113 6-1- IJI. "t 1 O if) .- v Pe NoD i Tr 0 0 1-cA t-k*-�61 0.4 0 C�
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LOCATION MAP: Must be attached hereto before permit may be issued.
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LOCATION OF PROPOSE() CONSTRUCTION OR ALTERATION:
' OWNER OF PROPERTY : --r-,i, \ldeL JR- .
OWNER MAILING ADDRESS: g -� 0i, (71.-3e Tri
ij
OWNER PROPERTY ADDRESS: GAs,A
TELEPHONE NUMBER OF CONTACT PERSON: Co ►_ -M4-•412,9 _____
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`L TAX MAP NO. : Section Block 40 Lot S,0 '14
CROSS STREET : cle..A.;%-0L- a-C)
i3BUILDING PERMIT NUMBER CROSS REFERENCE :
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ignai , ,
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.f Appl'�a t
RECEIVED BY :
Town Clerk's Office
DATE-
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