HomeMy WebLinkAboutRyan, Stephen i� %OSUf FOL,�c
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ELIZABETH A. NEVILLE ��_ 'y Town Hall, 53095 Main Road
of"
TOWN CLERK ; P.O. Box 1179
,y. n� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (631) 765-6145
MARRIAGE OFFICER :�iliL ,I',
RECORDS MANAGEMENT OFFICER "'/Ql $ ��� Telephone (631) 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. 2333 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : STEPHEN & HELEN RYAN
Address 1 : PO BOX 487
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0046
Name Of Owner RYAN, STEPHEN 6 HELEN
Mailing Address 1 PO BOX 487
City St Zip GREENPORT NY 11944
Property Address 1 AUGUST LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block 4 lot 44.022
Cross Street PLEASANT PLACE
Building Permit Number Cross Reference:
Issue Date: 6/02/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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,ii''�SUfFout,
ELIZABETH A. NEVILLE t/ ( ..:_.- �•- '-i#
a. q't)wn Hall, 53095 Main Road
TOWN CLERK %% o - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % �+' nil i '! 1 2 ,—Southold, New York 11971
MARRIAGE OFFICER :�# / N• 1 ......i Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER "'/Ol ���t,� T lephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ �'�
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 1, 2000
Transmitted herewith is a copy of application No. 2421 for a Cesspool/
Septic Tank Construction Permit submitted by:
Stephen D. & Helen F. Ryan
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.
` y
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE ✓
DISAPPROVE
Comments:
-zs_61,A,.,..4.4 .—,_.
ignatur
61ito0
Dated
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{OFFICE OF THE TOWN CLERK ' ��/' CAVULA�
TOWN OF SOUTHOLD ��� �1 Q Application No. Vont
ELIZABETH A.NEVILLE,TOWN CLERK t
PO.BOX 1179 1.
; '� Construction
SOUTHOLD,NEW YORK 11971
cat's i Alteration /
Telephone O,j��, Aro: $10.00 - Residential ✓
(516) 765-1801 _.. ..� ��
o' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 3 - 3 ! - co
APPLICANT NAME: 5 / HEN L ,I He/,,) F kgyA,)
APPLICANT ADDRESS: Po ?0j( t{9) ?7
bre-e npb1 r , NI /(9q4/
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION d6 x yq 4.0-asst
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5fz:ra�. • qr��v.,� - a �aba1-e, ko-A,0_ PIkft I30saPrh.ekl+
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : Sfe p y eiv i) 4- I4e l.e ,.\ F- ,R y ot r►
OWNER MAILING ADDRESS: ('d Gov 4 X3 '7
&re-e n P& r - / JV, f (9(i f Li
OWNER PROPERTY ADDRESS: /tu L
. GUST LANE ot it
erf e e r pa 27- 1 ►fit //"i LL-(
TELEPHONE NUMBER OF CONTACT PERSON: fb 3 ) ) U -1 -7 - o (403
TAX MAP NO. : Section Os-3 • av Block 04, op Lot 0 4, y. 0.9-.:?.
CROSS STREET : AU G u s r L Ne -+ P leases » ,L P/o L�
BUILDING PERMIT NUMBER CROSS REFE' ENCE:
,/
46,.....) 74,,./.3 , 7,_
Signature of Appl' ant
RECEIVED BY :
Town Clerk's Office
DATE:
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