HomeMy WebLinkAboutPfennig, Pamela ,,•iii..
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ELIZABETH A. NEVILLEd • Town Hall, 53095 Main Road
TOWN CLERK ` P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS
W Southold, New York 11971
MARRIAGE OFFICER .�4' ��IS Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Q • S,, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �i�6
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2356 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PFENNIG CONSTRUCTION
Address 1 : PO BOX 244
City St Zip WADING RIVER NY 11792
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 #R10-99-0085
Name Of Owner PFENNIG, PAMELA
Mailing Address 1 PO BOX 244
City St Zip WADING RIVER NY 11792
Property Address 1 2905 ARBOR LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 7 lot 25.000
Cross Street BERGEN AVENUE
Building Permit Number Cross Reference:
Issue Date: 6/28/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
• / �OS�FFO�,�0 •;
ELIZABETH A. NEVILLE ���_� 4 : Town Hall, 53095 Main Road
TOWN CLERK y - P.O. Box 1179
�y, Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �� Fax(631) 765-6145
MARRIAGE OFFICER :` 7 �1
RECORDS MANAGEMENT OFFICER �Ql Ilk *' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ i 09.6
,,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 27, 2000
Transmitted herewith is a copy of application No. 2444 for a Cesspool/
Septic Tank Construction Permit submitted by:
Pfeening Construction
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:
Signatu
Dated
?'
OFFICE OF THE TOWN CLERK 1,O��FF O!/i� "
TOWN OF SOUTHOLD %`'� ` ULA
°coo/QG Application No. �t7/fl
ELIZABETH A.NEVII IE,TOWN CLERK i 0
P.O.BOX 1179 Construction /ice
SOUTHOLD,NEW YORK 11971 : p RI ; Alteration
Telephone ‘0O,j. Q�i', $10.00 -Residential t'
(63t) 765-1800 -__ 4 ei J�,,'' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for .
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE June 26, 2000
APPLICANT NAME: Pfennig Construction
APPLICANT ADDRESS: PO Box 244
Wading River , NY 11792 •
•
SEPTIC CESSPOOL
i
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Installation of septic system For new single family dwelling
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Pamela Pfennig
OWNER MAILING ADDRESS: pn Rox 244
Wading River, NY 11792
OWNER PROPERTY ADDRESS: 2905 Arbor Lane
Mattituck
TELEPHONE NUMBER OF CONTACT PERSON: 631 -929-3456
TAX MAP NO. : Section 113 Block 7 Lot 25
•
CROSS STREET: Bergen Ave.
BUILDING PERMIT NUMBER CROSS REFERENCE:
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RECEIVED BY: .11/1(--'1-2-44-e
Town Clerk's Office
DATE: 4:,./ 7/V'
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CHICAGO TITLE INSURANCE COMPANY '7E
PFENNUG CONSTRUCTION Corp.
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PAMELA PFENNIG ,
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