HomeMy WebLinkAboutDrossos Motel 0"c WFOL j'
ELIZABETH A.NEVILLEyd; Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
ti = Southold, New York 11971
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REGISTRAOF VITAL STATISTICS �
MARRIAGE OFFICER ,L Fax (631) 765 6145
RECORDS MANAGEMENT OFFICER `��y ! a� i��/ Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER - �sso
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OFFICEOF
TTHETOHLLDD
TOWNCLERK
SOUTHOLD WASA ppRUaISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2388 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SEA BREEZE CESSPOOLS
Address 1 : PO BOX 156
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 DROSSOS MOTEL
Mailing Address 1 ROUTE 25
City St Zip GREENPORT NY 11944
Property Address 1 ROUTE 25
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block 1 lot 3.000
Cross Street CHAPEL LANE
Building Permit Number Cross Reference:
Issue Date: 8/24/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELI ETH A.NEVILLE �s_� 'yt: Town Hall, 53095 Main Road
OWN CLERK % y - ; P.O. Box 1179
V, i Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � � � +�
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ` y_, 4(1 t). 19
19 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ',,,,A
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 16, 2000
Transmitted herewith is a copy of application No. 2478 for a Cesspool/
Septic Tank Construction Permit submitted by:
Sea Breeze Cesspool for Drossos Motel
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:
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OFFI¢OF THE TOWN CLERK 1'. C ElLk(►;--
TONOFSOUTHOLD %;'O ,,ix-
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WApplication No.
ELIZABETH A.NEVJIIP,TOWN CLERK ;Q Construction
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 . o rn
u1 Alteration
•Telephone i1' . $10.00 -Residential
(631) 765-1800 -= 4 411111b,':/'Q��/ $25.00 -Non--Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for '
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 7//6'
APPLICANT NAME: .4 / > 0 1 • I ►•) 0 be
APPLICANT ADDRESS: f 6 /
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SEPTIC CESSPOOL I
DES RIPTION OF 'ROPOSED CONSTRUCTION OR ALTERATION /' I1 i
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CON ' ' UCTION • A TERATION:
OWNER OF PROPERTY: . _ ,A A lj 403-06 Il°
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OWNER MAILING ADDRESS:
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OWNER PROPERTY ADDRESS ,4 AQ—
TELEPHONE NUMBER OF CONTACT PERSON:
ir- 41/ /
TAX MAP NO. : Section 5 ' Block ( Lot 3
CROSS STREET: C/A clt-'/-,7
BUILDING PERMIT NUMBER CROSS REFERENCE:
401111P
ignature of Applicant
RECEIVED BY: 1161j/ L--
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• n Clerk's Office
DATE: l /p d
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