HomeMy WebLinkAboutSolinger, Laura 0 �OS�FFO(,�0
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ELIZABETH A. NEVILLE ; Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
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2Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
Fax (631) 765-6145
MARRIAGE OFFICER `` •fi ��,/�,
RECORDS MANAGEMENT OFFICER '/Ql . �11 Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER
OFFICE OFOF�THE TOWN CLERK
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2410 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DIANE HEROLD, ARCHITECT
Address 1 : PO BOX 884
City St Zip WESTHAMPTON BEACH NY 11978
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 #R10-00-0185
Name Of Owner SOLINGER, LAURA & STEVE MUTH
Mailing Address 1 188 COLUMBIA HEIGHTS, #4
City St Zip BROOKLYN NY 11201
Property Address 1 13459 OREGON ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 83.00 block 2 lot 10.012
Cross Street COX LANE
Building Permit Number Cross Reference:
Issue Date: 9/21/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ��� % •
Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v' i Southold, New York 11971
MARRIAGE OFFICER : 1i � � Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER TO, 1*a� Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER � •������.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 25, 2000
Transmitted herewith is a copy of application No. 2462 for a Cesspool/
Septic Tank Construction Permit submitted by:
Diane Herold for Laura Solinger & Steve Muth
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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Signature
1 , 1 Cs (i)
Dated
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(.IFFICE OF THE TOWN CLERK VFFO
Town of Southold DQ5 We,
Judith T. Terry, Town Clerk t.1% Application Noo?
Town Hall, 53095 Main Roadtn c Construction
P. O. Box 1179 *.$ Alteration
Southold, New York 11971 ,�
Telephone 2I iii �.a�,�. Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE .SOLy 18 , zszoe
APPLICANT NAME: 7D(.121/406- keeoL . C,ttt7EGT
APPLICANT ADDRESS: gay 88Y (,vES'7f- kitP'f01t? 6E-ACJ4 NI 1E3_
( Gat) z88 -SoYq
SEPTIC t°CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
E? ts1ca6 Roo 6 WAS "De-MO L.S KE'tto- $ut c.D.,PG OEPAR t h+bart
tQe Qv E Teb errbw PE:ILwt,ITS
AJfsv 5 Pckn-tttct s{ Stis-Z61 - & 434 TALLeD
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: LAVtLA Sot-trt)G6(t P 0V, Sieve KurtH
OWNER MAILING ADDRESS: (g9 COU Yh 14. 4 L6 f(7s M 4(
attcLL V L)I JN 6W YOR.k. l 12.V l
OWNER PROPERTY ADDRESS: oS tlsaj 017-E601J 2.i /PtLu Ate at6HY-OF..0 y
SW/I4o
TELEPHONE NUMBER OF CONTACT PERSON: 7.g8- SO�LQ 'UtA
TAX MAP NO. : Section 3 3 Block p.. Lot
CROSS STREET : OUP-GOP 11414-‘) ,� Calp LAWS /BiLL:GE L,A+i&
BUILDING PERMIT NUMBER CROSS REFERENCE: pfecoutfloatop &.S OP FlLC-
AT gvt LIDIOG 'Oen t3(77 PG--It n1 i-t PDX NCl didP t sS U Eft,
Signature of Applicant
RECEIVED B Y: , .�-�
Town Ierk's Office
DATE: 2
Town Of Southold
P.O Box 1179
•
Southold, NY 11971
* * * RECEIPT * * *
Date: 07/25/00 Receipt#: 579
Transaction(s): Subtotal
1 Septic Permit- Construct- Resid. $10.00
Check#: 579 Total Paid: $10.00
Name: Muth, Steve& Laura Solinger
SCTM#83-2-10.12
13459 Oregon Rd
Mattituck, NY 11952
Clerk ID: LINDAC Internal ID: 15567
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