HomeMy WebLinkAboutHenchy, Dennis •
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ELIZABETH A. NEVILLE y Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS �+' Southold, New York 11971
G 4 �1 Fax (631) 765-6145
MARRIAGE OFFICER 1i �I
RECORDS MANAGEMENT OFFICER '/Q• �40 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 9
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2291 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RICHARD WRIGHT
Address 1 : 9 EAST CARVER STREET
City St Zip HUNTINGTON VILLAGE NY 11743
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 #R10-99-0176
Name Of Owner HENCHY, DENNIS
Mailing Address 1 20 PEMBROOK DRIVE
City St Zip NORTH MASSAPEQUA NY 11758
Property Address 1 1325 KIMBERLY LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 13 lot 20.008
Cross Street PINE NECK ROAD
Building Permit Number Cross Reference:
Issue Date: 4/14/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,,,;
� hOG'f' Town Hall, 53095 Main Road
ELIZABETH A. NEVILLE �� � .
TOWN CLERK t o - P.O. Box 1179
� yft
y, Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Qy � ,,�� Fax (631) 765-6145
MARRIAGE OFFICER L
RECORDS MANAGEMENT OFFICER �a���1� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ���
... .•0i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 6, 2000
Transmitted herewith is a copy of application No. 2379 for a Cesspool/
Septic Tank Construction Permit submitted by:
Richard C. Wright for Dennis & Annmarie Honchy
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:
nature
Dated
I
OFFICE OF THE TOWN CLERK i0' �FFO[I�
TOWN OF SOUTHOLD ,%s �G�;, Application No. _379
ELIZABETH A.NEVILLE,TOWN CLERK Construction
P.O.BOX 1179 � a _ �
SOUTHOLD,NEW YORK 11971 : p ; Alteration
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Telephone ----1?_
�,� ir*44 . $10.00 - Residential
_1ypl 4��, i.
(516) 765-1801 ' $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE I AM, lea
APPLICANT NAME: fl(CIJ'flrsD C. 14112160 A Ainhv t8 " Alrter
APPLICANT ADDRESS: - PST A , !' 5 irk I1'$J1fl f ' Ultima 143
SEPTIC ✓ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Wati fd°fC S16101
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR�/ALTERATION:
OWNER OF PROPERTY: L 4J15 t/lamoi8 Hate(
OWNER MAILING ADDRESS: OMr#t4(112, A.WOHISPRSA tii nig
OWNER PROPERTY ADDRESS:Va5 KIigiefIthvI UM ,� oV(�/ AN .
TELEPHONE NUMBER OF CONTACT PERSON: 431• 541'/ /4o
TAX MAP NO. : Section 70 Block /3 Lot 26,8
CROSS STREET : NA Wel AA)
BUILDING PERMIT NUMBER CROSS REFERENCE:
igs .......,.
of Applicant
RECEIVED BY : 0
T wn Clerk's Office
DATE: '9 I I OO
r
• DBPi1A7l�1raF>�At. -- ^ _ LAST. NOTE
• " •
C ROAD / \I Minimum distance between •well •
•, , APPR• OVAL OF 6 -a r 6 N FORA I LoaTION / - and cesspool is to be 150 feet.
FAMII.Y RBSi1D.,,0,2t., :., ' Y -
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. :•.r" ' • . SURVEY
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P
_ �_ i� \ MAP OF
� � LOT( PARADISE BY THE BAY
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RS o APPROVAL `' FILE No. 6463 FILED NOVEMBER 4, 1976
• � DWEI.0 �so) 361/.97'
:.4•)• :� . 1 : .• (WELL OVERSITUATED AT
It SOUTHOLD
• -- i 1-- // y TOWN OF SOUTHOLD
E �, H• EOOE a W H 1 / h
J SUFFOLK COUNTY, NEW YORK
1 �' •It.1 N 8 • 20" �- \\ _�-- I� w'�o S.C. TAX No. 1000-70-13-20.8
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