HomeMy WebLinkAboutHoeg, Thomas ELIZABETH A. NEVILLE # ; Town Hall, 53095 Main Road
TOWN CLERK C - P.O. Box 1179
Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS
MARRIAGE OFFICER :O1i . •I Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER l 1.0 i,� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 11'
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2325 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PFENNING 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 #R10-99-0272
Name Of Owner HOEG, THOMAS & MARY LYNN
Mailing Address 1 221 DORADO COURT NORTH
City St Zip MIDDLE ISLAND NY 11953
Property Address 1 ARBOR LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 7 lot 23.000
Cross Street BERGEN AVENUE
Building Permit Number Cross Reference:
Issue Date: 5/22/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
325
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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
` '1C $ Fax (631) 765-6145
RECORDS
MARRIAGE
ANAGEMENT OFFICER `;y70/ $', �, Telephone (631) 765-1800
O1
FREEDOM OF INFORMATION OFFICER �
SI°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 19, 2000
Transmitted herewith is a copy of application No. 2413 for a Cesspool/Septic Tank Construction
Permit submitted by:
Pfennin2 Construction for Mr& mrs Hoeg
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Si ature U
Dated
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OFFICE OF THE TOWN CLERK `11FFDUK `
TOWN OF SOUTHOLD O'
.00� COG Application No. (216ELIZABETH A.NEVILLE,TOWN CLERK Q .
P.O.BOX 1179 COnStYUCtIOn�
SOUTHOLD,NEW YORK 11971 p .6G ;
Alteration
• tis
Telephone ,j� �Q ,' $10.00 - Residential
765-1801 ' .� C
�' $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION RECEIVED
for
CONSTRUCTION or ALTERATION PERMIT MAY 19 2001)
SEPTIC TANK or CESSPOOL
Southhold Covin Che rk
Permit No.
Fee $
DATE May 16, 2000 (�
APPLICANT NAME: Pfenniq Construction
APPLICANT ADDRESS: PO Box 244
Wading River, NY 11792
SEPTIC CESSPOOL X
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: Thomas & Mary Lynn Hoeg
OWNER MAILING ADDRESS: 221 Dorado Court North
Middle Island, NY 11953
OWNER PROPERTY ADDRESS: Arbor Lane
Mattituck
TELEPHONE NUMBER OF CONTACT PERSON: 631 -929-3456
TAX MAP NO. : Section 113 Block 7 Lot 23
CROSS STREET: Bergen Ave.
BUILDING PERMIT NUMBER CROSS REFERENCE:
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I; Si;nature of Apr ,nt
RECEIVED BY : rid'
irTo n Clerk's Office
DATE: Ark ��
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SUFFOLK COUNT DEPARTMENT OF HEALTH SERVICES ` SEPT.24, 1999 ADDED PROPOSED HOUSE&GARAGE ___ -
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PERMIT FOR APPROVAL OPCODOTAUCITONFOR A SURVEY FOR: `i
SINGLE FAMILY RESIDENCE ONLY en i
DATE N-2s-00 HS REF.NO..10-'�oz7Z- THOMAS X. HOEG &
APPROVED ' �,� �, a / MARY LYNN HOEGe
FOR1,In7�it7MOF_....MS / At: MATTITUCK Town of: SOUTHOLD `
EXPIRES 11UtEE YEARS FROM DATE OP APPROVAL M,y� Suffolk County, New York rE.
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R=685.00 J bp. g-.
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COMMONWEALTH LAND TITLE INSURANCE CO.
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