HomeMy WebLinkAboutRakman, Jacob ,1��gtFFOL,ec
ELIZABETH A. NEVILLE /`t`O OGy�; Town Hall, 53095 Main Road
TOWN CLERK p '4 P.O. Box 1179
2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER 49 lilt Fax(516) 765-6145
RECORDS MANAGEMENT OFFICERy�f� 40 0 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER =R ' 'I 1,„
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2142 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RAYMOND NINE
Address 1 : P. O. BOX 1401
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
UPGRADE THE EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner RAKHMAN, JACOB AND SUSAN
Mailing Address 1 525 NORTH OAKWOOD DRIVE
City St Zip LAUREL NY 11948
Property Address 1 525 NORTH OAKWOOD DRIVE
City St Zip LAUREL NY 11948
Tax Map No. section 127.00 block 7 lot 16.000
Cross Street PECONIC BAY BLVD.
Building Permit Number Cross Reference:
Issue Date: 8/27/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
CROSS 5 I KLL i s v/: c vi'-( G J$/7 7 p v vv
BUILDING PERMIT NUMBER CROSS REFERENCE:
/ ,,,V7i_ei*i
i,,,, aturet of Applicant
RECEIVED BY:
T wn Clerk's Office
DATE: g/c9-7
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ELIZABETH A.NEVILLE ,�=`Z` yam►` Town Hall, 53095 Main Road
TOWN CLERK , p 1 P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Pr" 1
MARRIAGE OFFICER
O 1 Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER #*L �, 1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 1 4 # ..,
gild
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: August 27, 1999
Transmitted herewith is a copy of application No. 2228 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Jacob and Susan Rakman by Ray Nine
Please review the application and location map and advise if this office may
issue the permit.
Please complete the form below and return it to this office.
Thank you.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
ignature
g`a,1 1q q
Date
OFFICE OF THE TOWN CLERK ,i'gat I W.ii-
TOWN OF SOUTHOLD •,�Q CSG Application No. (9 �•a'r
ELIZABETH A.NEVILLE,TOWN CLERK e 'y!,
P.O.BOX 1179 : . ;'G^_' � Alteration f
; Construction
SOUTHOLD,NEW YORK 11971
FA.
Telephone O,jj, , �Q�,' $10.00 - Residential
(516) 765-1801 = Ol 4�,.' $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 V17 /97 `if
N
APPLICANT NAME: ,]-19c 0 fg 9wd SNS,9/v /I �Ik iv qtr/ ` /�d
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APPLICANT ADDRESS: 52 $ N0 R Td 'X pi,'V P,Q/ VJ �GAD
iri
SEPTIC CESSPOOL IV
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION i f 6-if/9,
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5,P T"I c .-s-'IS rt71.7
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: J) G a ifiv'P S wrifiv /f p, ) i OW
OWNER MAILING ADDRESS: 5'2.5 iv& fi7 1/ ahx 1,1,F1 lei V
i_4 o,E L )v ( ji 4 HJ
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON : /0110),/alvV F yvrvf .24f-*S7
TAX MAP NO. : Section p7 Block 9 Lot ii
CROSS STREET: /71 c ff'"tG 6/.1 4 1..-- r,
BUILDING PERMIT NUMBER CROSS REFERENCE:
% ciAPpa nt
RECEIVED BY :
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T wn Clerk's Office
DATE: g/c9-'7
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