HomeMy WebLinkAboutSnyder, William '�,�o��PgUFFO(,�coG.
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ELIZABETH A. NEVILLE `Z` `�`
,•hTown Hall, 53095 Main Road
TOWN CLERK ; C:$
-� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v. �� Southold, New York 11971
MARRIAGE OFFICER , O �' t Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER `� /�f aOvi Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER * "01.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2171 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GEORGE SNYDER
Address 1 : P.O. BOX 50
City St Zip MASTIC BEACH NY 11951
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 #R10-99-0180
Name Of Owner SNYDER, WILLIAM AND KATHERINE
Mailing Address 1 508 PINE LAKE DRIVE EAST
City St Zip WAYNE NJ 7470
Property Address 1 KAYLEIGHS COURT
City St Zip EAST MARION NY 11939
Tax Map No. section 22.00 block 3 lot 5.003
Cross Street MAIN ROAD (RT 25)
Building Permit Number Cross Reference:
Issue Date: 10/22/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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S�FFOL it --
ELIZABETH A.NEVILLE ,�� `ZO �yTown Hall, 53095 Main Road
TOWN CLERK % o -1 % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % �� Southold, New York 11971
MARRIAGE OFFICER : , # Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER =w* a0.1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER .... .'� �`�i�.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 8, 1999
Transmitted herewith is a copy of application No. 2258 for a Cesspool/
Septic Tank Construction Permit submitted by:
George Snyder .
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.
56cc-
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
2ur
e
to / / 24/
Dated
,4 ry
OFFICE OF THE TOWN CLERK ,1' CA FULkCQ
TOWN OFSO,UTHOLD ' = Application No.. 5-1
ELIZABETH A.NUB 1,TOWN CLERK
/07
�P.O.BOX1179 Construction
SOUTHOLD,VEW YORK 11971 O
1Alteration
p
Tele hone ,l' Qi $10.00 - Residential
(516) 765-1801 l ��'� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE / '
/S//17
APPLICANT NAME: O47
APPLICANT ADDRESS: /9-v /3dx- 5-0 d4 A3jlic- 4 �
/r/
SEPTIC CESSPOOL i/
DESCRIPTION OF PROPOSED CONSTRUCTIONy, OR ALTERATION
<`0 wG � Le-7(//4_,
t° r ,. /( r3 �1 0( G w1 /tet./-7/
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTf RATION:
OWNER OF PROPERTY: (;(//. (( /(,cwt „� jlt�i�C srt, 1/Cr--
OWNER MAILING ADDRESS:Afikkl .L A-4rhr;WC- SA/7U/r�
SO j0r'!v (QA-‹ ,a/(ivc rt �ti� ,,v� I/_J O7Y7?o
OWNER PROPERTY ADDRESS: (�� ( kik,/ (44r Cr u`t
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 1.;/i� /L ,Block 3 Lot
CROSS STREET: 1,'U/ /'(-//I / KJ 7j A s
)
BUILDING PERMIT NUMBER CROSS REFERENCE:
44?" J g atu of Applicant
RECEIVED BY: A / L
own Clerk's Office
DATE: 9
1
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/ e I I co WILUAM J. SNYDER &
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$QFpO[Ka0ii1A1[YD�P OF HEALTHSERVICES �,o Suff. Co. Tax Map: , 1000 , 22 , 3 5.3 _ 3 ,a
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EXPIRES' YEARS ROAD (N.Y.S. RTE 25) e".'Y- DATE :NOV. 25, 1998 9�etiE
MAIN / OF J08 LNO. :98-0717 P
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