HomeMy WebLinkAboutErnest, Ed 9(jS�F• FO(,�e
i9G r Town Hall 53095 Main Road
ELIZABETH A.NEVILLEkY
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TOWN CLERK P.O. Box 1179
N Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �r Fax (516) 765-1823
MARRIAGE OFFICER spy ��� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER 4f 1 �a
FREEDOM OF INFORMATION OFFICER W
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2196 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCOTT CORWIN
Address 1 : PO BOX 276
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
REPLACE EXISTING UNDERSIZED TANK WITH NEW TANK AND LEACHING POOLS.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner ERNEST, ED & NORTON, ANGELA
Mailing Address 1 60875 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 60875 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 56.00 block 1 lot 11 .001
Cross Street LAUREL AVENUE
Building Permit Number Cross Reference:
Issue Date: 12/14/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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Town Hall, 53095 Main Road
ELIZABETH A. NEVILLE ��`� y� i
TOWN CLERK o
- P.O. Box 1179
y x Southold, New York 11971
REGISTRAR OF VITAL STATISTICS T i
MARRIAGE OFFICER
p yC Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER Wit", Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER = '� jiga"
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: November 26, 1999
Transmitted herewith is a copy of application No. 221/ for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Scott Corwin for Ed Ernst and Angela Norton
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. 90
��^�
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the applicatio and location map of the project listed
above and make the followi recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
419
ignature
Date
„, OFFICE OF THE TOWN CLERK ,'"
TOWN OF SOUTHOLD e, 4�FF���(C►W Application No. a —
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ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 : l''. ; Construction
SOUTHOLD,NEW YORK 11971 ; O T
Alteration
Tele hone �O,j� 4/ $10.00 - Residential ��
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(516) 765-1801 Q1 � �,.. $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 /l �.?6 - g9
APPLICANT NAME:
SCOTT CORWIN
APPLICANT ADDRESS:
(MAPINC & EXCAVATING. C .
P,O. Box 276 .
/ GRUNPORT, NEW YORK 11944
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONS RUCTION OR ALTERATION 1�,' / ,' ; r* �j/I—
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTIO OR ALTERATION:
OWNER OF PROPERTY: 0 vNs�- pO (1ii1CV. /n CV.--6-0)/n4 t hi
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: 14-VW -1-1/1411
TELEPHONE NUMBER OF CONTACT PERSON: -gS'- 9J00 7_/106
TAX MAP NO. : Section SC Block / Lot / I
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
.1
4Si nature of Applicant
RECEIVED BY: .7/----(-----(}-0---x ,
Tow 'Clerk's Office
DATE: /(/2 CF/ .
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