HomeMy WebLinkAboutTownsend, Joseph Jr ''I��
,��S�FFOL�-Co
ELIZABETH A.NEVILLE ,` 4. .. Town Hall, 53095 Main Road
TOWN CLERK ; p P.O. Box 1179
y Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax Fax (516) 765-1823
MARRIAGE OFFICER
\:#4
�
RECORDS MANAGEMENT OFFICER : �� * .0� Telephone(516) 765-1800
�a
FREEDOM OF INFORMATION OFFICER ��
0
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2204 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : STANLEY SKREZEC
Address 1 : 50 GULL POND LANE
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
ADDITION DRAINAGE RINGS TO EXISTING SYSTEM.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner TOWNSEND, JOSEPH JR.
Mailing Address 1 10235 MAIN ROAD
City St Zip EAST MARION NY 11939
Property Address 1 13135 MAIN ROAD
City St Zip EAST MARION NY 11935
Tax Map No. section 31 .00 block 5 lot 10.001
Cross Street NONE
Building Permit Number Cross Reference:
Issue Date: 12/21/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
... ,
_,,,,„...........___
. (9-_
a/0 L(
,, 0 f ELIZABETH A.NEVILLE 'I_�� �% ; Town Hall,53095 Main Road
TOWN CLERK c P.O. Box 1179
% ti x Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v. Ivy t!
MARRIAGE OFFICER ,10 * Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER `,y� 0\-, Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER �1 J �`�._
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED : December 8, 1999
Transmitted herewith is a copy of application No. 2292 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Stanley F. Skrezec for Joseph L. Townsend Jr. .
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 followin recommendation:
APPROVE
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
\CS-
Signature
, 24 , 3279
Date
OFFICE OF THE TOWN CLERK ""'."'
—Town of Southold .01 cAtf W( '�"
Judith T. Terry,
Town Clerk • l/ Application No. a�
Town Hall, 53095 Main Road Construction aa
P. O. Box 1179
Southold, New York 11971 �� ; Alteration
Telephone ;y0 0Qr1.i� $10.00 - Residential I
(516) 65-1801 � �Ol
,,,, '� $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION iib
for (C d
CONSTRUCTION or ALTERATION PERMIT Iva
Clik how
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE Dec_ ET lcgY
APPLICANT NAME: S� I "-
y
APPLICANT ADDRESS: GULL ' L.,A-,vs
d . - - / Al Y_ L Ls ',F '
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Abt 3 3 fsg3 e
WA-{00-- Q, AJ TO CSDZKS A)- i. -c c PlAic- P€W 6-i- 5,a
Sz-41,4.en W- Cisr, oft - et es PVT" IAA-t': b 1.....e, _,I...
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY : X 13 At Se_PI,, L.—. j pWN s e....
OWNER MAILING ADDRESS: 1ti1 11.
FA-W. kiit Al Y. t l9 5
OWNER PROPERTY ADDRESS: ` SAA4AC AS Aa4Air.
TELEPHONE NUMBER OF CONTACT PERSON: (-I'Z - I g Z Z
TAX MAP NO. : Section 3 1 Block 5 Lot I 0 . I
CROSS STREET: t`po 6
BUILDING PERMIT NUMBER CROSS REFERENCE:
i nature,o Applicant
RECEIVED BY: „:40,6
p� iwil Clerk's Office
DATE: I9' 0
rIe
Ac
_ r-
rI
ftega 330
iisimmot 4
MINI
G,
iltdf
•
ctCr
V\ (
43
A5t
t
V
y ro
n1,14,17:1