HomeMy WebLinkAboutAscher, John �¢osuFF0/4-�
ELIZABETH A. NEVILLE y0� Town Hall, 53095 Main Road
TOWN CLERK � P.O. Box 1179
• N = Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER �, � Telhone (516) 765-1800
RECORDS MANAGEMENT OFFICER 4J .a0 !,r P
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2217 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JOHN ASCHER
Address 1 : 345 EAST 80TH STREET
City St Zip NEW YORK NY 10021
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 #R10-99-0230
Name Of Owner ASCHER, JOHN & ANO.
Mailing Address 1 345 EAST 80TH STREET
City St Zip NEW YORK NY 10021
Property Address 1 555 HILL CREST DRIVE
City St Zip ORIENT NY 11957
Tax Map No. section 13.00 block 2 lot 8.005
Cross Street HEATH DRIVE
Building Permit Number Cross Reference:
Issue Date: 12/28/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ���'Z� OG. Town Hall, 53095 Main Road
TOWN CLERK �1 0 P.O. Box 1179
ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v
MARRIAGE OFFICER 41 Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER =y?fO ���'1�� Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER '� 4 # 00�
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 20, 1999
Transmitted herewith is a copy of application No. 2305 for a Cesspool/
Septic Tank Construction Permit submitted by:
John Ascher
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application -and location map of the project cited above
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and make the following reco endations:
APPROVE f
DISAPPROVE
Comments:
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Dated
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OflT OF THE TOWN CLERK .�' ``�f gi ti/���
' ' Tl4WNOFSOUTHOLD ,;a � "1�t
;` Application No. 023 0 S�
&►.IZABETH A.NBVW$TOWN CLERIC
P.O.BOX 1179 . f 1 Construction 0<-____
SOUTHOID,NEW YORK 11971 : --
• UI Alteration
$10.00 -Residential
Telephone �.�,yo y►�O,c��' -
(516) 765-180O = 1, �,��'� $25.00 -Non Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee .$ 10.00
DATE December 17 , 1999
APPLICANT NAME: John Ascher
APPLICANT ADDRESS: 345 East 80th St.
New York, NY 10021 •
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Single-family dwelling (new)
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: John Ascher and ano.
OWNER MAILING ADDRESS: 345 East 80th St.
New York, NY 10021
OWNER PROPERTY ADDRESS: Construction Site: 555 Hill Crest Drive
Orient., NY 1 L(M
TELEPHONE NUMBER OF CONTACT PERSON: 298-5968
TAX MAP NO. : Section 13 Block 02 Lot 8 . 5
CROSS STREET: Heath Drive
BUILDING PERMIT NUMBER CROSS REFERENCE:
-41', \la ah1.1-1-r\
Signature of Applicant
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RECEIVED BY:
Tow trl r ' ffice
DATE: /r.;— - --6)
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( , CERTIFIED TO:
FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
JOHN ASCHER
r.` EDWARD SYPNIEWSKI ,q„�INo �
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STMIONWS FOR TIRE SIAMTS AS ESTA111NED
AT THE 1.LALS NO APPIATm AND ADORED
FOR SUCH UK Br,TRA19Y.WTCN, THE NOW YORK STATE IANC
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