HomeMy WebLinkAboutZuhoski, Michael /~ ,'H iy
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ELIZABETH A.NEVILLE �� CoGy‘ Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS N rr,=
MARRIAGE OFFICER 0 * Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER �tff 0 °. Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2050 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : THOMAS AND LAURIE A. SANDERS
Address 1 : P.O. BOX 5152
City St Zip ROCKY POINT NY 11778
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 #R10-99-0058
Name Of Owner ZUHOSKI, MICHAEL
Mailing Address 1 2780 DUCK POND ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 26481 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 2 lot 16.006
Cross Street CROWN LAND LANE
Building Permit Number Cross Reference:
Issue Date: 4/16/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ,�y��y� s-t, . Town Hall, 53095 Main Road
TOWN CLERK c .c >`, P.O. Box 1179
N 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER 45/1RECORDS MANAGEMENT OFFICER %. 0 N. Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER � 01 �aYrP
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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: April 6, 1999
Transmitted herewith is a copy of application No. 2132 for a Cesspool/
Septic Tank Construction Permit submitted by:
Thomas and Laurie A. Sanders for Michael Zuhoski .
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.
4c.tew
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following r ommendations:
APPROVE
DISAPPROVE
Comments:
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Dated
OFFICE OF THE TOWN CLERK ,,�'��FFOUree
TOWN OF SOUTHOLD /'Q `' QVI:= Application No. at 3
ELIZABETH A.NEVILLE,TOWN CLERK
.' Construction
P.O.BOX 1179 _
SOUTHOLD,NEW YORK 11971
=, ; Alteration
Telephone
‘-•-_,0 Nr�Q���/ $10.00 - Residential
(516) 765-1801 " tl o�,�''. $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for RF'ern/Li.^
CONSTRUCTION or ALTERATION PERMIT 4i' J 1999
SEPTIC TANK or CESSPOOL (own CIerK Southold
Permit No.
Fee $
DATE al/C/9,
APPLICANT NAME: pmas i- L ue4e A, 5 MEes
APPLICANT ADDRESS: P.O. &i)( B15?)--
12c dcA, Poi 1\371 N� I I rlr9g
SEPTIC CESSPOOL U
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/1(V2_, 'RATAN blinali`3
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: (y 1Q s) 2IA hos
OWNER MAILING ADDRESS: aria Liu POn)d resDad
Qltkinm2_ , &d . It9as
OWNER PROPERTY ADDRESS: c- k0J81 &40 egOLdi
C114L2- t n35'
TELEPHONE NUMBER OF CONTACT PERSON: 5t(0- (3,l '-' `71rl
TAX MAP NO. : Section 1 t 1 Block 0 Lot f , irj
CROSS STREET: Q.YC ?IU 1 4k1UD L )E
BUILDING PERMIT NUMBER CROSS REFERENCE:
CU k Aki. a
n Signature of pplicant
PTR' OC3L1-
RECEIVED BY:
Town Clerk's Office
DATE: \-t i 9 1
SUFFOLK COUNTY DEPART El 'r OF F-EAsi SBRVt^x..13
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PERMIT FOR NGLE �1R APPI (.'VA . F into.F't UC"IC�•N FOR A
.t:.. S:iJ.i'...�n O.i.�.d is
' DATE -2-" 4' '. ITS s ?F.'d �R!'" 97 oQSP
l APPROVES C • well
FOR MAXLM 3M 0 , IrEDROOMS ‘,Sc'
NOTE; LOCATION OF ADOtNERIPalitUblieeNZARS FR c. DATE OF APFROV4
BY OTHERS AND£Q,Dr UABAK
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