HomeMy WebLinkAboutRingewald, Robert ,,e'S\NFFO(A-C;
ELIZABETH A.NEVILLE a,, Co Town Hall, 53095 Main Road
TOWN CLERK c . > P.O. Box 1179
N 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS r7.7 Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER �y�0� �p0,I Telephone (516) 765-1800
N
FREEDOM OF INFORMATION OFFICER l [ ofe,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2054 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DIRVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner RINGEWALD, ROBERT
Mailing Address 1 2150 NASSAU POINT ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 2150 NASSAU POINT ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 104.00 block 10 lot 9.000
Cross Street BRAODWATERS ROAD
Building Permit Number Cross Reference:
Issue Date: 4/16/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
c„2 Oo
ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK c . ' P.O. Box 1179
N = Southold, New York 11971
REGISTRAR OF VITAL STATISTICSrrt' Fax (516) 765-1823
MARRIAGE OFFICER •
NAGEMENT OFFICER Telephone (516) 765-1800
FREEDOM ORECORDS F INFORMATIONF OF ICER (1/ J • P
i.0, S
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: April 14, 1999
Transmitted herewith is a copy of application No. 2137 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Robert Ringewald •
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 following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Signatur
LiADate
f
OFFICE OF THE TOWN CLERK
TOWNOFSOUTHOLD /' BOG Application No? /3 7
FIJ7ABETH A.NEVILLE,TOWN CLERK '
P.O.BOX 1179 -t; Construction
SOUTHOLD,NEW YORK 11971 ;
o *' ; Alteration
Telephone O�� 01/ $10.00 - Residential
(516) 765-1801 = 01 4t ,,�'� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ C;
DATE ,4 ,z /J
APPLICANT NAME: 0/Z,Q s '
APPLICANT ADDRESS: 2 7 O e'r7//A-co ` -t
SEPTIC CESSPOOL__
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: De 2/fe /,/,if zi T'XJ
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section / 0 c/ Block (C Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sig ature of Applicant
RECEIVED BY:
T9wn Clerk's Office
DATE: � I <
°
....
c(-e, ft
•
•