HomeMy WebLinkAboutLuter, Richard t o',,N0gUf FO�,�CoG.
ELIZABETH A. NEVILLE �h`t` yam►; Town Hall, 53095 Main Road
TOWN CLERK o - , P.O. Box 1179
CO3 Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS k V. T Fax
MARRIAGE OFFICER .
p Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER �4;* ��� �� 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. 2057 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner LUTER, RICHARD
Mailing Address 1 570 NORTH BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 570 NORTH BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 13 lot 16.000
Cross Street OAKWOOD ROAD
Building Permit Number Cross Reference:
Issue Date: 4/23/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE , �' �VtA Town Hall, 53095 Main Road
TOWN CLERK ; c -� > P.O. Box 1179
N 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v Fax (516) 765-1823
MARRIAGE OFFICER :O1i��1 �O` 1� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER •
FREEDOM OF INFORMATION OFFICER 4 •�
4.��
OFFICE OF THESTOWN CLERK
TO: Southold TownTBuildi�ng Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: April 22, 1999
Transmitted herewith is a copy of application No. 2140 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Richard Luter .
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 followi recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Sign—at 4
41
Date
41111L-
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OFFICETIF THE TOWN CLERK ,�''�eOII�
TOWN OF SOUTHOLD ;' J �QG= Application No. , / c/0
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 : _ _� Construction
SOUTHOLD,NEW YORK 11971 Z
o ^' ; Alteration
Telephone 00,E Q�,*: . $10.00 - Residential
p e'
(516) 765-1801 �l �,,�' $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 /( v
t 7,
APPLICANT NAME: A 4,4; Si.
APPLICANT ADDRESS: £2 y/X
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: A-Ws-eve-1 it./....tie-r—
OWNER
MAILING ADDRESS: ›--76C. /U
74-Gre-e-A-)
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OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section l UBlock 3 Lot 7
CROSS STREET: 4G4/,--
BUILDING PERMIT NUMBER CROSS REFERENCE:
„g / /74'1--
Signature of Applicant
RECEIVED BY: 5
Town Cler 's Office
DATE: /7
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