HomeMy WebLinkAboutWheeler, James F,.
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ELIZABETH A. NEVILLE , Town Hall, 53095 Main Road
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TOWN CLERK • o P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS1
MARRIAGE OFFICER
p � Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER Vr4 00-'1�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 1 - .
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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. 2121 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ZOUMAS CONTRACTING CORP.
Address 1 : PO BOX 361
City St Zip WADING RIVER NY 11792
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 #R10-99-0139
Name Of Owner WHEELER, JAMES
Mailing Address 1 PO BOX 752
City St Zip WADING RIVER NY 11792
Property Address 1 540 CHESTNUT ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 59.00 block 3 lot 7.000
Cross Street KENNY'S ROAD
Building Permit Number Cross Reference:
Issue Date: 7/28/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. LLE ' ' ,�O `Z` 4 %` Town Hall, 53095 Main Road
TOWN QL RK t c, cio t •
• _ % P.O. Box 1179
��y' Z Southold New York 11971
REGISTRAR OF VIT 'STATISTICS i Ivy t '
MARRIAG4 OF ICER •• 1 Fax (516) 765-6145
RECORDS MANAC EM • ?;' t10.0 `
• .•4o aO.11• Telephone (516) 7654800
FREEDOM OF INFO' , •1.:.L.I ^, : • - I iii
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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: July 19, 1999
Transmitted herewith is a copy of application No. 2209 for a Cesspool/
Septic Tank Construction Permit submitted by:
Zoumas Contracting Corp for James R. Wheeler .
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
and make the following recommendations:
APPROVE ✓
DISAPPROVE
Comments:
2
gnatur
Dated
OFFICE OF THE TOWN CLERK 1'''COUL,%' -
TOWNOFSOUTHOLD ,' �1 Q Application No. 9469
ELISABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 0 rn
• In * . Alteration
Telephone �,O,j40/ • $10.00 - Residential ✓ _
(516) 765-1801 Ol �,,�' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 7 J / h
APPLICANT NAME:
APPLICANT ADDRESS: PO I%oio 3 c /
�(' �,� M Y * I I -7
SEPTIC , CESSPOOL?C
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
414 ILI _Licit ot A
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Jj4fr16- R 1:4.,ii .e /�-
OWNER MAILING ADDRESS: Po
i fw , 15'3
OWNER PROPERTY ADDRESS: S 4o Gd Ta'ufT ieo,4p
TELEPHONE NUMBER OF CONTACT PERSON: e906--Y570
TAX MAP NO. : Section S" Block -3 Lot 7
CROSS STREET: Vb1//Va yS epA()
BUILDING PERMIT NUMBER CROSS REFERENCE:
/ :•nature • • .licant
RECEIVED BY: �� Ili
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6", Clerk's Office
DATE:
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