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HomeMy WebLinkAboutBoger, Scott r ll,iii oOisIgVf FO( G, ELIZABETH A. NEVILLE �.Z. y�� Town Hal], 53095 Main Road TOWN CLERK �' P.O. Box 1179 k N Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER '91 * ,s/ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2027 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : SCOTT & GERARDA BOGER Address 1 : PO BOX 1603 City St Zip SOUTHOLD NY 11971 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 #R10-99-0037 Name Of Owner BOGER, SCOTT & GERARDA Mailing Address 1 PO BOX 1603 City St Zip SOUTHOLD NY 11971 Property Address 1 CHABLIS PATH City St Zip SOUTHOLD NY 11971 Tax Map No. section 51 .00 block 3 lot 3.006 Cross Street SOUNDVIEW AVENUE Building Permit Number Cross Reference: Issue Date: 3/04/99 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,,) ,0 3 �,���S�FFoo, ELIZABETH A.NEVILLE , TSwn Hall, 53095 Main Road TOWN CLERK a o y<� P.O. Box 1179 4 cn Southold, New York 11971 REGISTRAR OF VITAL STATISTICS • •=O Fax (516) 765-1823 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER :y� #11 Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER Ol � aii.. SSI OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 2, 1999 Transmitted herewith is a copy of application No. 2107 for a Cesspool/ Septic Tank Construction Permit submitted by: Scott & Gerarda Boger • 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 re mmendations: APPROVE DISAPPROVE Comments: ignature 31,3/c. 9 Dated OFFICE OF THE TOWN CLERK `��ULk ^ ' TOWN OF SOUTHOLD 1',� � oG . Application No. a 167 ELIZABETH A.NEVU.1.P,TOWN CLERK P.O.BOX 1179 : Construction SOUTHOLD,NEW YORK 11971 T ft's 1 Alteration Telephone %--„VAI bQ�,' $10.00 - Residential, (516) 765-1801 = 'Z *�;00 $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION *fA ? l I„}, for IUWu wierK SOU[tivld CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ II Q DATE HIVC4 2 1 s T 1 APPLICANT NAME: SCorT e"e4 .OA_ 2061='e APPLICANT ADDRESS: PD i2 1603 jouThIOUP , 1V4 615-? SEPTIC CESSPOOL V DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION J Eu J +DME LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ��017- 6- G C/M-(JA ia)Q OWNER MAILING ADDRESS: Po Pox Q_..3 0-17/OWNER PROPERTY ADDRESS: C4 'GIS P4174- 5©U (p TELEPHONE NUMBER OF CONTACT PERSON: 766-37({f TAX MAP NO. : Section 51 Block 3 Lot 3 - CROSS STREET: SOUKAAEW ,.UF BUILDING PERMIT NUMBER CROSS REFERENCE: .(11)4 // Signitur- of Applicant RECEIVED BY: own Clerk's Office DATE: s J a 9 9 ,..._____. . _________ ....„... ......________ / 4A4 id ,_,\%?"."7,k7.7-13N FOR A � '� 9� . .= 31i i. q a --4 .40;(o /_0_037 ,,L I� ,q° o Cl_. _ tea \ C0 6 '; . . ..._ ' ,e �� {_I- -.i__t: a ._..L. fir:'. ;7,32 4y*e r " ‘stil\ 1 V ` 9 Eo V J N bd • !'P 6 N I 0 ki \ t U i pRon -- I\ \ , - —1 \ � 4 1 \ ft,,,, i c \I MSCQ ., 3 N G f'$6 LA p SGS %sem,• • ,r- - ,s,,. ?� � �-a�v -' N.9 ,', 3 ,_ 1 6i c.r C� \ 1 '� 3696 \F C P�,= F 'vEW Y . "reYe!'yfraG• I,Ae /04/3" K�LEt �YDcuw,.E�i OTT ER 4,uvO Jdee2 yam Lae..97, )4 - ,-u1 oto - - A ..- . /4;7/ R 19 1999 Or9Te'FeBRU4'.ey/7/Ago&Co.Dept of Health Services ..,,,te"/yam,/a ' Envircemstotai Protec ioa 5c749Plizedo,?/-D,3-3,ir .