HomeMy WebLinkAboutGranshaw, Edward —_-
/,� OFFO4�;
ELIZABETH A.NEVILLE t y Town Hall, 53095 Main Road
TOWN CLERK t� = -� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % y Southold, New York 11971
Fax (516) 765-1823
MARRIAGE OFFICER � 1, 0��,� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER ". of -0„."
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. 2015 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : EDWARD P. GRANSHAW
Address 1 : 3 DOVER DRIVE
City St Zip CORAM NY 11727
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 #R10-98-0165
Name Of Owner GRANSHAW, EDWARD P.
Mailing Address 1 3 DOVER DRIVE
City St Zip CORAM NY 11727
Property Address 1 ARBOR LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 7 lot 24.000
Cross Street BERGEN AVENUE
Building Permit Number Cross Reference:
Issue Date: 2/23/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE t y /y = Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
y 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS I**, Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER 4511 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICERa.
...
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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: February 22, 1999
Transmitted herewith is a copy of application No. 2095 for a Cesspool/
Septic Tank Construction Permit submitted by:
Edward P. Granshaw (Contract Vendee)
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:
ignatur
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Dated
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OFFICE OF THE TOWN CLERK �' ���FOIK '
TOWN OF SOUTHOLD 10 "Vt
Application No. aO9S
ELIZABETH A.NEVILLE,TOWN CLERK• Z ; Construction 2C
P.O.BOX 1179 _ ._
SOUTHOLD,NEW YORK 11971
v ^' ; Alteration
Telephone 0,�,�, $10.00 - Residential
(516) 765-1801 = Ol ��/'�s $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
FEB 2 2 1999
for
CONSTRUCTION or ALTERATION PERMIT"”' Clerk Soutnold
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE �; - 2. 2- - 9
APPLICANT NAME: £ 'q<-
APPLICANT ADDRESS: 3 Uo ve/ / e'v1
c0/e9,/ N-�/, //7�•T7
SEPTIC CESSPOOL L/ /
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Fei, Ly Awe, t4 /;,,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Co,v74"4/9cd Vevbe@ e r��1i✓s'hW-
OWNER MAILING ADDRESS: 3 bow," b eiU-1,
Ca4./1 N.)/ ji 727
OWNER PROPERTY ADDRESS: //'4p2
/Y) Tr6Tc_
TELEPHONE NUMBER OF CONTACT PERSON: 9P - 94" 2'J
TAX MAP NO. : Section /13 Block 7 Lot 29
CROSS STREET: ,ge/e
e4
CROSS
BUILDING PERMIT NUMBER CROSS REFERENCE:
4Signature of Applicant
RECEIVED BY: -
T wn Clerk's Office
DATE: a o�)._ �j �
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