HomeMy WebLinkAboutSchaeffler, Fred „ z
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ELIZABETH A.NEVILLE h.ZO Gt Town Hall, 53095 Main Road
TOWN CLERKP.O. Box 1179
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REGISTRAR OF VITAL STATISTICS c/2 Southold, New York 11971
Fax (516) 765-1823
1,� Telephone (516) 765-1800
MARRIAGE OFFICER ``0 � �j
RECORDS MANAGEMENT OFFICER _ 1 � lr
FREEDOM OF INFORMATION OFFICER �o
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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. 2000 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : FRED SCHAEFFLER
Address 1 : 1245 OAK DRIVE
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 FRED SCHAEFFLER
Mailing Address 1 1245 OAK DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 1150 OAK DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 80.00 block 2 lot 5.000
Cross Street REYDON DRIVE
Building Permit Number Cross Reference:
Issue Date: 2/18/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ji�0 0� _ 8 1999 'T)wn Hall, 53095 Main Road
TOWN CLERK c < P.O. Box 1179
, Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v► •�'L.��,(3.�� Fax (516) 765-1823
MARRIAGE OFFICER • O '���W�LD
RECORDS MANAGEMENT OFFICER =�ififf ��1l, '""""'"'Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER - �l l �`�i''
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: FEbruary 4, 1999
Transmitted herewith is a copy of application No. 2081 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Fred Schaeffler (work by Artco) .
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.
e-0-073z.LJ
Linda J. Cooper
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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.
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Date
OFFICE OF THE TOWN
TOWN OF SOUTHOLD % C��FF��K`+OG_. Application No. a(!)�
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
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SOUTHOLD,NEW YORK 11971
v *` ; Alteration
Telephone 0� $10.00 -Residentiall 'd
to
(516) 65-1801 '- 1 It' '• $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 $ /0 Cj
DATE
APPLICANT NAME: '--RE.Q \S-C tLrI
APPLICANT ADDRESS: l / C,4-, AP
�ul/4Z A/1 . //97/
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION _JA S/ 6
Nc6,1, ( 'peci� . Iv 2E4-2 1/44--/z a'�ii/S(si a
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: gn v64/46FFG,
OWNER MAILING ADDRESS: CAI(DEICii C0074/-,P AY/0
OWNER PROPERTY ADDRESS: //6-6 O,4% £ V'I U,�
<Sbu//910to, 'j'�'
TELEPHONE NUMBER OF CONTACT PERSON: (i-5-707(p-C' /a/
TAX MAP NO. : Section Y-C Block a Lot
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CROSS STREET: ?�� SDI vu
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of Appl .nt
RECEIVED BY: I `R/N076
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To n Clerk's Office �U��� � vi ki �p
DATE: d1 �I � n V -
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