HomeMy WebLinkAboutTroyan, Peter Jr Are
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ELIZABETH A.NEVILLE ,may. y�� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Southold, New York 11971
Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER Vi;if , �0 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER = �l '`,so
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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. 1983 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : TROYAN, PETER JR.
Address 1 : P. O. BOX 2499
City St Zip AQUEBOGUE NY 11931
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 #R10-98-162
Name Of Owner TROYAN, PETER JR. AND VIRGINIA
Mailing Address 1 P. O. BOX 2488
City St Zip AQUEBOGUE NY 11931
Property Address 1 HAYWATERS ROAD
City St Zip CUTCHOGUE NY 11935
•Tax Map No. section 111 .00 block 11 lot 18.000
Cross Street CARRINGTON ROAD
Building Permit Number Cross Reference:
Issue Date: 12/24/98 Iizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE t � yam►% Town Hall, 53095 Main Road
TOWN CLERK �t c- � rr P.O. Box 1179
N = Southold, New York 11971
REGISTRAR OF VITAL STATISTICS •� Fax (516) 765-1823
MARRIAGE OFFICER `�4% �0- 1I Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER ' lN[ '' "
‘'•..„. ".
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 23, 1998
Transmitted herewith is a copy of application No. 2065 for a Cesspool/
Septic Tank Construction Permit submitted by:
Peter & Virginia Troyan, Jr.
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:c
APPROVE
DISAPPROVE
Comments:
___"2Ignature
,-
Dated
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OFFICE OF THE TOWN CLERK �'' �FFgt �Q
TOWN OF SOUTHOLD ,� n� . Application No.Q
FI.I7ABETH A.NEVI LE,TOWN CLERK `
P.O.BOX 1179 r° !�`t Construction
SOUTHOLD,NEW YORK 11971
tn
Alteration L�
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•` $10.00 - Residential
Telephone -- *o it%
(516) 765-1801 = 1 00 $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ n
DATE f c�-Q3
APPLICANT NAME: j i � �� ��� ; •
APPLICANT ADDRESS::.D m ;Log
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SEPTIC CESSPOOL 1
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �} - 5 �� �'!1 T3 2 . v (Oen
OWNER MAILING ADDRESS3u � $,xbo Jc,Z "LJY. d��3
OWNER PROPERTY ADDRESS: 1--TC� Q\-er k • ('„Oc' � ;l
TELEPHONE NUMBER OF CONTACT PERSON: ort S — /(—) 3,3
TAX MAP NO. : Section l I 1 Block I Lot
CROSS STREET:( Obit-L T)Ni �c
BUILDING PERMIT NUMBER CROSS REFERENCE:
,,.Signat, of : • icant
RECEIVED BY:
Town Clerk's •ce
DATE:
SURVEY OF
C'ARkiN stola•S IOU MO MA ; 1111t4
TO k - Tystasg
L nu N.LOT 406y
MAP OP SECTION D
NASSAU POINT CLUB PROPERTIES INC.
SITUATED AT
tivOlt P" NASSAU POINT
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