HomeMy WebLinkAboutMargah Inc ��OFFO4c.o
ELIZABETH A.NEVILLE i .ZO l/.y Town Hall, 53095 Main Road
TOWN CLERK S - P.O. Box 1179
t
N x Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � r.7 ly Fax (516) 765-1823
MARRIAGE OFFICER l Tele hone (516) 765-1800
RECORDS MANAGEMENT OFFICER 1 WO, -�o 4YY p
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. 1965 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MARGAH INC.
Address 1 : P. O. BOX 1532
City St Zip STONYBROOK NY 11740
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 #R10-98-0154
Name Of Owner MARGAH INC.
Mailing Address 1 P.O. BOX 1532
City St Zip STONYBROOK NY 11740
Property Address 1 SNUG HARBOR ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 35.00 block 6 lot 6.000
Cross Street MAPLE AVENUE
Building Permit Number Cross Reference:
Issue Date: 11/05/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
o��S�FFO(if-00
ELIZABETH A.NEVILLE ) .Z Gym' Town Hall, 53095 Main Road
TOWN CLERK .' >> P.O. Box 1179
N Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS t
MARRIAGE OFFICER Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER ` of %, Telephone (516) 765-1800
��
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 29, 1998
Transmitted herewith is a copy of application No. 2042 for a Cesspool/
Septic Tank Construction Permit submitted by:
Margah Inc.
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.
w
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE './
DISAPPROVE
Comments:
9-
Sig. ture
ao j30 /4 %
Dated
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OFFICE OF THE TOWN CLERK ' �/G,''•
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TOWN OF SOUTHOLD �, Application No. 7
Ft I7ABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 : cf" -*C4:?.:
Construction
SOUTHOLD,NEW YORK 11971 i
Alteration
Telephone '40 Oo� $10.00 - Residential
(516) 65-180101IF� 0''' $25.00 -Non-Residential
--
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
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Permit No.
Fee $
DATE 0 ,5-4? fS
APPLICANT NAME: . Iu1E-A. CQ A- A �"v c.
APPLICANT ADDRESS: Po A i 5-3 - —
,t�-c-oma % , l ) , -) 1•0
SYa�
SEPTIC CESSPOOL ✓
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
„e.4_ ass,e_4.,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 14,44 6. A- A ! /vc,
OWNER MAILING ADDRESS: P c A / S 3
'S.-5W y AALSIPk Ny ii7gtv
OWNER PROPERTY ADDRESS: c'A-Aya
TELEPHONE NUMBER OF CONTACT PERSON: 1/1711 86'e4:=.
TAX MAP NO. : Section 49 o o Block'' 5`- Lot a 4,
CROSS STREET: (1-/.4.16 A v /- t)
BUILDING PERMIT NUMBER CROSS REFERENCE:
N./., 0/: /41
Signature of Ap licant
i
RECEIVED BY:
Town Cie ' ' e
DATE: / 0/(3--
•
r _ Received
Suffolk County
OCT 13 1998
Dept. Of Health Services
Office Of Wastewater Mgmt.
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 60''
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P .iM1T FOR APPROVAL OF CONSTRUCTION FOR A ice
FAMILY RESIDE ONLY w/fr✓et 'A'
:ATE ( 117)- 7 doA,csr
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APPROVED s'"oo
FOR MAXIMUM OF BEDROOMS — /7
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unstktartad allwalian ar saamtlo Me surrey
EXPIRES THREE YEARS FROM DATE OF APPROVAL a a**Mein a Sealers 71011a ww
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ELS Associates G,a,antees a°� hereon
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Huntington, NY 11743 NO RESPONS,BILIT/ IS ASSUMED BY THE U •ERSIGNED FOR were own
(516) 427-5133 ANY SURFACE, SUB-SURFACE, AERIAL EASEMENTS, SUB-SURFACE
UTILITIES AND/OR STRUCTURES IN OR OUT OF EASEMENTS IF The oesala to aeneneonel amen hereon horn
SO PROVIDED. the lenrctees io pw prppsryaylaAm la a spe-
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ON MAP OF 4 e-,14C•:.. ✓ rL.'V�� .s,.5-4-C.. / .�',:'L1• <../,, J'_�.,, -,,,,A6- ) watt, pa., pa„os otennng ages ArtnIty,
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SITUATE Sr. 11•:1 "...44' p
GUARANTEED FOR ( 1'i e;�'QI ;:i SUFFOLK COUNTY, N. Y. /��RGT�� q'ZZ7�
UNDER TITLE OF
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