HomeMy WebLinkAboutRathje, Arthur Kofi OFF04�;
ELIZABETH A.NEVILLE )�.Z�� 4. Town Hall, 53095 Main Road
TOWN CLERK c -� � P.O. Box 1179
i Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER � '} Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER =�4% ��0-, Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICERAir di
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1946 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT 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 RATHJE, ARTHUR
Mailing Address 1 605 FOUNDERS PATH
City St Zip SOUTHOLD NY 11971
Property Address 1 605 FOUNDERS PATH
City St Zip SOUTHOLD NY 11971
Tax Map No. section 614.00 block 2 lot 37.000
Cross Street L'HOMMMEDIEU
Building Permit Number Cross Reference:
Issue Date: 10/19/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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� �O�' �G � Town Hall, 53095 Main Road
ELIZABETH A.NEVILLE yj P.O. Box 1179
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TOWN CLERK ` y ; Southold,New York 11971
%\ /'� Fax (516) 765 1823
REGISTRAR OF VITAL STATISTICS O� ,, Telephone (516) 765-1800
MARRIAGE OFFICER : y
RECORDS MANAGEMENT OFFICER ;�VI `),N,0•O
FREEDOM OF INFORMATION OFFICER is..
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD /ry
TO: Southold Town Building Department /d
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FROM: Linda Cooper, Southold Town Clerk's Office
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DATED: September 6, 1998 pi P�l"v ,
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Transmitted herewith is a copy of application No. 2023 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Arthur Rathje
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.
Linda J. Cooper
* * * *
* * * * * * * *
I have reviewed the application and location map of the project listed
above and make the follow in 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 CLERK '1''�COtiLkl'
TOWN OF SOUTHOLD , �� Q/i Application No.
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FIABETH A.NEVILLE,TOWN CLERK p' `''I�►
P.O.BOX 1179 Construction
•
SOUTHOLD,NEW YORK 11971 a TJ
Alteration l!
Telephone �j' a�.,��
$10.00 -Residential
(516) 765-1801 �l > � 9'' $25.00 -Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit Ncd-O rD--3
Fee $/jf. 0
DATE Li
e .
APPLICANT NAME: /7Z -f';
APPLICANT ADDRESS:
/ /
SEPTIC CESSPOOL 1
DESCRIPTION OF P OPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTI•N OR ALTERA IO
OWNER OF PROPERTY: r1 - e
OWNER MAILING ADDRESS: ‘Og A'A ��
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OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: ���
TAX MAP NO. : Section ‘V Block 2 Lot
CROSS STREET: Z.. 1 ALL-rvt,), ....
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
/
RECEIVED BY:
To Clerk's Office
DATE: fn/gyp/
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