HomeMy WebLinkAboutPape, James gc
ELIZABETH A.NEVILLE =`10 �t*t Town Hall, 53095 Main Road
TOWN CLERK p _ P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL OF VITAL SPft Fax Fax(516) 765-1823
MARRIAGE OFFICER y 0.* Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER 4Ol
FREEDOM OF INFORMATION OFFICER W
• ,•i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1928 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JAMES PAPE
Address 1 : 605 MAPLE AVENUE
City St Zip MATTITUCK NY 11952
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 #R10-98-0100
Name Of Owner PAPE, JAMES
Mailing Address 1 605 MAPLE AVENUE
City St Zip MATTITUCK NY 11952
Property Address 1 1885 HOME PIKE
City St Zip MATTITUCK NY 11952
Tax Map No. section 114.00 block 1 lot 7.002
Cross Street S I LKWORTH ROAD
Building Permit Number Cross Reference:
Issue Date: 9/21/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
\�g�FFO�,�C
ELIZABETH A.NEVILLE ��1�`Z`� �Gy�; Town Hall, 53095 Main Road
TOWN CLERK ti -� , P.O. Box 1179
% 2 , Southold, New York 11971
REGISTRAR OF VITAL STATISTICSO 47$ Fax(516) 765-1823
MARRIAGE OFFICER `` 4. 1
RECORDS MANAGEMENT OFFICER : �(q �a� /�/ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ��1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 11 , 1998
Transmitted herewith is a copy of application No. 2005 for a Cesspool/
Septic Tank Construction Permit submitted by:
James Pape .
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 , i'
DISAPPROVE
Comments:
Signatu
9 / i q ) q '-"'
Dated
•
OFFICE OF THE TOWN CLERIC '' �`F D�K
TOWN OF SOUTHOLD , �� QQG= Application No. 40 G ' —
FIRABETH A.NEVI LE,TOWN CLERIC /
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 ; O
Alteration
$10.00 - Residential �–
Telephone � • b `'
(516) 765-1801 - 1 � �<' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
//II/a
APPLICANT NAME: ----14pi 241.e
APPLICANT ADDRESS: 60.5- /114fryte
fie /ossa
SEPTIC CESSPOOL V
DESCRIPTIO& OF, PROPOSED CONSTRUCTION OR ALTERATION
-S11‘��2 f1.4/ / ANi e_
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION ALTERATION:
OWNER OF PROPERTY: ___.4rlrs /rl -
OWNER MAILING ADDRESS: 60.5- Mqe 1✓r-
ninl/lack Ai/ /195
OWNER PROPERTY ADDRESS: j5 All.we
TELEPHONE NUMBER OF CONTACT PERSON: d5'g- /79
TAX MAP NO. : Section //t/ Block / Lot 7„
CROSS STREET: cjltt.t)Cv11/1 7?
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature o Applicant
RECEIVED BY: AL
Town Clerk's Of ice
DATE: 9////94
11
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