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HomeMy WebLinkAboutFinora, Grace IO,,lftI.i,,.I ei, tts Town Hall, 53095 Main Road \+� ° P.O. Box 1179 'y�l �� �'�r' Southold, New York 11971 JUDITH T.TERRYFAX(516)765-1823765 TOWN CLERK TELEPHONE(516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 535 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : FINORA, GRACE A. Address 1 : 640 VINCENT AVENUE City St Zip THROGS NECK NY 10465 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH SANITARY SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 1/19/89. Name Of Owner FINORA, GRACE A. Mailing Address 1 640 VINCENT AVENUE City St Zip THROGS NECK NY 10465 Property Address 1 185 BAY AVENUE City St Zip MATTITUCK NY 11952 Tax Map No. section 122.00 block 3 lot 12.000 Cross Street EAST LEGION AVENUE Building Permit Number Cross Reference: Issue Date: 8/24/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) k } f -- { n1::ti��� x-35-- D [ ..:, . - AUG 2 21989 3` ; v ,,,,, , L . Town Hall, 53095 Main Road `�rf``K ?►` � •4, P.O. Box 1179 ""KI *' „' O. Southold, New York 11971 r l--.�iv,” TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Victor Lessard, Southold Town Building Department From: Linda Cooper, Southold Town Clerk's Office Dated: August 21, 1989 - Transmitted herewith is a copy of application No. 550 for *a Cesspool/ Septic Tank Construction Permit submitted by: Grace Finora 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 X DISAPPROVE Comments: ca. ,.,.ti t. aQ, D,•t con ,(i 0,14&az ,a4.4.4_,0.4zi 11-- `1 _ aQe, N. I\»\2q C-:- c GLA-(71- Signature 1_-' Dated Sl 2....3/8/ GFFICE OF THE TOWN CLERK c‘COFOCA-1,--\ Town of Southold Judith T. Terry, , =' Application No. 0 Town Clerk Town Hall, 53095 Main Road cyan( r�: j' Construction t/ P. O. Box 1179 �y rti Southold, New York 11971 O '4 Alteration Telephone [ �� Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE ,6., APPLICANT NAME: g 41, �,1/oR APPLICANT ADDRESS: 64Lc, i/jvCEA/ 771 i20 &$ 4 C 1 G /j �/, /u Col 65-- SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 4/€1d 5/A/GL />w,E44/A/G (R1 .3 t PRA/7-441 L_) LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: L c 4 ` ,.1,012 OWNER MAILING ADDRESS: 4540 f/j,,c, r 152vE., 7791A o G3 #Ec , ,J 7. /o y6 OWNER PROPERTY ADDRESS: Mr r ,84.7 A ^ Ce*4,04 c f J3AL/2" 4A1#P 4 #531 L.LGIoiv 4v0 (I2 ) 7 92-3Loz TELEPHONE NUMBER OF CONTACT PERSON: C5-.241 TAX MAP NO. : Section /2,2--- Block 3 Lot / '2— CROSS STREET: C.>,kovE/L Dem 9417A¢.,vp , sj-- l.6reav -4E3. BUILDING PERMIT NUMBER CROSS REFERENCE:_. "Mei e Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: aVF ./t-.... " '. SUFFOLK CO?HEALTH DEPT APPRQVA4. • ' ;'' • • H RXISES3.CTM aahNL:+ F PQ.RHe R3Y K COUNTY OEPIIRTMaIi"OF TM SERVtCE3 t M Y' c '. • iOR APPROVIIt'OF CONSTRI MON or , _ tukVt ` /�S; �famiyr'Residence © 3 . ,, 7e��:L1G:-.+-NS EEFFiNO. S 1. . ' ''' C[ C E A. Fl NOR OYED ,e' �' AT EmENT OF INTENT g .7---.--, ., . apqp�v�� $T E EN Ip E _ R� � jO�T,; EXPIRES TWO YEARS FROM- I OF'TuricATER SUPPLY AND SEWAGE DISPOSAL q .O ' t"AT`f1TU(k SYSTEMS FOR THIS RESIDENCE ' WILL CONFORM TO"'THE' STANDARDS OF THE N ' Pt -7 4LAi Tc�\VN .�OIJTI GILDS N.Y., SUFFOLK CO. DEPT. OF HEALTH SERVICES. r - - s 1XC ECTIO j " "" /$ AVATlON1 N �. ISI APPLICANT `. i.' . . 6' N. `�A�2 . * SUFFOLK COUNTY C PT. OF HEALTH lKt9.vlA � R SERVICES FOR APPROVAL .'OF } 7 31 '4_,..1„..,'AVPC.eGE$erb+ck otc $E G�% CONSTRUCTION ONLY /roua m 9ba's. r^ DATE: .1. ' e_ H.S.REF.NO.: 8B-9:2V-13 1'`~ 1 y G �+"� APPROVED: A tfi '` ,, 1 I>�zo_x • o:/. - e9 • v,A .-per ;, SUFFOLK CO..TAX MAP DESIGNATION: l" -8t3-_ l ! _ t r �O C� DIST. SECT. ;. BLOCK PCL. • 1•• _,,, ,\ ) ,1 i tl 41 t - eq t 9 OWNERS ADDRESS: :11 otK 1 ° • s •/oro, s i E.�L71 L' ,1. *�N. . ,bwan• t (�4. ) t P. I` ; ¢;'Lu -.„.4& ..r �( 611.7 ' et )`,' "rtru-rN''l .. i ' ' ---_;,'T 1-'- iN, _^4 1 ,74 '( .1`Ic.. 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