HomeMy WebLinkAboutFleming, Joseph OFFICE OF THE TOWN CLERK S1Ffc
_ Town of Southold OGS= -
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971 O �0�.'`
Telephone Ol t „,
(516) 765-1801
TOWN OF SOUTHOLD.
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 231 Residential • X
Fee $ 10.00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Joseph P. Fleming
ADDRESS: 148 Forest Avenue
Locust Valley, New York 11560
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System
APPROVED as per Suffolk County Health Department approval
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Joseph P. Fleming
OWNER MAILING ADDRESS: 148 Forest Avenue
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Locust Valley, New York 11560
OWNER PROPERTY ADDRESS: Wunnewetta Road •
Cutchogue, New York ,•
TAX MAP NO. : Section 104 Block 12 Lot 3
CROSS STREET: Vanston Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Judith T. TE?`ry
Southold Town Clerk
DATE : October 13, 1987
(TOWN SEAL)
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JI UI(il (."I F HRl' TELEPIIONF
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R GIsTRAR OF VITAl.STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 5,1 987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 236 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Joseph P. Fleming
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
esreo4;aeedggpo.ofo•••
Judith T. Terry
Southold Town Clerk
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I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE - k
DISAPPROVE -
COMMENTS: 064, Lat:ca .IM�K. 1?4 ' , /§
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Signature
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Date
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OFFICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk Application No.4234
Town Hall, 53095 Main Road Construction ✓
P. O. Box 1179
Southold, New York 11971 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 .5 /Q
DATE (ctober 5, 1997
APPLICANT NAME: Joseph P. 71,r-rill-IR
APPLICANT ADDRESS: 14.8 Forest Ave . , Locust Valley, ".Y. 11560
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
36' x 36' resiclertia7. dwelling
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Joseph Flemmir •
OWNER MAILING ADDRESS: Same
OWNER PROPERTY ADDRESS: Wurrewette Fid. CutchoRue ,
TELEPHONE NUMBER OF CONTACT PERSON: 734-5217
TAX MAP NO. : Section 104 Block 12 Lot
CROSS STREET: Vanstort Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED B
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DATE:
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SUFFOLK CO. HEALTH DEPT. APPROVAL
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