HomeMy WebLinkAboutHands JUDITH T.TERRY ��_ y1 Town Hall, 53095 Main Road
TOWN CLERK N _ ; P.O.Box 1179
v T t Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
���� Fax(516)765-1823
MARRIAGE OFFICER ‘`• ••;*) O i,
RECORDS MANAGEMENT OFFICER .`
*off Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ,i�of
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1414 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARY TABOR
Address 1 : 680 NAVY STREET
City St Zip ORIENT NY 11958
Descripton of Proposed Construction or Alteration
INSTALL 8 X 8 LEACHING POOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner HANDS III, WILLIAM
Mailing Address 1 39405 ROUTE 25
City St Zip ORIENT NY 11957
Property Address 1 39405 ROUTE 25
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 8 lot 17.000
Cross Street RYDER FARM LANE
Building Permit Number Cross Reference:
Issue Date: 11/14/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OF 04
JUDITH T.TERRY ‘���_� �1 Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS : ® �� � Fax(516) 765-1823
MARRIAGE OFFICER ® ®���� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER °! �"��
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department j\loV B 1995 !'. _=
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: November 8, 1995 x�tJ?f3�,OF BLDG, ��4 _.a-s�
Transmitted herewith is a copy of application No. A1467 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Gary Tabor for William Hands III
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 following recommendation:
APPROVE - 1
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
6" i
Sig aturef'
///:i5I7Ar
Date
1FFICE OF THE TOWN CLERK ','''''''''''''-. /n�
Town of Southold .�'l ��FFr�K�+. 1`�
Judith T. Terry, Town Clerk �' l/y . Application No. �V (07
Town Hall, 53095 Main Road ;� Construction
P. O. Box 1179 � � z
Southold, New York 1197,1 •t.sl Alteration
Telephone ,`'0 ��'i� $10.00 - Residential
(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 / 7 11 9 (5"
APPLICANT NAME: 6- tLeto,401-:
APPLICANT ADDRESS: b ,e,�,� loy
teAl?
SEPTIC CESSPOOL •
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
r � ,
OWNER MAILING ADDRESS: 3 0 . o 12'
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: ,
_
TAX MAP NO. : Section ) c) Block r Lot
CROSS STREET: I>1o/ r P At
BUILDING PERMIT NUMBER CROSS REFERENCE:
nature of Applicant
RECEIVED BY.
�T�n Clerk's Office
DATE:
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