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HomeMy WebLinkAboutHatzi irew• �t�l it rg/�-Gs__ i41 JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK ® P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER ® ��!' Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 805 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : INLAND HOMES INC. Address 1 : P. O. BOX 117 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 1/17/92. Name Of Owner HATZI, PETER Mailing Address 1 C/O INLAND HOMES City St Zip 0000 Property Address 1 MILL LANE City St Zip PECONIC NY 11958 Tax Map No. section 74.00 block 2 lot 38.000 Cross Street ROUTE 48 Building Permit Number Cross Reference: Issue Date: 2/12/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) y '" '�'t/tp7t7/r_it.� y„:< /"� �J IF fUv (\ 41 JUDITH T. TERRY �� ” Town Hall, 53095 Main Road TOWN CLERK a ® I� P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS N� *�� Fax 516 765-1823 MARRIAGE OFFICER 1 ( ) ®�y \��1 Telephone (516) 765-1801 OFFICE OF THE TOWN_ CLERK - C7z(��g .;�-�-° TOWN OF SOUTHOLD ��q tie . 'Ll L\V I-'==21 I 1 Ftt\G a J `s VT 1992 i To: Southold Town Code Enforcement Officer li �� @; From: Linda Cooper, Southold Town Clerk's Office I_..r DF` 1 F S0 Dated: January 17, 1992 4 Y�v^96C� .0u 71.0 Transmitted herewith is a copy of application No. 821 for a Cesspool/ Septic Tank Construction Permit submitted by: Inland Homes Inc. for Peter Hatzi . 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: 01� 0� " ot 1 1. t Co . vliki.suaRlk N'• I ti VI\U.. \CLitode, ClcuS—, Signature a.`1 i.\ z,0� Dated ` OFFICE OF THE TOWN CLERK ,�,'",,,,''' Town of Southold ;r Application No. '�°L/ Judith T. Terry, Town Clerk �� �}u Gy-; Town Hall, 53095 Main Road ;��F' Construction L P. O. Box 1179 : a . k `� r^ , Alteration Southold, New York 11971 :cs, Telephone y0� ivec $10.00 - Residential (516) 65-1801 -���— ..1 I �, ' $25.00 - Non-Residential • so TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ 1 DATE // q APPLICANT NAME: 6be-er /f/LTZ TA . Ll�G4 A- s 4.-mc APPLICANT ADDRESS: 3 t Sr- Ude S4 PL0. L ^LC pL / -7 vie AA Y', /l ��� SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Art LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: P� ,&/ IZ. OWNER MAILING ADDRESS: in codee c:C OWNER PROPERTY ADDRESS: 'r4,1( Ga. Pe.c-b TELEPHONE NUMBER OF CONTACT PERSON: �d1 2�1 ,�/1LTZ-- 2-Qg~9( 9 TAX MAP NO. : Section 7 1 Block Z Lot 3 CROSS STREET: / `7 (F- BUILDING PERMIT NUMBER CROSS REFERENCE: a -GI Air Signature cal Ap4Prant RECEIVED BY: • Town Clerk's Office • DATE: - 1 CESSPOOL SUFFOLK CO.HEALTH,DEPT:APPRO / , e" CVI, 4 .— {— n i4:-.S. .NO. 1 1 - j. --1..a' 2 • f~ N• P Qt" P i 2O P E Qr J pert red Its erco.: tee Klti►fd ianl t- 4 � �^''r —�•— �---._ DEC Z7 .Fi:o l , —- _dytZ ` =" J ,' G F<J2 • cFrt ait+Jtwtl: tSaut! .._ 4 j 't emrY CF livoltoi E T.PICKEIZ5C3t1 ss� -�- • dJli ShFI?C4 NtA?�860 `` E i E N ATZ I 1 3AL�C' a 4. w` t '' r STATEMENT ''`�9b, ,�-� t+1:6; 30'6, 15$.25 -e''' ,..4(4'',.,. 1t • /- ,,' 1ti NT OF �;� „_.____.. :o �i 4jr / V r 4e' O'�-� +PeC•O"fi I THIP WATeR SUPPLY AND SEWA DIS 1 "R5r z + �.�5• �C ` f Vin_ ^f�_9�'fi#C?LG , M.Y. SYSTEMS, FOR' THIS', RESIDENCE '1g1 E Cr ^,, CONFORM 'TO' THE STANDARDS OIC } S� yrs / !- C T �� i 1�? C ^ `�I ���,�5 SUFFOLK'CO;DSPT. OR /i T , 9 ! 1 HEALTH SERVICES: •kIQ.ON �� (3- '',,S, , !n 'i/�. ! < S APPLICANT (31 d �'. .' \V t `w'EI A'` \ '0 �� ,', - 2 � ; iii,,,-4_— 114) f SUFFOLK' COUNTY DEPT. qF /if:/l6TH' t43`Ts7w t� t7.. ? .,•. ,e F .L-7 SER VICES — FOR /iI�PItOVi•IY. Ppll! i , © i / �� �' QO t CONSTRUCTION ON ' '@' -—`-..•�' . •* '� fl. t j BATE: W6ii! r ' VAC.A[V?�; 1.1f .ate !�• � IG • t�2 ` • H.S.REF; • . ' _ r . ;_ NO.. =11 c' 150.0 '� ,,:i,` ✓',°'' 456.6F APPROVED: „ / Vii_~I1�L,IOFT.L it% / , . t - - .\- so 256.+ 1 1 ' PSG� tc. t+tQM - 5�T. I.'s, E .SV5tOA!Ft7ol, 0 • , .SUFFOLK CO.TA9s mAp e :IGNA?IOId:'-''` t ::: 1.'2::'- ''.34 ' + "-av1=1~, tt COLTt�iiy _MM �- z ' ' �` 4.1-'11,14)., r-_ o : SECT. BLACK; .. Pict— ( usE -V 11 /. COVENANT REQUIRED NERS'ADDR'ssc - , ( t �+/� p�. �+,t g. 1 / 4RVAL L.�- -r_'_� C VAC r) ,1c4A.}IA5 v :22.Ct • !+ I ` 1` • —; DEED,L.752,5' ':P.59.a;-tom• l' "�` I TESL HOLE t • . ,SIAM •• •. 1 -- —- - - - - (:- q. +. 01 flag�a�. 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