HomeMy WebLinkAboutHaurus SAFFaiiir --
JUDITH T.TERRY �� t�. Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
PPr Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER �` Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER � • i°6
Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1398 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL 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 HAURUS, BARBARA
Mailing Address 1 25025 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 25025 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 1 lot 22.000
Cross Street ALVAH LANE
Building Permit Number Cross Reference:
Issue Date: 10/12/95 Judith T. Terry
Southold Town Clerk
Cl6Cr-49 AL (TOWN SEAL)
q-
'-q ,
SUFFotireoz
JUDITH T.TERRY Town Hall, 53095 Main Road
TOWN CLERK % h _ ; P.O. Box 1179
os• % _ Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
�
, ��,1� Fax(516) 765-1823
MARRIAGE OFFICER */) ' �N®�� Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER �,��
FREEDOM OF INFORMATION OFFICER �,,,.•••
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1398 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL 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 HAURUS, BARBARA
Mailing Address 1 25025 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 25025 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 1 lot 21 .000
Cross Street ALVAH LANE
Building Permit Number Cross Reference:
Issue Date: 10/12/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
y /' / ' i /3 ? Ti?.r
L.Aarkte..-2...-g--e--7C--- '
JUDITH T.TERRY O ' , ' ;07N- —72 9yu.� ,
TOWN CLERK ; I
',t Glc o.---"Yrs— -e---4,--r-t---C--
%REGISTRAR OF VITAL STATISTICS `\ -- 0-.0c-,- (4_‘,-C61)
MARRIAGE OFFICER .���O� '�� •
RECORDS MANAGEMENT OFFICER %= °Q `Ls' .$. ',011
FREEDOM OF INFORMATION OFFICER ,,, ,0��.° ' I til
• lifirriir
f-�T
OFFICE OF THE TOWN CLERK n 7.----'111'
.
TOWN OF SOUTHOLD 11 QCT f.
I 0 199 f
!..
TO: Southold Town Building Department
1
FROM: Linda Cooper, Southold Town Clerk's Office BLDG DFF ---4
-T_JOWN Of:soli-71.f°, ,:,
DATED: October 11, 1995
Transmitted herewith is a copy of application No. A1451 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Barbara Haurus .
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
DISAPPROVE -
COMMENTS: Maintain required setbacks fro adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
4?J/7� l%
,2-
Signat •e
/* /7 /9:-r
Date/
1
OFFICE OF THE TOWN CLERK ,,,'"""
Town of Southold .11'10FotKe,.
` Judith T. Terry, Town Clerk ,'1% Ol/y . Application No._,l) 1`j l
Town Hall, 53095 Main Road i z Construction
P. O. Box 1179 Alteration �`
Southold, New York 11971
Telephone 0,�� ���i', $10.00 - Residential
►'
(516) 765-1801 _ �l �' $25.00 - Non-Residential •
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ / / y�
DATE (j2 // / I S I
APPLICANT NAME: ,/1 .-e
„CL, .
APPLICANT ADDRESS: 2,S? C
SEPTIC CESSPOOL ,
DESCRIPTION OF PROPOSED CONSTR CTION OR ALTERATION
617,..-e...4..- .A4c,„..) _e___poir e
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: c_....6/2"/69/7/9 Xc 6c,ef.,-S
OWNER MAILING ADDRESS: 5'70 25- //AO/4 040 '
ems- /77
OWNER PROPERTY ADDRESS: `
,
TELEPHONE NUMBER OF CONTACT PERSON: .Z.5" e- �_?Crei
TAX MAP NO. : Section /4 Block / Lot 2/ "
CROSS STREET: ,2/i /CL -
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: -AL A/ /; .
Tow( er 's Office
DATE: ',F
OCT 1 1 1995 town Mit i k Southold
2144.
S
01)
# 10
/1 61 0
L*4 „
)
por