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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