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HomeMy WebLinkAboutHeidtmann (2) es- 1%, Town Hall, 53095 Main Road ��� P.O. Box 1179 rte ® �� �! Southold, New York 11971 JUDITH T.TERRY '=`� � FAX(516)765-1823 TELEPHONE(516)765-1801 TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 518 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : HEIDTMANN, GLENN F. Address 1 : CLIPPER DRIVE City St Zip SOUTHOLD NY 11971 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 11/7/87. Name Of Owner HEIDTMANN, GLENN F. Mailing Address 1 CLIPPER DRIVE City St Zip SOUTHOLD NY 11971 Property Address 1 CLIPPER DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 79.00 block 4 lot 17.009 Cross Street ANCHOR LANE Building Permit Number Cross Reference: Issue Date: 8/08/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) IIRL^ pEpri. .. ` � Town Hall, 53095 Main Road TOWNOF SOU`i'HOt®... _. 4�R I' 44' P.O. Box 1179 I d� Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Victor Lessard, Southold Town Building Department From: Linda Cooper, Southold Town Clerk's Office Dated: July 21, 1989 Transmitted herewith is a copy of application No. 531 for a Cesspool/ Septic Tank Construction Permit submitted by: Glenn F. Heidtmann 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 D( DISAPPROVE Comments: p,,,g, �,�� � 0. re, r"'t-r. \(A: pEp Signature AUG ®7 S'89 \I I Dated e. • OFFICE OF THE TOWN CLERK OCj\VFUL ' of SoutholJudithTown T. Terry, Town Clerk E F'; - Application No. 6'114f " ' �' Construction CT') 1,1*Town Hall 53095 Main Road P. O. Box 1179 Oc � Alteration Southold, New York 11971 0 _ Residential !- Telephone (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 $ f D DATE .,4.1 Q% \\clSq APPLICANT NAME: ��. � _}� ��� 4S-V.M e ak) APPLICANT ADDRESS: z��� ���� tea`® �.9- , `t�� SEPTIC / CESSPOOL V DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION '4s LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: OWNER MAILING ADDRESS: ,Q OWNER PROPERTY ADDRESS: ---() TELEPHONE NUMBER OF CONTACT PERSON: c, 5— /l `a TAX MAP NO. : Section 7? Block eft. Lot /7„? CROSS STREET: ( P1 LlO (,- k0 BUILDING PERMIT NUMBER CROSS REFERENCE:_ '411 iii .�I, Signature of Applicant RECEIVED BY: kJ, AL, Town Clerk's Office DATE: `7/ /Fsio, _ _ c :I - SUFFOLK CO.IHEALTH DEPT.APPROVAL k H.S NO. ./ _ 1:0T 39 ' IV . t' AP• OF PI2O P E I2 ' PIRES INC4LE EMILY DWELLING Q'�JLY / "T' TWO YEAR$ FROM DATE OF APPROVAL '�.112`.Of LIGHTS ESTATE 5 �SEC.$,ON6'117 SURVEYED rVEYED F012. , =:.IFF CO . VIAP.N10,4 ? DTts../ , F'OOl S : _H0. � r, --� � "t F' ` +� STATEMENT OF INTENT ri - nn _�__�_____�_________ 7 THE WATER SUPPLY AND SEWAGE DISPOSAL , '- N A ' SYSTEMS FOR THIS RESIDENCE WILL _'.:20...,-'10' n I _ IEj, ;D.^ SOu T1-I� D iCONFORM TO THE STANDARDS OF,THE __ SUFFOLKLJ�SE EPT. FARVICES. �? TOWN OF SC�UTI TI--10 -N.Y, (Sl APPLICANT At./z41 SUFFOLK COUNTY DEPT OF HEALTH I SERVICES - FOR APPOV,L OF r .,_____..\,.. ,, ,-,...,...",.. F,4:-.,-.4..i" CONSTRUCTION ONLY ///- "A' -- DATE LL) = H.S.REF.NO . tv APPROVED: ' "� � �ccit� q� 'M /. - — Q r`SC SUFFOLK CO.TAX MAP DESIGNATION: (e5j _ DIST SECT. BLOCK PCL C VA.Ar.I T ._ )C x 1000 079 17.9 4 OWNERS ADDRESS: Opp Lv Q -_CCLIPrez LANE r3Al } 1 n SCUTHOt.G,NY. 1197f - cl . , AREA=49523 5,F• 765-I 128 - , �i U =`G rYM4NUMEtrtT DEED: L. P I ' ` TEST HOLE STAMP `)y ( Ur, •,c-.{ath•retton N edidnn ' F t -' _ �'t:; IR - t• — •.� \ t••,,,n 7%P.^of ihn Naw.York°tG?9 ... _ d r, v avn Low _ `' - `r -1 ,,;�,; _ - + Co-+,..o.tNr t'ee"y MVO n^i bmartna 1. _ __ _ .�. _-_ _ _ _ _. _.�` *`^' ';i!" 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