HomeMy WebLinkAboutHelinski (2) JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK ® ; ' P.O. Box 1179
t crA $ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS IFax (516) 765-1823
MARRIAGE OFFICER •RECORDS MANAGEMENT OFFICER -_. ® ���_°� Telephone (516) 765 1801
FREEDOM OF INFORMATION OFFICER 10.
OFFICE
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1233 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : STANLEY F. SKREZEC
Address 1 : 50 GULL POND LANE
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
ADDITION OF A 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 HELINSKI, ZIGMUND
Mailing Address 1 2580 TUCKERS LANE
City St Zip SOUTHOLD NY 11971
Property Address 1 2580 TUCKERS LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 59.00 block 4 lot 3.000
Cross Street RPITE 48
Building Permit Number Cross Reference:
Issue Date: 10/26/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
Y_ 4 29 eRG- ,v c>y -
;,;�..-: :50:0 � Gu 6c.c 4-,D .C.!/<C.- 7-o
ito
® "� ' .162,4::,1, Td et26�c Ao --r
JUDITH T. TERRY :' . _: Town Hall, 53095 Main Road
TOWN CLERK � ` E P.O. Box 1179
® , _, ;'� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V 7 41" Fax (516) 765-1823
MARRIAGE OFFICER \'.----•420'.
= �' � Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER _ 1l , 2� 1,2,,,-,
FREEDOM OF INFORMATION OFFICER �%�.,,,10-
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: October 25, 19911
Transmitted herewith is a copy of application No. A1282 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Stanley Skrezec for Ziqmund Helinski .
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:
/wi
APPROVE - I =MO
DISAPPROVE - IfISEQUEED
COMMENTS: Maintain required setbacks from adjacent wells, buildings,
property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
;;'
Alli/ZH.IP
Signatur-, '
401,
A;i6- 5;35Z
Date
r _
JFFICE OF THE TOWN CLERK ,,0' "'•--
Town of Southold .�'',4014'�+. : - /02 1)_
Judith T. Terry, Town Clerk �l/y Application No!
Town Hall, 53095 Main Road L= Construction
P. O. Box 1179rn
Southold, New York 11971 ct� Alteration `"---
Telephone $10.00 - Residential
(516) 765-1801 11 ��'ot
$25.00 - Non-Residential
--- -awl/J''
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ •
DATE T9
APPLICANT NAME: (('vi!%/(fi.i%Y.iiee,._. C0, STAAAqF. � �•
APPLICANT ADDRESS: 60-1s poAi® L 6'
GP ,v 8;
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ODD ea-s� _.
.14 G Sy Sten.
r
LOCATION MAP: Must be attached hereto before permit may be issued.
•
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 1,4-f_LoNS
OWNER MAILING ADDRESS: acSo TUC 6/t-$ LA7jg
St7f4P119 I Ad y
OWNER PROPERTY ADDRESS: A--S
TELEPHONE NUMBER OF CONTACT PERSON: 017 - / 812_
TAX MAP NO. : Section ,5Block C7 Lot 3
CROSS STREET: a.oc�fi6 & `
BUILDING PERMIT NUMBER CROSS REFERENCE:
11;j1 Signature of pplicant
RECEIVED BY: 1, pI �pi
town ClerRC's Office
DATE: , cm* 2 1994
south® d Town Clens
\.ti
, 1j
cie
wsu.
.. ez guseariv.t.
f UCs L
1Oe'
11,
6-1-15 f;:V(V
‘ Giallo"
c(.°
o ^-
tiot1