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Home My WebLink AboutHolfelder 4!��il�/'�f� cttrJUDITH T. TERRY ' Town Hall, 53095 Main Road TOWN CLERK ® P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER kc0Fax (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. 854 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : RAYMOND NINE Address 1 : P. O. BOX 1401 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration ADDITION OF A NEW OVERFLOW TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. CALL THE SOUTHOLD TOWN BUILDING DEPARTMENT (765-1802) FOR AN APPOINTMENT. Name Of Owner HOLFELDER, LAWRENCE Mailing Address 1 65 OLD COUNTRY ROAD City St Zip HINGHAM MA 2043 Property Address 1 6725 PECONIC BAY BOULEVARD City St Zip LAUREL NY 11948 Tax Map No. section 126.00 block 10 lot 19.000 Cross Street BRAY AVENUE Building Permit Number Cross Reference: Issue Date: 6/25/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) t '.M 'ii JUDITH T. TERRY 7. Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER �=�®� ir Fax (516) 765-1823 �® �� Telephone (516) 765-1801 '4%�aiz/iii, ir: OFFICE OF THE TOWN CLERK - ( �' } i-,' .1 I TOWN OF SOUTHOLD ;i ji!1 —1;i V},1 JUN2June 24, 1992 IIJL41992 !;?11i1 To: Southold Town Code Enforcement 'Officer s d. "riaC3LD From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. A881 for an ALTERATION PERMIT for a cesspool or septic system submitted by Ray Nine for Lawrence Holfelder . 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 - K DISAPPROVE - COMMENTS: ,w. c St /ZVI 4.C.{ ac S Q9 g K :fdos • Qc&9 } 4. P. a R CRS® .4.44......r ., ,.. . , „ _ok 47, \CA64. (- 7)101.4..CL...s_____ tiAO* \ Signature eAtOtbqk' '6,‘'' Date (Pi ZA\ Ce‘, .... R'f_ Ryi i JUDITH T. TERRY t ;� _ Town Hall, 53095 Main Road P.O. Box 1179 TOWN CLERK ;. t.-: _ - REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER = Fax (516) 765-1823 94,< • Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 24, 1992 To: Southold Town Code Enforcement Officer From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. A881 for an ALTERATION PERMIT for a cesspool or septic system submitted by Ray Nine for Lawrence Holfelder 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: • Signature Date .0 + %y OFFICE OF, THE TOWN CLERK ,��'"" Town of Southold �.�'��C,��F�U��(e►• �v� Judith T. Terry,' Town Clerk ��' - Application No. Town Hall', 53095 Main Road ;�OIC * ? Construction P. O. Box 1179 ; v . • Alteration e� Southold, New York 11971 v' ,. �.` , Telephone y4 ° ' ��4ret $10.00 - Residential (51,6) 765-1801 _ 1 �, ' $25.00 - Non Residential -- • ../•• TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT - APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL • Permit No. Fee •$ /6 i DATE ‘/2 4J /G Z APPLICANT NAME: ilGG f E_y ,PEA 4I, ,,5Ivor� APPLICANT ADDRESS: /S lL p Gl.1q j1,7 gr eG'f�, . . /1/ i'6 11 ,-.,1,• ) )71,45; /2,�� SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: #G6 F at, PAY? • OWNER MAILING ADDRESS: S.5 6L 2 ca k iv-77f l f G /J, �. .aYi'lv , //741, G2.. 6'y3 OWNER PROPERTY ADDRESS: '6'7 ,2f /9GCg.4"/c 8h'21 !1_1.- TELEPHONE NUMBER OF CONTACT PERSON: $7‘' 2 i/f. 7J P TAX MAP NO. : Section /1‘ Block /6 Lot l f CROSS STREET: airif I j' BUILDING PERMIT NUMBER CROSS REFERENCE: Vil-y),1 figure o Applicant RECEIVED BY: • Town lerk's Office DATE: lP 0,Ly(eZJ Ili 0 k f'76 ss t Lc)