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HomeMy WebLinkAboutHoulbreque 4Iliigst r�®b' JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK : P.O. Box 1179 REGISTRAR OF VITAL STATISTICS `,(cP Southold, New York 11971 MARRIAGE OFFICER ® ) Fax (516) 765-1823 Telephone (516) 765-1801 Es.'//i OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 834 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : WALTER MARCZEWSKI, JR. Address 1 : 168 CENTRAL AVENUE City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration ADDITION OF NEW CESSPOOL TO AN EXISTING SYSTEM. APPROVED WITH REVISIONS. POOL MUST BE PLACED NO CLOSER THAN EXISTING POOL TO CREEK AND AWAY FROM WELL. HOLD 10' SEPARATION. EXCAVATION INSPECTION REQUIRED. CALL 765-1803 FOR AN APPOINTMENT. Name Of Owner HOULBREQUE, INNA Mailing Address 1 BOX 1114 City St Zip EAST MARION NY 11939 Property Address 1 210 KNOLL CIRCLE City St Zip EAST MARION NY 11939 Tax Map No. section 37.00 block 5 lot 16.000 Cross Street BAY AVENUE Building Permit Number Cross Reference: • Issue Date: 5/07/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) rr3 L ,01, ,fg,iir7"--- ,40 cAN JUDITH T. TERRY . 0, Town Hall, 53095 Main Road TOWN CLERK ® l P.O. BOX 1179 • .,' Southold, New York 11971 REGISTRAR OF VITAL STATISTICS A' Fax (516) 765-1823 MARRIAGE OFFICER e' I� M � ` xS 1 �` ' "�/ I!� Telephone (516) 765 1801 �,: fi! —ilii%„.,i It hi' 11 41 �t' MAY `41992. '11 i e OFFICE OF THE TOWN CLERK ##tti K ILL:2 TOWN OF SOUTHOLD 5 ._..RAVE`� E ~� ee�, G�S...�T. 1 TOWN GP' SOUTHOLD , May 4, 1992 Kms-TJcflvn[<.— eazn'i���na� To: Southold Town Code Enforcement 'Officer From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. A858 for an ALTERATION PERMIT for a cesspool or septic system submitted by Walter Marczewski Jr (Country Cesspool) for Inna Houlbreque . 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 - X ( c fe-RAM 4LCD ) DISAPPROVE - COMMENTS: 70,4 )' ,t,.011- iut 0o cj,c , iia .2-414:41C41 N{La-A) Vo _.A.Attc ci-KI. Gt.A..o.-04./ itzw) LIA-a . i 61-6 Cy au_rAltz, a-vj Co -Qi2rA,L., "mi. 1.9-13.4 Ac5) , I REcovED ,,, r ,i,*,..,444 \r �'�. �� - MAY 0 71992 ��. Signature ���® ` S� Town Clerk Sau old ' 0.4 Date • WI(_1/ J 1/":70 (f) . ., -0 ' 7/),/y0( , v), p:// f g-e) . ,Z6j I r2'i'd cv)/ f - ,, i „,.... , i } f I A3 1 lii) - i sr I i'?.. ! / ' ) fio 11 , 1. 3 \S. f 7‘.- y L o c,c.! ° �d i v,/,4,9,/2_'' 71 /1” 1 i ; - __. _ ._ ae /.//17(16 I A ' e--- )51 9 i „rill • iI I ', //-21' ® 1 \S � � Q ' i I 1 J h ____-.-� -1 ci 4-"V/. y , ',.. - n ba../e/7// 0// --tyv7/Z ill: ��'"" OFFICE OF THE TOWN CLERK Town of Southold Town Clerk ��� e OG�: Application No. S9 Judith T. Terry, �, . Town Hall, 53095 Main Road � : .G Construction P. O. Box 1179 _ • z v rn Alteration Southold, New York 11971 . Telephone 0 ` 4 ,r1 $10.00 - Residential (516) 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 $ /O DATE ..5/0.Z., APPLICANT NAME: \A/ALT—FR /'2A2eZffIn/s, / L1 APPLICANT ADDRESS: 4j, / 4-I/ e. C/Peer O, ,-7 A// 2"P //fy' SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION i//75'/ //a, -6/1/ o r' /e x r- /c, l= yr fsh'n7 ©�U-€ LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 7 474// c/LbreQ a'e OWNER MAILING ADDRESS: /?Ox !`y/ 7-9, /liA-Rf©4/ • /7 y.3 OWNER PROPERTY ADDRESS: 2/0 A/1/'oZZ C f /e I T TELEPHONE NUMBER OF CONTACT PERSON: V97- 0,6-q0 Com'` TAX MAP NO. : Section 3 7 Block Lot A. CROSS STREET: /39‘y/ Vezt/v e_ BUILDING PERMIT NUMBER CROSS REFERENCE: Signature o Applicant RECEIVED BY: Town Clerk's Office _ • DATE: J'`--y—Cf ,