HomeMy WebLinkAboutHull (2) i1voLA!
Town Hall, 53095 Main Road
VI ®
�y�� v��t P.O. Box 1179
-` 0 Ve roi� Southold, New York 11971
JUDITH T.TERRYFAX(516765-1823
TELEPHONE(516)7651801
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. 502 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : HULL, ZINA AND ALFRED
Address 1 : 333 PEARL STREET
City St Zip NEW YORK NY 10038
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 3/20/89.
Name Of Owner HULL, ZINA AND ALFRED
Mailing Address 1 333 PEARL STREET
City St Zip NEW YORK NY 10038
Property Address 1 3630 SOUNDVIEW AVENUE
City St Zip PECONIC NY 11958
Tax Map No. section 68.00 block 4 lot 4.000
Cross Street KENNEY'S LANE
Building Permit Number Cross Reference:
Issue Date: 6/06/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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TOWNLDG DEPT. L--" % , .fir^-,; •.„u0. �� P.O. Box 1179
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u I► Southold, New York 11971
JUDITH T.TERRY -' ��� /Nh i 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: May 31, 1989
Transmitted herewith is a copy of application No. 514 for a Cesspool/
Septic Tank Construction Permit submitted by:
Zina and Alfred Hull
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.
i
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE p<
DISAPPROVE
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Signature
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Dated
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OFFICE OF THE TOWN CLERK %SUFFU(,r D
Town of Southold �. rC(/
fr y Application No. ,�jy
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road = Construction v
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone 0 Residential
(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 $
DATE A4r .36;
APPLICANT NAME: //t(LL7 2 A/A t A-62 a)
APPLICANT ADDRESS: r 2 z- 7-- -c-FT-
614/
frefe /1// / v D_�
SEPTIC ) CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/1 C0/57P.t(G(101r Sill <-G7- 6/+-44/ /�-FT
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: LL Z"4/4 t �
OWNER MAILING ADDRESS: 3 3-3 4--)9(2,1„.
Av 71v/W__. A . /. /C d,_ .02
OWNER PROPERTY ADDRESS: .3630 ,5O6((I/11/r -W /ii .
/(/7c /t)_y
TELEPHONE NUMBER OF CONTACT PERSON: Julio- 3 - 2212 04- )
TAX MAP NO. : Section 06 p Block 171 Lot I/
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE: / 5-1.7
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Signature of Applicant
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RECEIVED BY: a' ,1„--)
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