HomeMy WebLinkAboutImprote 011
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B Town Hall, 53095 Main Road
P.O. Box 1179
' nag 'WO!' Southold, New York 11971
JUDITH T.TERRY „„r„„v' FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
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. 466 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : IMPROTE, BARRY
Address 1 : P. O. BOX 148
City St Zip SHOREHAM NY 11786
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 1/23/89.
Name Of Owner IMPROTE, BARRY AND LINDA
Mailing Address 1 P. O. BOX 148
City St Zip SHOREHAM NY 11786
Property Address 1 ALBACORE DRIVE
City St Zip SOUTHOLD - NY 11971
Tax Map No. section 57.00 block 1 lot 17.000
Cross Street BLUE MARLIN DRIVE
Building Permit Number Cross Reference:
Issue Date: 2/17/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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FEB 0 T1989 ' 6
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� r Town Hall, 53095 Main Road
TOWN OF SOUTHOLD + � �, �•
`�� '4 ' � P.O. Box 1179
� '� Southold, New York 11971
JUDITH T.TERRY
y 000
TELEPHONE
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: February 17, 1989
Transmitted herewith is a copy of application No. 476 for a Cesspool/
Septic Tank Construction Permit submitted by:
Barry Improte -
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
DISAPPROVE
Comments: Q Osr, r , n paraeLLAA)414.1
O._14 aN-N a.A9
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Signature
Dated
OFFICE. OF THE TOWN CLERK (NCOFO(,I(`,O
Town of Southold 0 .•.k �j
Town Clerk _ - " Application No.z17k,
Judith T. Terry, G
a1 �
Town Hall, 53095 Main Road c �-�:�_: -�1• -?• •' � '� Construction l�
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone i,°1 !� 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.
o
Fee $
DATE V/7/41?
APPLICANT NAME: �PY P(2-3 ,.
APPLICANT ADDRESS: e 72d 4a )6 /S�d"
G ..
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ,IVB 1 rr✓ A'
//f)44.
MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: LIND(t . � . PAi)
OWNER MAILING ADDRESS: PO 6OX ) B
51-\oaei4A-A, it-Tp
OWNER PROPERTY ADDRESS: /-9G8et02G ,1�2
•S'a ' 7oLi.� tiY /7r7/
TELEPHONE NUMBER OF CONTACT PERSON,:: (-0 ^ -30/
TAX MAP NO. : Section S Block ( Lot / 7
•
- CROSS STREET: LJ& PikAstelo b12
BUILDING PERMIT NUMBER CROSS REFERENCE:.
Sig t re of Asrilicant
RECEIVED BY:
°iaa7ai).Town Clerk's Office
DATE:____2€444,49:,
9€ 4, 49 .Ra