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HomeMy WebLinkAboutJohnsen (2) 47:010,77 Town Hall, 53095 Main Road ' ` 3P.O. Box 1179 ®/y„ ®���' Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK �%%�cz�����1 (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. 403 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : JOHNSEN, ROBERT Address 1 : 4300 SOUNDVIEW AVENUE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED WITH SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL. Name Of Owner JOHNSEN, ROBERT Mailing Address 1 4300 SOUNDVIEW AVENUE City St Zip SOUTHOLD NY 11971 Property Address 1 SOUNDVIEW AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 54.00 block 6 lot 2.000 Cross Street KENNYS ROAD Building Permit Number Cross Reference: Issue Date: 10/05/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) _ ' P 3 �;111OF Oli9 e- _ Sf, ,'a y q 1 e� rf" err'i � Town Hall, 53095 Main Road I`' K:'- ''';,-' P.O. Box 1179 . ;�<� :rt",z Southold, New York 11971 JUDITH T.TERRY +di�.wo y TELEPHONE TOWN CLERK ea- . e? REGISTRAR 01.VITAL STATISTICS 'r & S OFFICE OF THE TOWN CLERK , inE TOWN OF SOUTHOLD i , v To: Victor Lessard, Southold Town Building Departme i Tow L . o�H From: Linda Cooper, Southold Town Clerk's Office ®Lo Dated: September 27, 1988 Transmitted herewith is a copy of application No. 407 for a Cesspool/ Septic Tank Construction Permit submitted by: Robert Johnsen 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. Glc—/ Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: a_ .uN09.4..c a IN-, aha eaa- OA tea. %.x.14 . IN °If "i'9 _ \Cao.,.. 4.--1....-1 4.4_00 Signature 1f'; ' I efi\ do, . Dated , OFFICE OF THE TOWN CLERK cOFO( (" Town of Southold �0 ` � ', Application No. -/7/J Judith T. Terry, Town Clerk Town Hall, 53095 Main Road • Construction• P. O. Box 1179 rtz * $ Alteration Southold, New York 11971 �- Telephone 1:9/4r14--- �.a0 '1' Residential _ (516) 765-1801 o Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL • Permit No. Fee $ DATE q' APPLICANT NAME: Rdheil To Vc APPLICANT ADDRESS: Z e w %® v G Acid SEPTIC V CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Yew 0 fs✓L s�� t a, - X:er-nuc_ LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: R0 -ek' t OWNER MAILING ADDRESS: Lf3cc Soo oI ew j,c,;,iicSA ci1 OWNER PROPERTY ADDRESS: ®c.;aad ea, TELEPHONE NUMBER OF CONTACT PERSON: 76 - //6 TAX MAP NO.': Section 059 9 Block 6 Lot /3 a 2 CROSS STREET': 3/0 Ai Easir cit 7#2 kenh VC de, BUILDING PERMIT NUMBER CROSS REFERENCE: Signature af'Applicant RECEIVED BY: X-oLu- i RECiii/tOown Clerk's Office DATE: S�? 1989 Town Clerk Southold - • SUI- -OLK CO. HEALTH DEPT. APPROVAL H. S. NO. • 'IS ''''' ' ' .' ' • STATEMENT OF INTENT . .i . , . ,, . . THE WATER SUPP Y AND SEWAGE DISPOSAL SYSTEMS F. • HIS RE DENCE WILL CONFORM 0 HE STAN' ARDS OF THE SU_ FFOLK ' O` 0 E AL H SERVICES. (s) ;f LICA, ,JNNT • SUFFOLK COUNTY DEPT, OF HEALTH' SERVICES •- FOR - APPROVAL OF i • • , - CONSTRUCTION O . \ 7 SCALE:4Q1.1*1•• DATE: 1 / ,SON PIPS_ H.S. REF. NO.. � ) I ,� S Q,9 6 '� = APPROVED: Oe-t4/ _— Z . f k�i L tio 'Ar2eA 8_43,6045;E hn ? syy R D FI EA R,co _'- 3,525-s.F, SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. 30 30'..-.. 054_;:•---^-- 6 _ . P/O 2 OWNERS ADDRESS: �C3 TcJohrTa�s'd�c/ ^2i C =SOUND Via-ViaE ' DEED: C 6222 :,-.?265, (2FJ- _ TEST HOLE STAMP • PLAUTHORRTW ALiERATiON OR ADORIOp � ', LO MS SURVEY.%A MOLATION OF' siCTION, OF THE NEW TORI(STAT, • EDUCATION LAW. • COMES OF TMS SURVNT OW NOT RAIN% ; XCAVTM Li ECTithi REQUIRED). - - • `` .-T , , MME LAss7) L SNA S I1:1:A<OR . . ' }F' ,•, ' tAWSSI�SEAL SNALL NOT I�O►aNUlREo LO N A VALID TRIUE Cory. • MOM. -- _ v. _ GUARANIS%IIO1CATWD NINON SHALL SUN r O/Mt.,SUF ¢: w/./D.T"+Wiy /16.-LLI[1�.L CSP :•� .'7'''''''''-; ONLY TO TN!PERSON FOR WHOM THE SWH TO Tiff . ;5 `lY m-1s;raa-` i PKEMIJ 5 , • ;•,.-• F'� �, 0 r COMPANT.GO_ TS SWAM AND ON"UNNENIS ITALLL*GMT • M /MING IHSTIIUIION LISTED HERION, AN, ' . h no THE ASSIGNEES Of na LEIOMiG INl T• k ILMOIt GUARANIS%ARE NOT I1AIOK- `• r w to AD•RIOr+.. 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