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Home My WebLink AboutKalman `` V F Nice" tA JUDITH T. TERRY - Town Hall, 53095 Main Road TOWN CLERK p T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ' 1 Southold, New York 11971 y r Fax (516) 765-1823 MARRIAGE OFFICER ® • � • a�� .� Fax (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. 957 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : JOSEPH KALMAN Address 1 : 53 EMBARGO PLACE City St Zip NORTH BABYLON NY 11703 Descripton of Proposed Construction or- Alteration NEW SINGLE FAMILY DWELLING Name Of Owner KALMAN, JOSEPH AND JOAN Mailing Address 1 53 EMBARGO PLACE City St Zip NORTH BABYLON NY 11703 Property Address 1 BITTERSWEET LANE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 104.00 block 2 lot 6.000 Cross Street PINE TREE ROAD Building Permit Number Cross Reference: Issue Date: 2/04/93 Judith T. Terry Southold Town Clerk I TnwN c 141 00000 Cs5tf L�cQG .' per �41 JUDITH T. TERRY ; Town Hall, 53095 Main Road TOWN CLERK T ` P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �� Southold, New York 11971 MARRIAGE OFFICER Q �' ��, Fax (516) 765-1823 1D®�� 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. 957 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : JOSEPH KALMAN Address 1 : 53 EMBARGO PLACE City St Zip NORTH BABYLON NY 11703 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING Name Of Owner KALMAN, JOSEPH AND JOAN Mailing Address 1 53 EMBARG PLACE City St Zip NORTH BABYLON NY 11703 Property Address 1 BITTERSEET LANE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 104.00 block 2 lot 6.000 Cross Street PINE TREE ROAD Building Permit Number Cross Reference: Issue Date: 2/04/93 Judith T. Terry Southold Town Clerk (Tf1WN cQi • JUDITH T. TERRY < Town Hall, 53095 Main Road TOWN CLERK j 1 ® rrP.O. Box 1179 REGISTRAR OF VITAL STATISTICS f V) .= - Southold, New York 11971 MARRIAGE OFFICER / i ®' V �' �', Fax (516) 765-1823 \ __ •®1 Illt NW, Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK ,,,,---t..----,� TOWN OF SOUTHOLD a ' r�r�rr c - y °C FEB ® 11993 TO: Southold Town Building Department ` " FROM: Linda J. Cooper, Southold Town- Clerk's Office4L: '- DATED: February 1, 1993 _ Transmitted herewith is a copy of application No. 984 for a Cesspool/ Septic Tank Construction Permit submitted by: Joseph Kalman _ 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 X DISAPPROVE Comments: am Q.662114.1"A U.A.„6 ` 1l .1 Co a 'LM t4 ) .-9/1"/CA.i. ,i/ igna Dated • .w;y+ =OFFICE OF THE TOWN CLERK c�,rr0(,{/;\ Town of Southold Judith T. Terry, Town Clerk ►� ,rqL-1,41Application No. Town Hall, 53095Main Road o +•�� • Construction P. 0. Box 1179 Alteration Southold, New York 11971 ` / °/ r ;f, Residential Telephone y/. (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 APPLICANT NAME: \I 05 � '771- /Z/i-L14/9-(4/ APPLICANT ADDRESS: � 3 F-01, 13/1012-Co e 4-6 9qc,i)1 / 17©3 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: „ID 5ti,/- ssovirfr,7 kn bm4 py OWNER MAILING ADDRESS: EA /426 OWNER PROPERTY ADDRESS: S iAf _ • C TELEPHONE NUMBER OF CONTACT. PERSON: /- lb S ( TAX MAP NO. : Section /05° Block Lot • CROSS STREET: e' j I2o � BUILDING PERMIT NUMBER CROSS REFERENCE: • die A /A • / / ig ui e of Applicant RECEIVED BY: e,,,„ Town Clerk'e • • DATE: c•_/._r-3 SUFFOLK CO HEALTH DEPT APPROVAL H.S NO. oma; 1 I MAP Or P(2GPE.QTY 4f;, wif =,dvidv"/ . — ---- N °v J(--)L i E_PH 4 JOA \ •J ��C 1L 1\f/�/---1N ,*`N 4/7. I�/4e *'�i /I, `/ f 7�3 4 0 TG I .�16-(26/-y09>4 11 W ,_C R o. ',,E POCtt-t AT STATEMENT OF INTENT p 'I)a 9 C'u�(� I t ;y THE WATER SUPPLY AND SEWAGE DISPOSAL :n N N ` I - --' 11,17.7f cm ,2 SYSTEMS FOR THIS RESIDENCE WILL N -.E.:1.,` • rj$ -__� 1 - TOWN OF'OUTI•-1'�l.U� N.Y.,;--'� F; off' CONF• • O THE T• •-•A S OF THE W o u� I I , p'-:a © N SUFF• • DEPT/OF E L SERVICES. El t..:.-0._ r.3 l 1 ,�,. CD ci= LI'A 'T WcGcu Ii i ------ -- _ -- •=t �s �a c I - SUFFO OUNTY DEPT. OF HEALTH 77 w-? cL) Ti Io r r / °to N.V1210 E. 12J•0�� ` i SER ICES - FOR APPROVAL OF _ Cs� SGS (�,t CONSTRUCTION ONLY t DATE —tri 0 1 1 /° H S REF NO. s� O Nj \•✓ APPROVED -� „/ nl N • _ _ — / SUFFOLK CO TAX MAP D SIGNATION �rj7) It // DIST SECT BLOCK PCL. rPROP-CESSPOOL \ - / .cid 104 2 6 \ . \ I OWNERS ADDRESS / * / N BAE-;l.LON N.Y. I1 103 t--,--ADL �S6 Po i LS- tz.,� _ _ r '� O \,--_- \,E1.) - , Z r----1 l'LL' c 6,29�•F, DEED- 1. 61.4?-.1 P.�rJ D c1 `b. _- -- - I / LI- I�K`,r.,_)«r \,I1 TEST HOLE STAMP `l ,� P2OP.SEPT CT N \�I ./ -� r - — Y �,, I, S g I A e -.--- - - - �` ---• • __ +-+o. JIC2ON PIPE i.i1.i.:11V;iiii.1tk3 ; l l'�bi61i4>1 itLiii�a;ika - ,C,,.' '' ,LOT 0 11%ELL HUMt.,S - ' Z ---32 - POP HO. ry r 32,-• _ ( 2" r0 L_— __.__.1_ t , w_: -t -'c • -f 1 .1 iii ► g f SINGLE FAMIL A ::9..�..INt.; fink.. mEXPIRES .3 YEARS FROM DATE CiF APPROVAL . , 'F_L4 . 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