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HomeMy WebLinkAboutKaplam �,, • JUDITH T.TERRY Town Hall, 53095 Main Road TOWN CLERK ® Sd ; c� : `�W � ; P.O.Box 1179 REGISTRAR OF VITAL STATISTICS • , 5 �. . �� Southold,New York 11971 MARRIAGE OFFICER SSI iv, .' Fax(516)765-1823 RECORDS MANAGEMENT OFFICER ®I 0 t� d Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER „ .0'9' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1395 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : BORIS GRZIC Address 1 : 145-48 17TH ROAD City St Zip WHITESTONE NY 11357 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SCHD REF. #R10-95-0079 Name Of Owner KAPLAM, ROBERT Mailing Address 1 21 THE MAPLES ROSLYN ESTATES City St Zip ROSLYN NY 11586 Property Address 1 SOUND VIEW AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 50.00 block 2 lot 19.000 Cross Street Building Permit Number Cross Reference: Issue Date: 9/27/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) ow, AO,WWW.4, / :3 JUDITH T.TERRY ; �.`% Town Hall,53095 Main Road TOWN CLERK t g t P.O.Box 1179 ��� Southold,New York 11971 REGISTRAR OF VITAL STATISTICS : 0 �I Fax(516)765-1823 MARRIAGE OFFICER �® is-11 C�®��ii Telephone(516)765-1800 RECORDS MANAGEMENT OFFICER �Y `Ls' l FREEDOM OF INFORMATION OFFICER ,i" r------Tz---; ......____, flo 191 OFFICE OF THE TOWN CLERK ii I TOWN OF SOUTHOLD I SES Li TO: Southold Town Building Department I - BLD� FROM: Linda J. Cooper, Southold Town Clerk's Office _�_ TOt1rnl oP coui6C'LD DATED: September 21, 1995 Transmitted herewith is a copy of application No. 1448 for a Cesspool/ Septic Tank Construction Permit submitted by: Brois Grzic for Robert Kaplam . 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: 4.3 ei0 /er 0 , 9S-- C9® 7 t- P-e?./' cf#43 ..iiiiiiiIIIIIIIIr4" -1111 A/sr/ S gnature i < Dated er ,,'""" 'OFFICE 'OF THE TOWN CLERK Town of Southold �FVULk(�. Judith T. Terry, Town Clerk �`� �� 0!/y�: Application No. /� Town Hall, 53095 Main Road Z ... • Construction . ten P. 0. Box 1179 : v ,"' ' rn Alteration Southold, New York 11971 • tn : r _k �• ' - �� Telephone �� -, ; .. �0r ' � $10.00 - Residential (516) 765-1801 _ .� 1 ' $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE 7-2/-9,C- APPLICANT --2/ -9,C-APPLICANT NAME: .43C)%2/ S GR. 2 ! APPLICANT ADDRESS: /171.‘T—Lee / 2 7'1 2O4- • PW-Lt 7 S 7-0 / y, //3 S7 SEPTIC /CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION N� Li iv LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 60-PL79/11 ftp 7 afi OWNER MAILING ADDRESS: 2/ 7//E . 7Lf los c .S r s gos c ,�. Y I f , �- 7I s�G OWNER PROPERTY ADDRESS: -- Z— 2 -3Oce V/6(A) 1--UE szD, TELEPHONE NUMBER OF CONTACT PERSON : 7/c? —2c9•(9O TAX MAP NO. : Section S-0 Block Z_ Lot /7 CROSS STREET: 5outy) Vic- y Y'/A BUILDING PERMIT NUMBER CROSS REFERENCE: 41.// Sit - ature of Applicant RECEIVED BY: T Clerk's Office DATE: 9 / Ii H.'S. NO. i 5, 16�3 4/0-.15,_E';-.'' � ' _ : _ _ r.�'. _ _ �� - St. , t' - f ,l` -, i 1- 'c' _ - - ! - _ ,4 �'., . ?�.�'°°c.�:: ;' Wi'C•w 4`` TJY 9-L c he AliS v a DATE i • Y �> '';. �sy. �" ~'.`: 'Ca`- 5TA T EhtENT OF:;1\7411 7T i • i - ,;s r ' "'` fi` :/ ! : : . ' `' -----�- _ ,` , - - i''THE'THE-WATER SUPP.L�t' AND Oc©f5PD5AL, .--.4.: :;:-..---•='-41/ 1 ''7ti" L - ' -, �" :{ FOR• THIS RESIDENCE WILL- r -:..0-:::* !# f 'd- ,'�-ib:. 1 - - , _ - sY tet.-•'� - s.=y;r, CO,NFORNt TO THE •-STANDARDS OE +` s � -- --1.' , • --- ,f ;= rli, r ,„� s'ef%,T',,,`.. - ,0411—.”, 1:'''' '' DEPT.. 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