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HomeMy WebLinkAboutRichert „,...",, 4.0c..1f wire '%.J 4,== 1 $ ..; Town Hall, 53095 Main Road �® � ��`� P.O. Box 1179 _- ®1 ®��' Southold, New York 11971 JUDITH T.TERRY 'Ii�� TELEPHONE TOWN CLERK (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. 364 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : RICHERT, DONALD Address 1: 112 REID AVENUE City St Zip MERRICK NY 11566 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS PER SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL DATED 11/2/87. Name Of Owner RICHERT, DONALD & PATRICIA Mailing Address 1 112 REID AVENUE City St Zip MERRICK NY 11566 Property Address 1 100 VISTA PLACE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 83 . 00 block 1 lot 16.000 Cross Street DUCK POND ROAD Building Permit Number Cross Reference: Issue Date: 6/27/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) CEOVE D { irr�rrra•r•..000% : ,' c :,... „,,c_--:-44-,1p--.i' kV � \ s P�t'r tai1, BLDG. DEPT. , } , BruF TOWN OF SOUTHOLD -- I.�' :yf �. Town Hall, 53095 MainRoad ��� ,y ©�-�$4� P.O. Box 1179 "� : ��` iii Southold, New York 11971 JUDITH T.TERRY `•` ,-=-7��..iii/1 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: June 23, 1988 Transmitted herewith is a copy of application No. 366 for a Cesspool/ Septic Tank Construction Permit submitted by: Donald Richert 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: (7”, -a-+ _ ,`„, ,,,,n tsx„. catiatilL th.4.),..w.41 1" GitriLa .9.).1 Z,A:DQ. Ni.a.4 . q.1 . av) - "\C 3 6.4., .52...,c‘j, Signature ' (o/Zai88 Dated 1 � OFFICE OF THE TOWN CLERK Town of Southold �p� 3=-_ �_ � Application No. 36 Judith T. Terry, Town ClerkVibe, -� Town Hall, 53095 Main Road o � ,�': '_L '" - ' e' Construction G/ cr2 z L/ P. O. Box 1179 f Alteration p Southold, New York 11971 -�_r., Telephone '�411 "��p Residential (516) 765-1801 e's. • Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL • Permit No. Fee $ DATE -g6 APPLICANT APPLICANT NAME: 04 ch lig APPLICANT ADDRESS: // 'rI2 �Yr / cx /1r, SEPTIC CESSPOOL V DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION �j ) eLL))-1 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: e_40)\-) 4Z-J✓ d OWNER MAILING ADDRESS: //a- .6",a �U OWNER PROPERTY ADDRESS: /00 f// TELEPHONE NUMBER OF CONTACT PERSON: g TAX MAP NO. : Section g3 Block / Lot ,-‘ CROSS STREET: 6// BUILDING PERMIT NUMBER CROSS REFERENCE: • Signature of Applicant RECEIVED BY: Cit Town CYerk's 0icfiF e DATE: c>2 .j , 6 . •( • • -_ P7--�`_ � �_-._f __�-•• i;CE! r 'S / �� J \.1'''', ---_____—.- 1: r ws r _ _ ' . Q . T `i~a L - -,� ' �; � 1,,r.• , i • i ,. i:,\--...., r -- /` ` -_% ± r n 5- - 1 1 h. ••-- 3. • F3- I ti' �} 1 lC� �'J • 1 - JCr _\� '� ^4 ,?- (D _ L4 �� - •--t - 0 . ;:.,:-..:r:.fr-•:s•- N '''1:1-1.'i',-1 s y.t.. Cs I i ._ —1_�� f �f 4���: h C:!�_ Y..� �t n �� 1 1 f 1- 1 3 ' � it u� VISTA F;___•rFr �; �Er' �f� it Q !I.._ ,. .✓F _ ,...(.d_`t.,,l..1.,G j� w Li h--Y 1 `'• f°!%':3. r `'1 G;r'�`r '-1 • _ -�'- v..r �., vim• Z f '' i..�Fr\rli,; 'Y, 1<:c f"-f:-:iI Tr),, Mf•A k :.TSA LEVEL __- Ni . G1 -) i Ca - 1. N6123, I SUFFOLK CO HEALTH DEPT' APPROVAL d H S. NO E\.,,z--)1•---,-..., . ---,•••• ,,--,j1,... i , •:,,,r( i r ..., 4 �- STATEMENT OF INTENT _, r THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR ' THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE i '... SUFFOLK CO DEPT. OF HEALTH SERVICES -_ ------ - --- - (S) ,.,'. .'1\: tr.); '_ . - i ,-•-_,- , i-i 'r APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH rr ?y�?r. ," SERVICES — FOR APPROVAL OF u� I zxCONSTRUCTION ONLY ''..t'2' st ►w "KuA8!'E..^:k 4' , •,.iR^°k. A DATE: I I I )- / 7 H. S. REF. NO. 1 �I f (4-Q� `\ APPROVE /X , +L-A�r� 1 SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT BLOCK PCL ..._ 16 OWNERS ADDRESS- ' ',.-'• i l DEED. L. K:14\ P. /.c • ` _-� - TEST HOLE STAMP ,.tia.?�/"_.- —�.\ `, tG_l-+•\- ._ O '-4 J. 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