HomeMy WebLinkAboutSchmidt (4) uU t, ��_
(7 Town Hall, 53095 Main Road
g51
� >' P.O. Box 1179
Southold, New York 11971
JUDITH T.TERRY ‘� 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. 586 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : WINDS WAY BUILDING CORP.
Address 1 : 1020 GLEN ROAD
City St Zip SOUTHOLD NY 11971
• 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 ON 2/8/90.
Name Of Owner SCHMIDT, STEPHEN
Mailing Address 1 304 BAY HAVEN LANE
City St Zip SOUTHOLD NY 11971
Property Address 1 BAY HAVE LANE (PLOT 28)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 4 lot 23.000
Cross Street MAIN BAYV I EW ROAD
Building Permit Number Cross Reference:
Issue Date: 3/05/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
.• •l /Miriy
ti �Fj< zs sjK's Nk� �
r,V.104'.,. F-71
��,x r . Town Hall, 53095 Main Road� e1' P.O. Box 1179
�� �I Southold, New York 11971
JUDITH T.TERRY f
��•���ii/�/„ TELEP. •
TOWN CLERK
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK `T=
.%11)
TOWN OF SOUTHOLD
; FEB ® 91990 ojj
To: Victor Lessard, Southold Town Building Depar IOWN OF g�CO,SOoEPT.IJ fl IO@,D
From: Linda Cooper, Southold Town Clerk's Office
Dated: February 9, 1990
Transmitted herewith is a copy of application No. 597 for a Cesspool/
Septic Tank Construction Permit submitted by:
Winds Way Building Corp for Stephen Schmidt
•
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 K
DISAPPROVE
Comments: ()„ DNn aL
\\C;316'1.$4. asp e64.00P—
iti AR 0 5 1990 Signature
z\11\(:\u
So thoid Tem Medi Dated
/ . ,
,,L
OFFICE OF THE TOWN CLERK OcjvfFOLA'`--
Town of Southold t ' : ', 4--4; Application No. (.5- 7
Judith T. Terry, Town Clerk .
Town Hall, 53095 Main RoadAl: Construction r/
P. O. Box 1179 � ;� F:
Southold, New York 11971 ®• " .`J Alteration
Telephone 701 ' d 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.
Fee .$
DATE ()A/C a
APPLICANT NAME: L/V4.1 Li Ei
7 v
APPLICANT ADDRESS: / &,)--0 a-V,"(/* O4/7 4S )i
SEPTIC CESSPOOL C/
DESCRIPTION OF PROPOSE/11CONSTRUCTION OR ALTERATION
(444,
6.4.,„..,t, 05 7
._
,,,_,..,_,
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR C/a
OWNER OF PROPERTY: d'.TL71 Jc,, , :11,1---
OWNER
hJ--OWNER MAILING ADDRESS:36K//a, .4491/6-7..., 2/3-,v0— AuTV-jed,h it/ i
OWNER PROPERTY ADDRESS: 4%7 iglu G c bo r
hi /
oh, Ab &w
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section b�� Block y Lot -1-3
- CROSS STREET: J y-; ) �/ G-r..9
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: ,,,
m nOClerk' Office
DATE: FEB ai ,. , i
• Town Clerk Southold
s..
r`
. a
.;-,.
h
,-••••, ;::4 tll •
z7) --
z) -- - - - 1 ° I
i
5.5Z`e)5' 0-4.:. - IZS.c7 i'I/j� 90-- •
•
�� 4 m, (' $,� I
tri S o 40,,._ to 10 N
,' `• f r — _
;; �ni,Gij __„..4.4. ( el I'. i
•Y p.=�+y'
i 2/ „-- 4 16 lir , :
M c,)
L y q
.
';111 �+ _ r- 3 Ua
7 lV ' 4
- ---- X5'0' ----y{
• i ,
J
♦O
H B A �J� i F V ®fid' -7-') ('-':c; : 15,<S Z 5 sq 1:
: 6U/ 0/k. Co at ly /dal, A1G. 2 1 0) rJ - t�t1n ---r-r—
, c7 t
i z -- iiJ e 1`1
S O C.l TAY> it D !`,1. 'r;_ ! -_ c;e 4,./5/.2 0 40/
i
r
5urvyyed fON fl r:-f8.7Q2e
ti .
= TEPNEh/ 5CHfYi1Q-Jr-
. ( -
NF POST Na]329