HomeMy WebLinkAboutSchneider (3) t ® " '= " '' �� Town Hall, 53095 Main Road
JUDITH T. TERRY � ,ti�,�r _, , � t
T� _'' '` P.O. Box 1179
TOWN CLERK
REGISTRAR OF VITAL STATISTICS ® Southold New York 11971
MARRIAGE OFFICER �� ,�- ?�_ 41� Fax (516) 765-1823
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_. Ai, Telephone (516) 765-1801
Pit
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 712 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ERNEST AND JEAN SCHNEIDER
Address 1: 915 LAKESIDE DRIVE NORTH
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 4/23/91 .
Name Of Owner SCHNEIDER, ERNEST AND JEAN
Mailing Address 1 915 LAKESIDE DRIVE NORTH
City St Zip • SOUTHOLD NY 11971
Property Address 1 7645 ALVAHS LANE
City St Zip CUTCHOGUE N 11935
Tax Map No. section 101.00 block 1 lot 14.003
Cross Street ROUTE 48
Building Permit Number Cross Reference:
Issue Date: 5/16/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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, MAY - 8 1992 j 4,,,,..,
BLDG. DE f `� fz'<^;- P.O. Box 1179
__TOWN......-,....—...-..-....-..j ��._�� , ,, Southold, New York 11971
iUDITH T.TERRY ='?r rl” TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR Of VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: May 8, 1991
Transmitted herewith is a copy of application No. 730 for a Cesspool/
Septic Tank Construction Permit submitted by:
Ernest and Jean Schneider •
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
%AN-. ,,,,,....
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: OFFICE OF THE TOWN CLERK cjv�FOLA-
Town of So��Town Clerk CD� Application No. #736"
Judith T. Terry,
Town Hall, 53095 Main Road o 'C
c : w , Construction
P. 0. Box 1179 � :
Southold, New York 11971 • Alteration
Telephone xlt � 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 g / l
APPLICANT NAME: , -S T x/ a A _ r
APPLICANT ADDRESS: 9/E L, e ,r DR/ )V
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SEPTIC LESSPOOLc
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION (j) /) F.eg kw--
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: CRuiS'T /9-4/j TEM.?. ehINEID-
OWNER MAILING ADDRESS:9/SLfiKE-510E- DR, HD,
So tLTN OLD tL /, /! 9 7
OWNER PROPERTY ADDRESS: wy3 j9LV/9/J L8Af-
Cau.Tscff)cL1LL1l� y , 197/
TELEPHONE NUMBER OF CONTACT PERSON: 73 y-0--tQ-3
TAX MAP NO. : Section tO ( Block oC j Lot N',3
_ CROSS STREET: In
BUILDING PERMIT NUMBER CROSS REFERENCE:.
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nature of Applicant
RECEIVED BY:
ow Clerk's Office
DATE: 5_ g/�'
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