HomeMy WebLinkAboutSchneider (4) 'cgt Wire"
JUDITH T. TERRY ��'' `^,s Yn
yR Town Hall, 53095 Main Road
Ali � .� .. ,i�+G •• F;
TOWN CLERK P.O. Box 1179
',., + _, ' '+ Southold, New York 11971
REGISTRAR OF VITAL STATISTICSC2i ` 41' Fax (516) 765-1823
MARRIAGE OFFICER 4���
'7";:41/, ' " �i� Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICERi�'��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1242 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GEORGE AND TERRY SCHNEIDER
Address 1 : P. O. BOX 1185
City St Zip CUTCHOGUE NY 11935
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.
Name Of Owner SCHNEIDER, GEORGE AND TERRY
Mailing Address 1 P. O. BOX 1185
City St Zip CUTCHOGUE NY 11935
Property Address 1 1100 EMORY ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 4 lot 34.000
Cross Street BEEBE DRIVE
Building Permit Number Cross Reference:
Issue Date: 11/15/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
ipal / 0R
afOLfte. ...
i O *41
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERKI, P.O. Box 1179
.w Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = V `N- .,' Fax (516) 765-1823
MARRIAGE OFFICER -
-�` 0 ,•' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER =_9®1 *
0
FREEDOM OF INFORMATION OFFICER =�,...,,��r#1��
OFFICE OF THE TOWN CLERK fil) t r II --odda
TOWN OF SOUTHOLD `i fp
f,°
NOV 719 iii E
94 1 II
TO: Southold Town Building Department --TOWN
G 3 i� '
FROM: Linda J. Cooper, Southold Town Clerk's Office r` OFOUTNO�D
DATED: Novmeber 4, 1994
Transmitted herewith is a copy of application No. 1288 for a Cesspool/
Septic Tank Construction Permit submitted by:
George and Terry 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 !! �
Comments: 7 //
(�C�/T 31 4(77!
411111111.ww. - ?I°
Sig .t/•-- /
Dated/ ` 7 �f
-
OFFICE OF THE TOWN CLERK c0FQL`' ;�
Town of Southold COG /
-, { y Application No! ee
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Y , ��
o Construction L/
P. O. Box 1179
•® Alteration
Southold, New York 11971 ��-�,_ol [ ��, - Residential i/
Telephone
(516) 765-1801
`-,Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTI*ICT
APPLICATION
for
RECEIVED
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL ._O'I E; 1994
Southold Town Clerk
Permit No.
Fee $
DATE MGI) `( t
APPLICANT NAME: G'�R e- `t; 4,
APPLICANT ADDRESS: Pct o>< ( ( SS
CoTc 1-( oGu.6 l4Y ( ( 935
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
iuLy iNEL-Li,jc
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 5•6vw /\-. &vvtJ
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: 400 i✓jvlb gY (' 0A
0-Fatt3 GU
TELEPHONE NUMBER OF CONTACT PERSON: 73 C./ - 7Li l 0
TAX MAP NO. : Section 7 6 3 Block ( Lot 3
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
otr
nature of Applicant
RECEIVED BY: \----67 .)2.4
Town erk's Office
DATE: 1 l ' `7 V
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