HomeMy WebLinkAboutMohring (4) •
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JUDITH T. TERRY ..
r Town Hall, 53095 Main Road
TOWN CLERK ` P.O. Box 1179
REGISTRAR OF VITAL STATISTICS s:y
: , Southold, New York 11971
MARRIAGE OFFICE �' ' '`" �'
R tq Fax (516) 765-1823
Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
'CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 700 R Residential X Non-Residential
Fee $ 10.00 Septic , Cesspool X
PERMIT ISSUED TO:
Name : MOHRING AND SONS
Address 1 : 323 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 11579
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 11/15/90.
Name Of Owner MOHRING AND SONS
Mailing Address 1 323 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 11579
Property Address 1 WELLS ROAD
City St Zip PECONIC NY 11958
Tax Map No. section 126.00 block ' 8 lot 26.000
Cross Street ALBO DRIVE
Building Permit Number Cross Reference:
Issue Date: 4/15/91 Judith T. Terry
,Southold Town Clerk
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0� n ;' �� >,�',c�';`t;I{ P.O. Box 1179
� m`m"` ,, M ,, ``' Southold, New York 11971
JUDITH T.TERRY `1,7,Lr-.f-'v 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: April 3, 1991
Transmitted herewith is a copy of application No. 719 for a Cesspool/
Septic Tank Construction Permit submitted by:
Mohrinq & Sons (SCTM #126-8-26) .
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
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Signature
Dated4)g 9 I
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OFFICE OF THE TOWN CLERK ,,,'"" "=
Town of Southold . '� �FF0(K A--
�'
Judith T. Terry, Town Clerk ;�'�� 4, Application
Town Hall, 53095 Main Road Z Construction
P. O. Box 1179 mm
Southold, New York 11971 SIJ' rra,,•' Alteration
Telephone �O,��o �� � $10.00 — Residential t/ _
(516) 765-1801 l 4 ,, .' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /1) -- /
DATE 1 2 I 7
APPLICANT NAME: KG 0 l N.r
APPLICANT ADDRESS: 7� 3 c(e . Ccc C inc.) K-
SEPTIC CESSPOOLS
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
--eat er C / C < < l
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 0-.0 n1 I,CJ c SO 1-1S-
OWNER
-1SOWNER MAILING ADDRESS: 2 23 CG v z
PC} t reg c � t' �
OWNER PROPERTY ADDRESS: /j(S' ei
TELEPHONE NUMBER OF CONTACT PERSON: 67I - G 7J'
TAX MAP NO. : Section /;� Block p Lot c
CROSS STREET: ( ( , 6, Q 6 IX.
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of Applicant
RECEIVED BY:
T k's Office
DATE: wit 03 `0C1
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SURVEY FOR ,
MOHRING ENTERPRISES, INC. • _" f
• bUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES '
' OCT 29,1990 '. -
FOR APPROVAL OF CONSTRUCTION ONLY AT LAUREL DATE SEPT. 25, 1990 •
TOWN OF SOUTHOLD SCALE I". 30' -
DATENOV GJ ��I F. NO. 67�" /45 SUFFOLK COUNTY, NEW YORK NO 90-0706
• / r UNAUTHORIZED ALTERATION OR ADDITION TO THIS _
•/r NEWTORE SURVEY •VIOLEDUCATION AL C ION 7209 OF THE PSE OF NENY
APPROVED '1�V W
w COPIES Of THIS SURVEY NOT BEARING THE LAND • S� �O
MO/ - SURVEYOR'S INKED SEAL OR FNAOSSED SEAL SHALL 9,D W 4
OT S[CONSIDERED TO SE A VALID TRUE COPT . k 'I'
THE PERSON FOR WHOMINDICATED THE SU RVHEREON SHALL 3RUN ONLY 10 PREPA CO 2'O OG
HEALTH DEPARTMENT-DATA FOR A-•ROYAL TO CONSTRUCTI
ANO OM HIS BEHALF TO THE TITLE COMPANY,GOVERN- . '• 'wO _
N NEAREST WATER 111.1111 .811 • NSOURCE OF WATER PRIVATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED (I
- I BVI CO TAR NAP DIT 1000 SECTION 125_BLOCK-M--LOT 26 _ HEREON,AND TO THE ASSIGNEES OF THE LENDING - \
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II THICK ARE NO DWELLINSS WITHIN 100 FEET OF THIS PROPERTY 'OSTITUTIONA EEEEE ES
OR NOSUBSEQUENT TRAIISAULE `
OTHER THAN THOSE SHOWN HEREON OWNERS •' '
•THE WATER SUPPLY AND SEWAS[DISPOSAL SYSTEM FOR THIS RESIDENCE *DISTANCES SHOWN HEREON FROM PROPERTY UNcf �{ 4 • -np
WILL CONFORM TO TIM STANOAROS OF THE SUFFOLK COUNTY DEPARTMENT TO ISTEXIATIES STRUCTURES ARE FOR A SPECIFIC t` �_,•`kV.
�LMUNAT SQVIC[S //'IDK2/nJrr it1YE/2/°RlS£.S;yJC _ PURPOSE ANO ARE NOT TO SE USED TO ESTABLISH ysf0 LAND SURVEiO' '
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•ALDEN W YOUNG,PROFESSIONAL ENGINEER •"- ,,,,"C-..v...,."'":: ' • ','
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