HomeMy WebLinkAboutMohring (12) • wir 4,914f EU'
JUDITH T. TERRYAT
t, o Town Hall, 53095 Main Road
P.O. Box 1179
TOWN CLERK
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER ® /' Fax (516) 765-1823
��® V ''4' 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. 861 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MOHRING ENTERPRISES
Address 1 : 323 GLEN COVE ANENUE
City St Zip SEA CLIFF NY 11579
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH SANITARY SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 5/8/92.
Name Of Owner MOHRING ENTERPRISES
Mailing Address 1 323 GLEN COVE AVNEUE
City St Zip SEA CLIFF NY 11579
Property Address 1 KIMBERLY LANE
(LOT 17)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 13 lot 20.017
Cross Street ROXANNE ROAD
Building Permit Number Cross Reference:
Issue Date: 7/08/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY y` .4, r, Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
c1� • Southold, New York 11971
REGISTRAR OF VITAL STATISTICS kVA,
��•
MARRIAGE OFFICER V O Fax (516) 765-1823
_ =__41®� ��®i�!' Telephone (516) 765 1801
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1992 i j ,1; OFFICE OF THE TOWN CLERK
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1, ,,‘ , JUN i TOWN OF SOUTHOLD
BLlDG. DEPT.
TOWN Oi: SOUTHOLD j
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 26, 1992
Transmitted herewith is a copy of application No. 8811 for a Cesspool/
Septic Tank Construction Permit submitted by:
Mohring Enterprises .
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 Ilic
DISAPPROVE
Comments: q y, Q I tbka% g y-
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Signature _
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Dated t I 1
„I.
DEFILE OF THE TOWN CLERK c.Vi:FOLA
Town of Southold ��;• tf COG
Judith T. Terry, Town Clerk ��rn ' Application No.
Town Hall, 53095 A-lain Road o •r k •1 Construction ^�
P. O. Box 1179 (.1-2
• ' 4. . •
Southold, New York 11971 Alteration
Telephone '• 1 rt l� t- Residential
(516) 765-1801 n
Non=Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. Tf5” 4
/
Fee .$ /O —
DATE 0Y1'Z
APPLICANT NAME: / o4r/,3 4n'fc•--vaise5
APPLICANT ADDRESS: 323 47 CABG ,4'e . e4C/I 4r4
!�
SEPTIC CESSPOOL P.--
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION / f&
ES
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
/11/04,
OWNER OF PROPERTY: ,E1ler /.cc)
OWNER MAILING ADDRESS: 3�3 Cj/ coNc 4&
OWNER PROPERTY ADDRESS: Ler/ . / 7 ffiwi.,�jel_ G4� e:
TELEPHONE NUMBER OF CONTACT PERSON: 67( "1f
TAX MAP NO. : Section -7,e' Block 6 Lot Z&. / 7
CROSS STREET: /(:)GGX ,lfl jseGet-
BUILDING PERMIT NUMBER CROSS REFERENCE-.
G
nat
' Si es
9 of Applicant
RECEIVED BY: AL/
Town Clerk's Office
DATE: (e;) 6��`�
NOTE' LOT NUMBERS REFER TO MAP OF PARADISE BY THE BAY' ^t
The locations of wells and cesspools shorn hereon are from field
FILED NOV. 4, 1976 FILE NO. 6463 AT THE OFFICE OF THE observations and or from data obtained from,
others.
SUFFOLK COUNTY CLERK.
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SUFFOLK COUNTY, N. Y.
N Ms ae' 50" _ — 1000 70 - 13 - 20.17
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16 SINGLE FAMILY DWELLING c
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m AAANaoNEa ' a 51.1. �"+, 1 totems for This thestandards ofTherEtt /9T b = Department of Health Se
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(�t- • Prepared in accordance with the minimum b•i7.4� 'i + •S•
'j . standards /or 1111e surveys as established ���' ���- O
�} ROXANNE ROAD by the L.LA.L.s and approved and adopted •ECs• h' •:± ORS, 1
AD
\11.=.AREA a 4 27 j,�,,, for such use by The New York Slate Land (5161 ---i20
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• Title Association. P. 0. BOX 909
MAIN
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6—R6-89 SOUTHOLD, N.Y. /1971-
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