HomeMy WebLinkAboutMoranaiwa -
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JUDITH T.TERRY ti� yet Town Hall, 53095 Main Road
TOWN CLERK ; y 2 P.O. Box 1179
,a• t Southold,New York 11971
REGISTRAR OF VITAL STATISTICS O
MARRIAGE OFFICER #* k �1�1 Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER 1 �a‘, Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER .�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1404 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARY TABOR
Address 1 : 680 NAVY STREET
City St Zip ORIENT NY 11957
Descripton of Proposed Construction or Alteration
ADDITION OF AN 8 X 8 LEACHING POOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner MORANAIWA, REWZO
Mailing Address 1 P. O. BOX 236
City St Zip PORT JEFFERSON NY 11777
Property Address 1 8425 NASSAU POINT ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 118.00 block 4 lot 11 .000
Cross Street BRIDGE LANE
Building Permit Number Cross Reference:
Issue Date: 10/26/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
JUDITH T.TERRY �e� —tot Town Hall, 53095 Main Road
TOWN CLERK ; ti P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 1.
,
MARRIAGE OFFICER Wf, - �' Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER ®� , `�►a0J1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER goo'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department 4;i QCT I7
FROM: Linda Cooper, Southold Town Clerk's Office 1995
DATED: October 16, 1995 -
Transmitted herewith is a copy of application No. A1456 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Gary Tabor for Rewzo Moranaiwa
Please review the application and location map and advise if this office may
issue the permit.
Please complete the form below and return it to this office.
Thank you.
Linda J. Cooper
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I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Signatu e
Date
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OFFICE OF THE TOWN CLERK.,.''
Town of Southold ' ''' ' - iO' 'tc.lif01.4•4i,)--;-4,
Judith T. Terry, Town Clerk, ,- -',',: -eZ 1-.,,`,4-:'.-:, vle,',' t. , . ' 'AppIication,'No'. ,' 1,'''''..'
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Town Hall, 53095 Main Road - ';':- .-I ' .I.V.,,4,fi ',":40.. c., 74,
Construction
P. 0 Box., 1179 ...._=i , , .
Southold, New York 11971 '-'' -- 1 17; t.t1';.z% PV-4P:: ...*-'s: Alteration • • .
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,$1 0.00 - R esi den tia 1___ _____
Telephone - = '...04,.., ,,,,,t.,„ es,v
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(516). 765-1801 _ ,. - --', . ',..• 1 : , 14Y,ei''
$25.00 -Non-Residential
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TOWN OF SOUTHOLD
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SOUTHOLD' .WASTEWATER DISPOSAL DISTRICT
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APPLICATION
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CONSTRUCTION Or ALTERATION PERMIT
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''SEPTIC TANK or CESSPOOL
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Permit -.'--
No.
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Fee $
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DATE )0 / 1 6, J9
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APPLICANT.'NAME: , '(y7-74:h.s/ - *)
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APPLICANT ADDRESS:4-V. ,-'':, .0-, -h/j. g.?/- ./
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SEPTICCESSPOOL'I'.:, -.'"' :,,,`.,,',;- ', ' ,, . , . . . .,. , •
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DESCRIPTION OF 'PROPOSED',CONSTRUCT ION OR ALTERATION
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LOCATION MAP: Must beattached hereto before permit may be issued.;.
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LOCATION OF 'PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:' ,) (--. ' / 72 r7
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OWNER MAILING ADDRESS: IR ' ,-Tii,
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OWNER' PROPERTY''ADDRESS: Rh/ )/2-' :"- Vr,-1:5 C/.2 If ,a 'r 1,?I'l
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TELEPHONE NUMBER OF CONTACT PERSON: 7-7;'23-- --24 ,477,' -' - .,
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• TAX MAP NO. :' Section / , , Block Lot- B 14/1
Lot 7/
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CROSS STREET: ‘- ',, '.'s,' ''- 't.''' ' ' '
BUILDING PERMIT :NUMBERCROSS REFERENCE:
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• signature of Applicant-
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RECEIVED BY: ( ,E, /(04 :-
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Clerk's',Office .
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DATE: . '',' 7
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