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Home My WebLink AboutOsmer ,� �® ee JUDITH T. TERRYv Town Hall, 53095 Main Road TOWN CLERK , P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ` Southold, New York 11971 MARRIAGE OFFICER Fax (516) 765-1823 ��®/� ®��! Telephone (516) 765-1801 sem, �. OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 908 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : INLAND HOMES Address 1 : P. O. BOX 117 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 9/7/92. Name Of Owner RICHARD OSMER Mailing Address 1 City St Zip SOUTHOLD 0000 Property Address 1 COREY CREEK LANE City St Zip SOUTHOLD NY 11971 Tax Map No. section 78.00 block 4 lot 9.000 Cross Street MAIN BAYV I EW ROAD Building Permit Number Cross Reference: Issue Date: . 9/18/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) 1,111M . 9 6 r ,diff our #''-- JUDITH T. TERRY C:� Town Hall, 53095 Main Road TOWN CLERK = ® . P.O. Box 1179 REGISTRAR OF VITAL STATISTICS X&r2' Southold, New York 11971 MARRIAGE OFFICER '-= > �i X01 Fax (516) 765-1823 ® ! Telephone (516) 765-1801 \-‘41 l ��;,. ----,.....„„ rT), [3.---©rs-3---ow.TirruiR."T, v,u), ,, , h OFFICE OF THE TOWN CLERK i,€b em ® � �� i'''TOWN OF SOUTHOLD •i [ ,F (..1l _ _Il .,,,,0 OF v OUTHOW TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: 9/8/92 Transmitted herewith is a copy of application No. 932 for a Cesspool/ Septic Tank Construction Permit submitted by: Inland Homes. Inc. Robert Hiltz for Richard Osmer • 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 x DISAPPROVE Comments: Q„ ry eQ L S C., p LA.,k,�„ IP" 91`t101/4.i \(71:e43-14. elEoma.cr2— Signature 'A\1%\ c\ 1... Dated OFFICE,-OF'THE TOWN CLERK _00,,, Town of Southold �.ola. \\M Town Clerk �' '• ®� Application No. 9� Judith T. Terry, ,� r �'1 Town Hall, 53095 Main Road Z Construction V- P. 0. Box 1179 ; v rn : Southold, New York 11971 La, fr: �•' Alteration Telephone VO% - e or � $10.00 - Residential 3/ (516) 765-1801 = 1 �, •' $25.00 - Non-Residential . ..l•. TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL • Permit No. Fee •$ )6,4 a 1 ATEIVS -, APPLICANT NAME: -- ---- .- • C-A_.---.-.,.-•-e.."4 APPLICANT ADDRESS: __" L SEPTIC CESSPOOL ,L DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION '`)-./24,0- L __i__, • LOCATION MAP: Must be attached hereto before permit may be issued. ' LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: . O ......„„_,-, OWNER MAILING ADDRESS: er-e-XLa-LL OWNER PROPERTY ADDRESS: ' TELEPHONE NUMBER OF CONTACT PERSON: 5 , `J C 9 /-_,/ ;hi-2_ TAX MAP NO. : Section ? ' Block C.1 q Lot O 7 CROSS STREET: ">-, ,�, 'r'1 BUILDING PERMIT NUMBER CROSS REF RENCE: ts.id Signature of Applica RECEIVED BY: , Z �:) - . o n CI rk2„_,...,,w, ffice ‘ a-,j Z • / )-2 2 DATE: - y / 9;? / SgD LAryo , \___ . _i _ �* , 6.t '�' ,. ( ' _ /`+ ' 4 itYi + , 7C , - , ; - '': '' le/060. �, 7 , ea 6:86 rt • *` Z .,' NEW , 0Wilt' .1. .S0., ' Ck ! NtA1.TN St viC S Age)/ SUFFOLK COUNTY.DEPARTMENT OF C ,,,,,,„.- !o FOR APPA&OF 011#010,4 OF s42O /G° /,Z6 I • 'sic, Smile fines Rui :>N b � I's �_ . a • �o44 / (1y� e '. . 6LL • G - IY •2 .� � `l am �1 mi �1" ,. gigsTi til APPI Lc• °imp .. tiptitt$ 3 'ma • .. I::: APPROVAL' - , ' • . • PA°PAg�v LIN ff am familiar With the Stand �d for A 1 royal and s!...--- ,`. '`" , Co;istructio•n of SubsurfnCF Disposalems • ' , for Sfingie Fs,nniiy Resiciencras and wil!rabid; by the ' cor)clifions s fortl. therein and on the permit to V ' ' ' oonstruct. - nature _ , _ �_�� 3 ,i,,,,,,..,...,,,,,„.„ / .. , . ..) k . . il 'A k . . , _ 9,� 316 Westphalia Rd. - , - • ' Box t 17+llAsttituck,N.Y. 11962 • N o _ � . 1) 9 p. 9G 96. . v, 1 • .Vorf:�r�w av.P .zo�,v6/ '2 Is�y�O,%v 571 p�r�- eoet$ e, C. Cd�a1A►�t� „,iaxydv e.,40;t oteeddr,g o 40c it urhNvy Hz pigeo6Avo r #' LDn 9 Agood�Gaediveeedi r Arc j f.�ep/ 4.7 ,L�.uO Jls�Y6J�Q' LdGIT1�4f/. ,?foyT oyv, d •rCcU.x/ .rY,!r A0eiThtslGQ.�/,Y: burse 'T. / .. TJ,'rc. ' . rte_ L'ek._ I 'jc t✓ / +. ,C:.' r,•�.�y t6,/Qao=7B-cp'ro9 .• 1�r.�/Q:' rs � ,. ..