HomeMy WebLinkAboutPaskoff 00,00,0”
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S Town Hall, 53095 Main Road
= 44P.O. Box 1179
® �`a®���� Southold, New York 11971
JUDITH T.TERRY „ ,,��t TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 323 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : REHM, CHRIS - DRAINAGE
Address 1: P.O. BOX 36
City St Zip CUTCHOGUE NY 11935-0000
Descripton of Proposed Construction or Alteration
NEW CESSPOOL SYSTEM FOR RELOCATED SINGLE FAMILY DWELLING
APPROVED AS SUBMITTED. STILL REQUIRES SUFFOLK COUNTY HEALTH DEPART-
MENT APPROVAL.
Name Of Owner PASKOFF, ELLIOT
Mailing Address 1 NORTH SEA DRIVE
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 NORTH SEA DRIVE
City St Zip SOUTHOLD NY 11971-0000
Tax Map No. section 54. 00 block 4 lot 4.000
Cross Street KENNYS ROAD
Building Permit Number Cross Reference:
Issue Date: 4/15/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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Town Hall, 53095 Main Road
P.O. Box 728
`= *, Southold, New York 11971
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JUDITH T TERRY - TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk ,
Transmitted herewith is a copy of application No. 328 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Christopher Rehm a/c Elliot Paskoff
Please review the application and location map and advise if the
project has received Suffolk ,County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
Judith T. Terry
Southold Town Clerk
* * * * * * * * *
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE - )C
DISAPPROVE -
COMMENTS: Q e`aco a Ira at& C '
�.
Signature
4, / 31
Date
OFFICE OF THE TOWN CLERK di\FFD(,4
Town of Southold Oma�,r4 s A C
Judith T. Terry, f OLG
Town Clerk - Application No. I.). �'-� ��
Town Hall, 53095 Main Road ` En � f Construction ✓
P. O. Box 1179pW-0154-
Southold, New York 11971 ® ' !� Alteration
Telephone ®1 '� �� Residential
at 0
(516) 765-1801 �� Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3,P-
Fee $
DATE .-- /
APPLICANT NAME: C_.--4/
APPLICANT ADDRESS: gC/ , A
Cy fG ���j'Gi
SEPTIC A. CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION J..-e,Xc ��n44-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION O ALTERATION:
OWNER OF PROPERTY: t//171- / 4-Piro-FA-
OWNER
//171- /Cf4 / C
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: eee •
TELEPHONE NUMBER OF CONTACT PERSON: 0,���5
TAX MAP NO. : Section Block /5`/ Lot
- CROSS STREET: 4
BUILDING PERMIT NUMBER CROSS REFERENCE:_
v/
Sign. re of Applicant
RECEIVED BY: •
Town Clerk's Office
DATE:
•
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:,..,10k1.-,:, . KENNEYS ROAD
.. 4"-''''''''''1''-- ELLIOT PASKOFF & AILEErI PASKOFF
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_� "'., TOWN OF SOUTHOLD •!!;
"{ �=_ y • ' SUFFOLK COUNTY, N.Y. I ,
kaA �x 1000 - 54 - 04 - 04 2 CERTIFIED TO
`e`'r• :".EW `-. SCALE I" = 30' i TICOR TITLE GUARANTEE COMPANY
- , ,,c..:* _': Y , E LL 10 T PASKOFF
,�. . „ ��� fr =~� AUG.5, 1985 v AILEEN PASKOFF
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;• a•': r�rc� � ro jT New York Stc
iK i.''.*';;--." N. Y.S. LIC. NO. 49668
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kh' - ENGINEERS, P. C. e 33, lutle Associouon.