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HomeMy WebLinkAboutShur -' '1a'1. Watt 10, JUDITH T.TERRYo Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 t REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER �, *10 Fax(516)765-1823 RECORDS MANAGEMENT OFFICER � �w, 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. 1390 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : RANDY SCOTT SHUR Address 1 : 75 LAKESIDE DRIVE City St Zip FARMINGVILLE NY 11738 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SCHD REF. #R10-95-0099 Name Of Owner SHUR, RANDY SCOTT Mailing Address 1 75 LAKESIDE DRIVE City St Zip FARMINGVILLE NY 11739 Property Address 1 SOUNDVIEW DRIVE City St Zip MATTITUCK NY 11952 Tax Map No. section 94.00 block 3 lot 1 .006 Cross Street REEVE ROAD Building Permit Number Cross Reference: Issue Date: 9/18/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) V ` ologc:\,1#10FOOZ JUDITH T.TERRY ® `; Town Hall,53095 Main Road TOWN CLERK k go t P.O.Box 1179 ovi? REGISTRAR OF VITAL STATISTICS ` O V I0 Southold,New York 11971 MARRIAGE OFFICER ®� Fax(516)765-1823 RECORDS MANAGEMENT OFFICER =71 �`%1d� Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER ........ I � iF e, , OFFICE OF THE TOWN CLERK ,/ e TOWN OF SOUTHOLD 0 TO: Southold Town Building Department 04, e O,cCi, FROM: Linda J. Cooper, Southold Town Clerk's Office `90.6t%t% 7//,'"/ DATED: September 14, 1995c ' O• /J. 3 Transmitted herewith is a copy of application No. 1442 for a Cesspool/ Septic Tank Construction Permit submitted by: Randy Scott Shur 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 L� DISAPPROVE Comments: efigX.127ScZ Signat e 9/115—Ar Dated OFFICE OF THE TOWN CLERK ,.,•"""'••, Town of Southold +''�.CV[11./1 e'D Application No./V677--- _ Judith T. Terry, Town Clerk �� � `, l/y PP Town Hall, 53095 Main Road Z Construction P. O. Box 1179 : = •,•: z ; • I= •:,• • ^' Alteration Southold, New York 11971 cry I. r • ' Telephone y0,�00 � �'� $10.00 - Residential (516) 765-1801 1 ' $25.00 - Non-Residential • — .. 0, i° TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ • DATE 7//C//rtr APPLICANT NAME: /4/Liely \YUj SAUjr, � //� - APPLICANT ADDRESS: 7S /4- QS',cj) r11 (6901i SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ff CQ'2 4 P© Ake©o / Az P& c i J'1i UCS 'i 07'7 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: /v4/1O4l7 J c° I/ OWNER MAILING ADDRESS: 7574 Fir (1i)is ( 1.1(- .1 y // )32 OWNER PROPERTY ADDRESS: S©ce r q L (E• TELEPHONE NUMBER OF CONTACT PERSON: 73a-='3 E TAX MAP NO. : Section A4_Block Lot 1® CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: /7?)_,7‘Si ature oCf�Applicant PP 9 RECEIVED BY: (--(C2<g‘fffeje_ Town CVerk's Office DATE: _ , arr"x34=,°;,„,,'-ti r AND EEp ) ioo To-'':vE Vis?' ` ' E Fa. 5 72 ;.co°h+c. :;,.,........,,,,,,•4,-:„` x:��z^,t�°';�r((�. y,+._ k � , .0 5 2',�-.�2''•;'F�,• CONC' 2o�, .t, ON. le.` A'�l,,tf: SY1 4''''.''r''i ,i„ 5 �' '' t. . ,a;a ,.[,t f:;� ^fl,�,a ',,,,-r..' a.49' ,�yq `9:• 2.:K:.?-'`'..MON OF WA Y'' e F /0 ; r, I'tY▪a ,'; " iY",!.�F'I �u�r`rsY•.® W'� I `' 19g 78r - ��F 8 ',4' (fe-''.• p - . 9 037-------°08 .5°-W 02 ▪ t ,V;, t 452=p0'" ': .. r .. ry.:K „c.„,N99•9 • 4.-a; - ,'. 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RES/ZDEA/C .4500- t-SO arivi" .. t 1 ••„,.. .. oF.scaTH PRoPt-RTY Li The c7eVe? tuPPANT tf a Bovolage disposal Weems to ici '1. this residence will 'coniorrn to the standarcis al wt-Lz__ z.oc,477z)i,i ivor 16vow . tho suffout Counts, :00Dartrnent col Health . -.4 i \ 5' kA /CeS/6--e--'' A a r;•fr le . . . . . - . • ., . _ 1 rir 1715 -Vi 1 I -/(- / '. tJ Y. 3a ' - . • satins COMM DIPARIMMII CS MALTA BilKiiitirs ,z ? -5 gs-s -.? . , .. APIntONTAL OF CONSTRUCTION Ottla , ..- -qS-0699 gg o 6 1995 NS RO. NO. . :, ----------- _ o NEW }, ti i' -S.' ktES 11/4,C)••\ 1:, - . .. '9- g• 'P.-. 14fr 4. _ .;!..„ A co 4, 1.- •'-..,' i -VI. , 0 .i )24-1,._„.t„.:;,•,•`':ioi C.7 . • <,, 1 '• •11'.'evf• ' ef,,i 4 No 50013 c`s :- - MI CHAEL HI LLEBRAND • `91) i:AiNvos '.. . LAND SURVEYOR ---.--Y. 1 I CHURCHILL LANE - SM! THTOWN. NEW YORK •-.., TEL . (516) 5435139 - A495Z6z . , - - - \- -