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HomeMy WebLinkAboutSinning �� JUDITH T. TERRY : r Town Hall, 53095 Main Road TOWN CLERKz; P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823 MARRIAGE OFFICER _e� tr ���� Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER 1 FREEDOM OF INFORMATION OFFICER '����rrrprrr,�/ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1158 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : STANELY F. SKREZEG Address 1 : 50 GULL POND LANE City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration BUILD UP TOP OF GREASE TRAP AND REPLACE CESSPOOL. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS BUILDINGS, PROPERTY LINES, WATER BODIES AND MINIMUM OF 2' ABOVE GROUND WATER. EXCAVATION INSPECTION REQUIRED. Name Of Owner SINNING, JOHN Mailing Address 1 P. O. BOX 724 City St Zip SOUTHOLD NY 11971 Property Address 1 ROBINSON ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 81 .00 block 1 lot 24.003 Cross Street END OF PARADISE POINT Building Permit Number Cross Reference: Issue Date: 7/07/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) i •-r go,,,,,,.•,.•, �7/s- -Z JUDITH T. TERRY - < Town Hall, 53095 Main Road TOWN CLERK c P.O. Box 1179 Er �� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS = V� �' Fax (516) 765-1823 MARRIAGE OFFICER ‘701, .471§.-®��e Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER ---••••••...,,,001° 7®1 1 FREEDOM OF INFORMATION OFFICER —: ••...,,,0 r1°�� OFFICE OF THE TOWN CLERK ' E @ IIIId E 1-, ;' TOWN OF SOUTHOLD TO: Southold Town Building Department JUN 2 j9g4 )'; FROM: Linda Cooper, Southold Town Clerk's Office BLDG.DEPT. TOWN OF S 0 OLD DATED: June 27, 1994 Transmitted herewith is a copy of application No. 1202 for an ALTERATION PERMIT for a cesspool or septic system submitted by Stanley Skrezec for Joh Sinning 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 * * * * * * * * * * * * * I have reviewed the application and location map of the project listed above and make the following recommendation: APPROVE - •-•""---- DISAPPROVE - COMMENTS: ' ,/ -, 'f 9. �, / - L. / L �i �,� R . .., litzf — - , ex-e-i-, .L.,,,,, ers-1-1;-,re 71.1c2cri..07, 444 >, Signatur- Date • OFFICE OF THE TOWN CLERK ,,--""""' Town of Southold �.s'" \\FF�[K Town Clerk �' % - Application No. / v Judith T. Terry, � �, t Town Hall, 53095 Main Road ;� "'.. Construction P. O. Box 1179 . = ' Southold, New York 11971 ct� yc ;� Alteration [/ Telephone $10.00 - Residential �'�� (516) 1 765-1801 �. ,, s' $25.00 - Non-Residential TOWN' OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT • APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ /9 DATE i�� 2 r il�1 APPLICANT NAME: r s z.e� APPLICANT ADDRESS: S-0 6,-u L-Z por.ib Lii16— ec'''D-7v7 0 ezi- //fyyf SEPTIC CESSPOOL X DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION BCJil _j, la� _.. 'tor l5.•?:.S -- `' LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Aa v,,) Si 'ktxr P N 6- OWNER MAILING ADDRESS: P. 0 2' / &) LY lk -i l OWNER PROPERTY ADDRESS: j?eL„iRco.A,, 'ed. S---201-t ,1-0/40‘ g-o, ,e/cd 071) 4P 44, 15( ..S-300 TELEPHONE NUMB R OF CONTACT PERSON: 44 -7 — 4473903? 191 - t- z4J TAX MAP NO. : Section 8-/ Block / Lot 02-(/ 3 CROSS STREET: ThS sid, of 12.06llusodu koirte BUILDING PERMIT NUMBER CROSS REFERENCE: _C - idd tathrppIi <c t RECEIVED BY: 9`- Town CI rk's Office DATE: /,.,Z -7 'y • 1' Qobiast A/ t'`) U ` ate ©c�1 ,� �G r Pe � �1 yDf 1-0 /' �P aur. io' Pailf 1/4-) , sc'T' Iia ��