HomeMy WebLinkAboutSuter (2) � � � : 141 4
� Town Hall, 53095 Main Road
�'' '��` �� P.O. Box 1179
® ��r ��` Southold, New York 11971
JUDITH T.TERRY =: � 4 V 'r TELEPHONE
_
DOWN 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. 400 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ISLAND DRAINAGE, INC.
Address 1: 345 GRETON COURT
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF NEW OVERFLOW TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. (SEE ATTACHED)
Name Of Owner SUTER, PAUL
Mailing Address 1 BOX 67
City St Zip CUTCHOGUE NY 11935
Property Address 1 BEACHWOOD ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 116. 00 block 4 lot 22. 000
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 9/28/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
•
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16.1 a IL
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:.sem I . Town Hall, 53095 Main Road
el*
;� P.O. Box 1179 •
'QV. 4 �� i�� Southold, New York 11971
,JUDITH T. TERRY . 0,0
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: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. 409 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Island Drainage Inc. for Paul Suter
•
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.
Lam✓
Linda J. Cooper
Vic:* I have been advised that this is an emergency situation. Thanks. ` K--
* * * * * * * * * * *
I
have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
,
COMMENTS: ,L„ Qsji� IoLkezreA
C
ct
• Signature
Date
OFFICE OF THE TOWN CLERKFDCI{'C
Town of Southold OHO t,441 Application No. qC7
7.
Judith T:\Terry, Town Clerk
Town Hall, 53095 Main Road pC Construction
P. 0,. Box 1179 uo ' -
Southold, New York 11971 6,4
01.r Alteration c�Telephone �,l Residential� �
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee $ /D ` r
DATE `" Z?--
APPLICANT NAME:
APPLICANT ADDRESS: �✓s�71��, /
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
U •4'c 60e3
G / 3' x l0 'c',0/c Ce1%114 " x/G 'c ' Slue
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: -��� (
OWNER MAILING ADDRESS: &c,,(6/,
C-e}7/-c- i.-(-4)7 ) /(>
OWNER PROPERTY ADDRESS: SC(�� -e__ /
TELEPHONE NUMBER OF CONTACT PERSON: ZCj75(
TAX MAP NO. : Section /1 G Block a Lot dam'
CROSS STREET: 0-ecu S ci--�1n�r k 2 d^ ee-1 r,A, i v
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of App,lieant
RECEIVED BY:
REM-1=n n Clerk's Office
DATE: s p 2-3 1�
b
town CIevK Southold
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