HomeMy WebLinkAboutTyler JUDITH T. TERRY �� �� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ririt** Southold, New York 11971
MARRIAGE OFFICER Fax (516) 765-1823
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a ,_� �®� � Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 702 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARY TABOR
Address 1 : NAVY STREET
City St Zip ORIENT NY 11957
Descripton of Proposed Construction or Alteration
REMOVAL OF OLD POOL AND REPLACE WITH NEW CESSPOOL
APPROVED WITH CONDITIONS. IF REPLACEMENT POOL IS LARGER THAN EXISTING
POOL, EXPAND AWAY FROM WATER SUPPLY. EXCAVATION INSPECTION REQUIRED.
CALL BUILDING DEPT. 765-1802 FOR AN APPOINTMENT.
Name Of Owner TYLER, GREG
Mailing Address 1 300 BAYER ROAD
City St Zip MATTITUCK NY 11952
Property Address 1 300 BAYER ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 139.00 block 5 lot 23.000
Cross Street WICKHAM AVENUE
Building Permit Number Cross Reference:
Issue Date: 4/18/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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--Souttholdi New York 11971
JUDITH T.TERRY `jt:� r' TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OI VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: April 11, 1991
Transmitted herewith is a copy of application No. 721 for a Cesspool/
Septic Tank Construction Permit submitted by:
Gary Tabor a/c Greg W. Tyler .
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: r >�-:•a . r /off. ii
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Signature
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Dated
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OFFICE OF THE TOWN CLERK ,'""""'-
Town of Southold
Judith T. Terry,
Town Clerk �'0® Col/y Application No. 7 (
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 ;y Alteration
Telephone O,>f' 1�0-,* $10.00 - Residential
(516) 765-1801 '=.®1 �, '' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 1/ / 1 ) 197
APPLICANT NAME: esd9 , -2/
APPLICANT ADDRESS: , '' ' • 7.
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED�yCONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: . 9 t ` /C t'-
OWNER MAILING ADDRESS: c.'O 2 ) 5a ' ) l r
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OWNER PROPERTY ADDRESS: ,5
TELEPHONE NUMBER OF CONTACT PERSON: ,? 1,;1, 33-. 7
TAX MAP NO. : Section � � / • Block ,� Lot
-6
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
0,--eatt—c___—
St jrnature of Applicant
RECEIVED BY: /
/tc/9t
Town Clerk's Office
DATE:
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