HomeMy WebLinkAboutWaesche Ifindre
ek
tt4 4:4
JUDITH T. TERRY 4.2 h, Town Hall, 53095 Main Road
TOWN CLERK ® r` P.O. Box 1179
,;�' Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
➢ �z��,�;� � �� Fax (516) 765-1823
MARRIAGE OFFICER - _� • Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER •�
FREEDOM OF INFORMATION OFFICER „ ,rho”
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1290 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : STANLEY F. SKREZEC
Address 1 : 50 GULL POND LANE
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
RELOCATE LINES TO FRONT OF HOUSE AND INSTALL SEPTIC TANK & RINGS.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner WAESCHE, RUSSELL
Mailing Address 1 ABERDEEN DRIVE
City St Zip SHANEE MISSIONS KS 0000
Property Address 1 ROUTE 48
City St Zip GREENPORT NY 11944
Tax Map No. section 44.00 block 1 lot 21 .000
Cross Street ALBERTSON LANE
Building Permit Number Cross Reference:
Issue Date: 2/07/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
4FOLc® _ /0*
JUDITH T.TERRY '� �< Town Hall,53095 Main 1, ad
TOWN CLERK ► CAC* 2 ; P.O.Box 1179
�I Southold,New York 11f. 1
REGISTRAR OF VITAL STATISTICS �. �/ Fax(516)765-1823
MARRIAGE OFFICER O 1
RECORDS MANAGEMENT OFFICER : .( -0„10 Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER ,.-0„10
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: January 31, 1995
Transmitted herewith is a copy of application No. A1333 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Stanley Skrezec for Russell Waesche
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: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
41.
Signature
•
Date
ti , )
Or°r"FICE OF THE TOWN CLERK ,.. �",,,,,
Town of Southold
..=r ® Application No./.33_3Judith T. Terry, Town Clerk ,�' � ��'
Town Hall, 53095 Main Road �� Construction
P. O. Box 1179
Southold, New York 11971 " ,' Alteration
Telephone ‘01"- c`cr '� $10.00 - Residential
(516) 765-1801 ®1 9' ', s' $25.00 - Non-Residential
' ~ 01
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /7/ 3
APPLICANT NAME: CTAIJ--.S F.
APPLICANT ADDRESS: s Lt_
0 / ry
SEPTIC 4/CESSPOOL L.--
DESCRIPTION
-DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /9-L.
a '4 - a-kr - _ ; .- = Lff
,ip � ,� a e0 � D- -c".d
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: v5.1( 4 6 i 4 e
OWNER MAILING ADDR SS: t, ` /-c - ca
Gg1-617 f, 6L y. (C e j
OWNER PROPERTY ADDRE S: R1p 2
TELEPHONE NUMBER OF CONTACT PERSON: Lj-7 7 ,- /S Z
TAX MAP NO. : Section1-4/1
7 / Block ( Lot .c2/
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sig ature of Aoldicant
RECEIVED BY: „
own erk's Office
DATE: ��
1/4
•
I 1 1
Con 41 66-
i
''Ira ,
prar54i
5 ?vim loo fleLA)1,1,1
Dd j44. cs [ 1 I "
tAJ
- E