HomeMy WebLinkAboutGarren, Corrine •
JUDITH T. TERRY
,fS
1 Town Hall, 53095 Main Road
TOWN CLERK ; G =11 P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS L . Southold, New York 11971
MARRIAGE OFFICER VO �, Fax (516) 765-1823
*�0•••• Telephone 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. 754 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SUNRISE CONSTRUCTION
Address 1 : 1305 PARK AVENUE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 8/20/91 .
Name Of Owner GARREN, CORINNE B.
Mailing Address 1 415 BROWN STREET
City St Zip GREENPORT NY 11944
Property Address 1 THE CROSSWAY
PEBBLE BEACH FARMS
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 2 lot 36.000
Cross Street THE CRESCENT
Building Permit Number Cross Reference:
Issue Date: 9/10/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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TOWN! Car '� �r't `cit_'" ---- /?/ r• Southold, New York 11971
JUDITH T.TERRY '- > zr..„r. %' TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF 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: August 29, 1991
Transmitted herewith is a copy of application No. 775 for a Cesspool/
Septic Tank Construction Permit submitted by:
Sunrise Construction for Corinne B. Garren •
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: a.o ,e a alb ria)-61 LA-11
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RECEIVED �L� ok.QC
3:46-104 Signature
SEP O61001 2\ �,q 1
Dated
1
Town Clerk Southold
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•:.EFICE OF THE TOWN CLERK c�vFFJ(,�
Town of Southold */.4-:
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Judith T. Terry, Town Clerk E� =K:; �` Application No. ��`5
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Town Hall, 53095 Main Road o :. K t. -
cr2 VI' , Construction
P. O. Box 1179 ,
Southold, New York 11971 Alteration
Telephone Oj r '� 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 $
DATE /1,91151— /0 , / 99/
APPLICANT NAME:Jann zyn5-truch C-r)
APPLICANT ADDRESS: /35 ar-k / Y
sou-T -O Li, fly //g 71
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
A' - ia'.11 ih 1' __ id _i i • t. •,'. . • eft/
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
Corinne. 8 . jar-rer
OWNER MAILING ADDRESS: LI 1 BraLon 5+•
fl 1 par•+ ny t 19yi1
OWNER PROPERTY ADDRESS:
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EA-5-1- MAn csn) r1. Li. 11q35
TELEPHONE NUMBER OF CONTACT PERSON:___________58g
TAX MAP NO. : Section 3 0 Block 2. Lot
CROSS STREET: The_ Cre.Ten
BUILDING PERMIT NUMBER CROSS REFERENCE:..
E/A; 4111.11°
P Signature of App scant
RECEIVED BY:
Clerk's Office
DATE:-- Qlhrvtn ,._
Town CIO MINION
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c'. SUFFOLK CO.HEALTH DEPT.APPROVAL
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