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HomeMy WebLinkAboutRademaker ofFour fee eo ELIZABETH A. NEVILLEo� Gya Town Hall, 53095 Main Road TOWN CLERK _ , P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ` Southold, New York 11971 MARRIAGE OFFICER �� 4.4 ��111, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER "1 A iii Fax (631) 765-1800 FREEDOM OF INFORMATION OFFICER ���� ,,,,,,, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2487 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MORRIS CESSPOOL Address 1 : 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION OF OVERFLOW TO EXISTING SYSTEM. APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner RADEMACHER, CLAUS Mailing Address 1 136 EAST 73RD STREET City St Zip NEW YORK NY 10021 Property Address 1 350 LAKESIDE DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 90.00 block 3 lot 16.000 Cross Street CEDAR INLET Building Permit Number Cross Reference: Issue Date: 12/29/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) C^11 oFou, srl ELIZABETH A.NEVILLE -r1% Town Hall, 53095 Main Road TOWN CLERK ; y 2 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER ®y ,co��/1 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ‘—.7491 • I•' Telephone (631) 765-1800 I FREEDOM OF INFORMATION OFFICER _ 'a i iii eel OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: December 19, 2000 Transmitted herewith is a copy of application No. 2575 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Morris Cesspool for Rademacher 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. Signature /2/iiia Dated `, Ny.-� :', r o OFFICE of THE Towle CLERK vFFOLIr . TOWN OF SOUTHOLD �� �J �'QG= Application No.p�575 FiJ7ABBTH A.NEVILLE,TOWN CLERK ��O • T. P.O.BOX 1179 Construction cc, SOUTHOLD,NEW YORK 11971 v ris. I • to �� Alteration ✓/ Telephone O,y tores, • $10.00 - Residential i/ (631-) 765-1800 -- t �,�'�, $25.00 -Non-Residential -#000/ TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT • RECEIVED ' APPLICATION • for DEC 1 9 2000 ' CONSTRUCTION or ALTERATION PERMIT Southold Town Clerk SEPTIC TANK or CESSPOOL Permit No. Fee '$ DATE ,9& - 1 f d7) ' APPLICANT NAME: /176R4/` Ce _ year? ,S6.X APPLICANT ADDRESS: Z 260 M/VA1Ecarr otert f uMo1I yY • SEPTIC CESSPOOL DESCRIPTION OFAOPOSED CONSTRUCTION OR ALTERATION 0"(-)-C-4t LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • • OWNER OF PROPERTY: C/41'`s 444465:.#f)efreirA OWNER MAILING ADDRESS: 3 5-0 /,4/S/f10k Pie 5 5 o .1 t4oicia OWNER PROPERTY ADDRESS: I3(0 13tr.4 9-. N`( 10 Mai TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section g0 Block 2 Lot ✓6 CROSS STREET: - �A 42,1 BUILDING PERMIT NUMBER CROSS REFERENCE: 005,4 X 1/4 Signature of Applicant RECEIVED BY: ,�0C4---- Town Clerk's Office DATE: t Ia\nioo . tA CE\f`^'-o ,7.1o!D Ct'/Pfj160 \c) * °MP/6j C(111 3° ?s�,