HomeMy WebLinkAboutHildreth #11, FOlit
ELIZABETH A.NEVILLE /� V ®��' Town Hall, 53095 Main Road
TOWN CLERK ® F - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER .® 1 ��, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �,_ ®1 �� ��®0i� Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER r/'� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2713 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ARTCO DRAINAGE
Address 1 : 7470 ROUTE 48
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner HILDRETH, HARVEY
Mailing Address 1 310 HUNTINGTON BLVD
City St Zip PECONIC NY 11958
Property Address 1 310 HUNTINGTON BLVD
City St Zip PECONIC NY 11958
Tax Map No. section 67.00 block 4 lot 8.000
Cross Street FASBENDER AVENUE
Building Permit Number Cross Reference:
Issue Date: 1/11/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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2ELIZABETH A.NEVILLE /4 '� Town Hall, 53095 Main Road
TOWN CLERK P.O.Box 1179
REGISTRAR OF VITAL STATISTICS t Southold, New York 11971
MARRIAGE OFFICER �®sfi X71 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =,_�®� ill ��®,i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ���� southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK D [ \10 J
TOWN OF SOUTHOLD
DEG : ,T2gj .�
TO: Southold Town BuildingDepartment
p BLDG.DEPT.
TOWN OF SOUTHOLD '"
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 17, 2001
Transmitted herewith is a copy of application No. 2808 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Artco for Harvey Hildreth
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
„01. .-//://8/6:://
Dated
•
OFFICE OF THE TOWN CLERK '•s��� f 626E Or
TOWN OF SOUTHOLD ,�•' LKcCf Application No.
FT 17ABETH A.NEVIi.i.F,TOWN CLERK �� C�
P.O.BOX 1179 le, Construction
SOUTHOLD,NEW YORK 11971 v • rn ;
U-3 . Alteration
Telephone 0,40 �Q ' $10.00 - Residential •/
(631) 765-1800 = l ,�� $25.00 -Non-Residential
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TOWN OF SOUTHOLD
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SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /o7N-/ 7- ® /
APPLICANT NAME: 4\ 4- r (Aar--« D reCtl \Cke-1•2
APPLICANT ADDRESS: "14 7(7 /: titz.., •
SEPTIC VCESSPOOL L
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 0-0\t-a/ke_LI 4 rA‘..
OWNER MAILING ADDRESS: aj ID r T-O i3( Vr)
ACLeCJOy141/4<._, Yi/% 61_5-415
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: (per J --- 966-0
TAX MAP NO. : Section 67 Block e) Lot 0
CROSS STREET: d (2,141.e(-
BUILDING PERMIT NUMBER CROSS REFERENCE:
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uSignature of Applicant
RECEIVED BY:
Town dllrI /Office
DATE: ,trog44,_ �►.�
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