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HomeMy WebLinkAboutKarp ® 0 ' ELIZABETH A.NEVILLE ; Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER ' �� RECORDS MANAGEMENT OFFICER \=��®� jig �®001 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ������,,•• 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. 2725 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : STANLEY SKREZEC Address 1 : 50 GULL POND ROAD City St Zip GREENPORT NY 11944 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 KARP/BATTEN, KAREN Mailing Address 1 PO BOX 515 City St Zip SOUTHOLD NY 11971 Property Address 1 1400 LIGHTHOUSE ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 50.00 block 5 lot 3.000 Cross Street SOUNDVIEW AVENUE Building Permit Number Cross Reference: Issue Date: 1/11/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ��iiii oFF®`�-c 7 )Z ELIZABETH A.NEVILLE ���ti°t° y% Town Hall, 53095 Main Road TOWN CLERK % ®% - P.O. Box 1179 va Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS % Q 1 MARRIAGE OFFICER % 0 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER .`�.®1 0., ,,•'/ Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER r� southoldtown.northfork.net OFFICE OF THE TOWN CLERKa TOWN OF SOUTHOLDpn FLIP11 ill JAN I 0 2002 I! '7 LI ILI/ TO: Southold Town Building Department _ .. FROM: Linda J. Cooper, Southold Town Clerk's Office '4-_f) __1 DATED: January 10, 2002 Transmitted herewith is a copy of application No. 2820 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Stanley Skrezec for Karen Karp/Batten 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. . ..„„4 Signature D///1/0 2-- Dated • 4FFItE OF THE TOWN CLERK """"' Town of. Southold „'''cAFO[I'11� �(� ��+ O4,2\ Application No. Judith T. Terry, Town Clerk � 0 Town Hall, 53095 Main Road Construction • P. O. Box 1179c rn Southold, New York 11971 cta yr� Alteration Telephone ,y®Affi _&c't".*'� $10.00 - Residential (516) 765-1801 = 1 ' $25.00 - Non-Residential • .�i /��'° TOWN OF SOUTHOLD. SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ / DATE i / io /o sAPPLICANT NAME: � ( 1�1 LE ( APPLICANT ADDRESS: se) 6- ?"- C�✓},ti�— r1 � . SEPTIC CESSPOOL ✓ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 4-,-,i) 73fri' i"Y\/1 .. c;41,7- C: c Oo&c_ ``Z) CJv 7), to I f LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION : OWNER OF PROPERTY: IcittQcfli Kigtr://6341rai OWNER MAILING ADDRESS: Pe - 'o x sir OWNER PROPERTY ADDRESS: ( 9)v 1.-1 (fi er/ Woirio So o t)(-4 Ai •S� TELEPHONE NUMBER OF CONTACT PERSON:y TAX MAP NO. : Section c S O Block ©C(O S Lot c CROSS STREET: oice BUILDING PERMIT NUMBER CROSS REFERENCE: 2-7 JAL F Si nat lt_ e of Applicant RECEIVED B Y: s �� Town Ierk's Office DATE: 00(6 -7 N f'ui , is." ------__.1...,--- 5 06tP) I ,si-.� s / 0 / ,i r 1 \ 1 To it,,`8 r-e®' / a... EY iSC(A) L,- -<-_,_‘. a