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ELIZABETH A.NEVILLE 01.4)?
Town Hall, 53095 Main Road
TOWN CLERK ® - P.O. Box 1179
Southold,
REGISTRAR OF VITAL STATISTICS A7
New York 11971
MARRIAGE OFFICER `= Fax Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �__# jge ������10° Fax
(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. 2989 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : WILLIAM SWISKEY JR
Address 1: 433 FIRST STREET
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-02-0164
Name Of Owner SWISKEY, WILLIAM & DEBRA
Mailing Address 1 433 FIRST STREET
City St Zip GREENPORT NY 11944
Property Address 1 70 GILLETTE DRIVE
City St Zip EAST MARION NY 11939
Tax Map No. section 38.00 block 2 lot 1.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 2/18/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETII A. NEVILLE ��,_ 00 s% '°2 847
y� Town Hall, 53095 Main Road
TOWN CLERK %% o - P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS % t
MARRIAGE OFFICER `` g. � ���, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ;_Biel $',,• Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,oil southoldtown.northfork.net
,OFFICE OF THE TOWN CLERK
Lil_{ ! L'•, 2 7 %002 ' .:1 TOWN OF SOUTHOLD
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TO: Southold Town Building Department_______
_ _ _________,,_,
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 27, 2002
Transmitted herewith is a copy of application No. 3110 for a Cesspool/Septic Tank Construction
Permit submitted by:
William Swiskey Jr.
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
V
DISAPPROVE
� �Comments: - �f- . , /.�..
/-e-(-.7. ' - a, M - APP0'3 $...., _ -:
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Signature
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Dated
OFFICE OF THE TOWN CLERK
FFD..
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TOWN OFSOUTHOLD � eQG Application No. MO
P.O.
ELT/.ABETH A.NEVILLE,TOWN CLERK �►
Box 1179 !�; Construction ./
SOUTHOLD,NEW YORK 11971 T
Alteration
Telephone O`c�,
• $10.00 -Residential
(63t) 765-1800 =- 1 *1,r'/ • $25.00 -Non-Residential
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION
for •
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE
APPLICANT NAME: i.fh &,(11gb)
APPLICANT ADDRESS: 5 33 C'ts51- Skc'ee-t
Crt r•ee,N9w-f P lc/911 •
SEPTIC CESSPOOL
DESCRI TION OF PROPOSED CONSTRUCTION OR ALTERATION
.S*cr,• 9c-tuck -kteStct c.e 7 113ecQroc)M 2 //a. ±L
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: (.Ji )licca„ 4 t6�a Swlske 5 J c
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: `70 Gn)le/le dr .
t4%± Nlci r i o n
TELEPHONE NUMBER OF CONTACT PERSON: 4/77 33
TAX MAP NO. : Section038. CO Block Oa.06 Lot 6010 W
CROSS STREET: Main Rat
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signatu of Applicant
RECEIVED BY: 6r (fi •
Town lerk's Office
DATE: lr�cZ.0 ?�
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PHONE:(631)234-2220 FAX(631)234-2221 EMAIL cicaupb2o@Lotmml.com
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