HomeMy WebLinkAboutClew ,,I�,O�oSUFFO�,�40e:\
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ELIZABETH A.NEVILLE ,� �� 'y Town Hall, 53095 Main Road _
TOWN CLERK % o - % P.O. Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �' P
MARRIAGE OFFICER ®,l�iL ��� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER L Ql �a®iii Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER A1P •,� 1southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3012 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : DAVID FEAVEL
Address 1: PO BOX 1659
City St Zip SOUTHOLD NY 11971
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 #R10-03-0019
Name of Owner CLEW, JANICE
Mailing Address 1 PO BOX 426
City St Zip MATTITUCK NY 11952
Property Address 1 600 INLET VIEW EAST
City St zip MATTITUCK NY 11952
Tax Map No. section 100.00 block 3 lot 10.010
Cross Street INLET DRIVE
Building Permit Number Cross Reference:
Issue Date: 4/17/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE is . ‘` Town Hall, 53095 Main Road
TOWN CLERK ; co % P.O. Box 1179
REGISTRAR OF VITAL STATISTICSSouthold, New York 11971
MARRIAGE OFFICER ®� �����, Fax(631) 765-6145
ViaRECORDS MANAGEMENT OFFICER \__ ®1 lig ��®,••• Telephone Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER •...��o,t.�� southoldtown.northfork.net
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\. ���pOFFICE OF THE TOWN CLERK
��` o TOWN OF SOUTHOLD
\___TO: SC1\ Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 10, 2003
Transmitted herewith is a copy of application No. 3135 for a Cesspool/Septic Tank Construction Permit
submitted by:
Janice L. Chew
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
1
DISAPPROVE
Comments: .. �� /
71ria-0-‘670 ,..,
Signature
03/,/3
Dated
,.........,
OFFICE OF THE TOWN CLERK t' �,` f `�n-_
'� �3\ Writ";
TOWN OF SOUTHOLD
�.�
AR�A.NEVILLE,TOWNCLERK Application No f �
P.O.BOX 1179 Construction ��
SOUTHOLD,NEW YORK 11971
Alteration
Telephone oy fir,• • $10.00 -Residential X,
(63t) 765-1800 -- l. ,�'� • $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
•
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$ "C?
DATE ?/7e93
APPLICANT NAME: _1)4./ 14 &-,�A-, ``�f
APPLICANT ADDRESS: VP, O. E o, 16����p��
. 90-6,11P. 11JY 11411
SEPTIC CESSPOOL y
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
•
/Oat/ 171,90u-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• . OWNER OF PROPERTY: al-ext)
OWNER MAILING ADDRESS: ( c9 gamic 2Au
OWNER PROPERTY ADDRESS: ,. id- tir ec
TELEPHONE NUMBER OF CONTACT PERSON: 7(,,,,s - 0,1/ 7
•
TAX MAP NO. : Section /60 Block 05 Lot JB,lb
CROSS STREET: _
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: OP .
T4• (n Clerk's Office
DATE: 3/7/61-
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