HomeMy WebLinkAboutLocke ELIZABETH A.NEVILLE /AV Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS
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Southold, New York 11971
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MARRIAGE OFFICER : ifi �.0 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER • �__ ® t otip Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��� southoldtown.northfork.net
•OFFICE OF THE TOWN,CLERK
SOUTHOLD Wil WK r�FtUDTS�OSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2874 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RICHARD LOCKE
Address 1 : 1 RIDGE COURT
City St Zip HICKSVILLE NY 11801
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 #R10-01-0155
Name Of Owner LOCKE, RICHARD
Mailing Address 1 1 RIDGE COURT
City St Zip HICKSVILLE NY 11801
Property Address 1 1145 HILLCREST DRIVE
City St Zip ORIENT NY 11957
Tax Map No. section 13.00 block 2 lot 8.009
Cross Street SOUNDVIEW DRIVE
Building Permit Number Cross Reference:
Issue Date: 8/22/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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,•'',SUFFOL,� .7g-7V
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ELIZABETH A.NEVILLE GE. ; Town Hall, 53095 Main Road
TOWN CLERK % o '` % P.O. Box 1179
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REGISTRAR,OF VITAL STATISTICS
v, nt � Southold, New York 11971
MARRIAGE OFFICER `�O,fiL � ��0 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �:"'/Q! '0„II° Telephone (631) 765-1800
FREEDOM- u FICER * ,D�, southoldtown.northfork.net
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1�.�r AUG e 5 2002 t l�i i OFFICETOFWN THEOF OWN D CLERK
LiL1TO:-''rw�`��'� -s'Southol own Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 14, 2002
Transmitted herewith is a copy of application No. 2977 for a Cesspool/Septic Tank Construction
Permit submitted by:
Richard Locke
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: IT
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1
4g._
Signature
063/5/g-
Dated
OFFICE OF THE TOWN CLERK •il ,,,,,/,"••,,,,,
FT.i7ABETHA.NEVIITTOWN OF FHOWNCLERK ,OLD ��S�FFOtKcoG_- • Application No.
P.O.BOX 1I79 � `
Construction
SOUTHOLD,SOUTHOLD,NEW YORK 11971 'z
c�t) Alteration
TeleTelephone �'
p = ,j�� i $10.00 -Residential
(631) 765-1800 4.1 lit�����i.
,�,,, $25.00 -Non-Residential
TOWN OF SOUTHOLD
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SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RECEIVED
APPLICATION
for AUG 14 2002
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL Southold Town Cleric
Permit No.
Fee $
DATE 'g//9/02_
APPLICANT NAME: 12l( HA/Z®
APPLICANT ADDRESS: / �106 E CT
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SEPTIC CESSPOOL ��/
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DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
5/106e F,f�M�L/ Llo�`tE
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: RICNrR C1 &
OWNER MAILING ADDRESS: I RIf(,E Cr
1-ttc.-1(SV/Z- i•-3Y ligt1
OWNER PROPERTY ADDRESS: //16 #/ LLC /2 5`Tr 6a.
TELEPHONE NUMBER OF CONTACT PERSON: (5i ') 93"7 - 2/V
TAX MAP NO. : Section 15 Block Lot ' • 9
CROSS STREET: 5o/4N5 VIELO •
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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