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HomeMy WebLinkAboutTabor I�� �®SOFFOlir • , ELIZABETH A.NEVILLE �® ®c*A; Town Hall, 53095 Main Road TOWN CLERK ` g P.O. Box 1179 REGISTRAR OF VITAL STATISTICS144.:1 /1 Southold, New York 11971 MARRIAGE OFFICER �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ?_.®1 411 ie®tip Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ ���� southoldtown.northfork.net OFFICE�TOF THE TOWN.n CLERK SOUTHOLD 1N-A� A r�FtUD15POSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2877 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : GARY TABOR Address 1 : 680 NAVY STREET City St Zip ORIENT NY 11957 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 TABOR, GARY Mailing Address 1 11305 SPAULDING STREET City St Zip OMAHA NE 68164 Property Address 1 ROUTE 25 City St Zip ORIENT NY 11957 Tax Map No. section 17.00 block 1 lot 13.000 Cross Street VILLAGE LANE Building Permit Number Cross Reference: Issue Date: 8/26/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) l ` _, 'I,o,oSOFFO1,�c® .s,: a 27'7 ELIZABETH A.NEVILLE e"t- Gi 1 Town Hall, 53095 Main Road TOWN CLERK % O - % P.O. Box 1179 % ti Z Southold REGISTRAR OF VITAL STATISTICS v' n7 i , New York 11971 MARRIAGE OFFICER :�,fi ���1�, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER -__��l jig . '/i" Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ �,���� southoldtown.northfork.net 1 70SI 7------ 11 u • OFFICE OF THE TOWN CLERK `' t AUG 2 2 2002 I;� ' TOWN OF SOUTHOLD L. A_ _._._. -Bl DG C;:PT T©tAI• }j 01JliSa'dihol own Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: - August 21, 2002 Transmitted herewith is a copy of application No. 2992 for a Cesspool/Septic Tank ALTERATION Permit submitted by: GARY TABOR for Frederick Scofield 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. * * * * * * * * * * * * 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. . 2,74".. ., Signature o� �� 0 Dated ,OI FICE,•OF THE TOWN CLERK ,s" • Town of Southold ,i'lletfDU( ^� Judith T. Terry, Town Clerk ��' ® �G Application No Town Hall, 53095 Main Road Construction .6m ; P. O. Box 1179 p rTi Southold, New York 11971 Alteration ✓� Telephone Ole $10.00 - Residential (516) 765-1801 - 1 - jig ,, ' $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 SV "P-0 70 9- APPLICANT NAME: (7)-1//' >/ 7 i', c')' APPLICANT ADDRESS: ' g--Q /77,94-X 5-7 SEPTIC CESSPOOL 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: �_'i- z d P_J-�� 'C_J-r S (00 /d OWNER MAILING ADDRESS: I1 -6O.S s Q(mac OWNER PROPERTY ADDRESS: - 1701,97e P, TELEPHONE NUMBER OF CONTACT PERSON: 3' 2 3 - 7 TAX MAP NO. : Section ) 7 Block ) Lot CROSS STREET: / ,4 a f,/ _- BUILDING PERMIT NUMBER CROSS REFERENCE: gnature of Applicant RECEIVED BY : Town Clerk's Office DATE: \ , , 0 -zie/ / 1 /-7 1\ 8 A ,,„ r. y _6 Town Of Southold f P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 08/21/02 Receipt#: 13251 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Cash#: 13251 Total Paid: $10.00 Name: Tabor, Gary Landscaping 680 Navy Street P. O. Box 659 Orient, NY 11957 Clerk ID: LINDAC Internal ID:61777