HomeMy WebLinkAboutEzzard 10°& �UFFO`�G®
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER ` ,ai �� �, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � �® Il® I. 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. 2935 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERT EZZARD
Address 1: 1900 WESTVIEW DRIVE
City St Zip MATTITUCK NY 11952
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 EZZARD, ROBERT
Mailing Address 1 1900 WESTVIEW DRIVE
City St Zip MATTITUCK NY 11952
Property Address 1 1900 WESTVIEW DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 107.00 block 7 lot 21.000
Cross Street
Building Permit Number cross Reference:
Issue Date: 12/17/02 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
,���o��g11fF0(,r00
� s
ELIZABETH A.NEVILLE ��/� $ : Town Hall, 53095 Main Road
TOWN CLERK ® - P.O. Box 1179
co)y, Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145
MARRIAGE',OFFICER ``®y `•��I+,
RECORDS MANAGEMENT OFFICER = "'/Ql . iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ r11, southoldtown.northfork.net
, .
OFFICE OF THE TOWN CLERK
(13 TOWN OF SOUTHOLD
r,
Southold Town Building Department
r ,`�,* ��
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 28, 2002
Transmitted herewith is a copy of application No. 3053 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Robert Ezzard (work by Peconic Cesspool)
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.
Si ature
/y Dated
OFFICE OF THE TOWN CLERK .,,`� ,,••,••••/��
OLD
F.T.T7ABETHTOANNEVITSOF FHOWNCi.FRK '��.�Oc�VFFULKcOIi Application No. 3653
P.O.BOX 1179 � Construction
SOUTHOLD,NEW YORK 11971 Z
yc Alteration
Telephone .s0 ��•� $10.00 - Residential J
(63]:) 765-1800 =�l ,e $25.00 —Non-Residential
TOWN OF SOUTHOLD •
a•
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for •
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
•
Fee $
DATE
APPLICANT NAME: �G
APPLICANT ADDRESS: / '0 J�I��� (—
s
SEPTIC CESSPOOL
DESCRIPTION Or POSED CONSTRUCTIO O ALTERATION - '� ' Y711
�F ,P
cep-/ cAria.C1fr-Q s-j
7
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCI OR ALTERATION•
OWNER OF PROPERTY: c.beci4l< <iZ
OWNER MAILING ADDRESS: /a�
n4it c/Z G:py
OWNER PROPERTY ADDRESS: .57-C//"?1_ /V 5 1,0t/1
TELEPHONE NUMBER OF CONTACT PERSON: CO2-0
4
k73 g 'TAX MAP NO. : Section x'61 Block 7 Lot Z�
CROSS STREET: W oD GLS v r •
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signature of Applicant
RECEIVED BY:
Town CI rk's Office
DATE: 7 02 o t—
\
-J \ . - '
_
`
`
-
OA;';••••,C) ..d.&/
,.
�
' '
�
` �
` .
.... --S. ,
•“,•\- %....., \ , --.......----.-...- • .
*-''
a,..
-.#
I
a/NM(' eititi,V?;'''7DC700M
- ,
I.
-----—--.--------
.
. ' [
)'
- i''
'\\\ , 4
,
0
..-t•-......,..., .
,-,...-.....____ ..::
. '
--1---........„.._____ - • t
1
' In
t•SI - .
\ kb
\ >
kvaL ,AA
LN)
a i
i:
,...,...
ID 1
ii
0.1
er.) o•osi - '... „oL111.,:.-....7
,TSi?-7--A74:, 0-41:----T-1—"—'''-, -",
N
t I r-----r--- )f
1 cts
1111 0
--0
tu -If) •I
Q. p. .;
_R 4.
,
0 .1
C1,,, >711.1 :'P
1 „ . 1 ki4,".041.1ms- x 0 iu
tr) ,
\ 5 .
- .0 ; t
\
til
iii 0.
.71*- -6 )i I -1-:
F)-i ' -a- 1
r..—__. 1 kl
..,
le 0
1`.. ei. if:i....
..-- e'l
1
. . 1
14:117-,1'111 114 1.1 zi4,70.4.7c !r,'cu 1 ' t P
— 41 1 •1,,
.....;,.
-- - Z r \"'" ti 1
fr ‘ '::. '',
1*
'‘ . a
T.;
-471..-:CO,
...4s. ,
LC•. 1 .; ! '.',f#7.71'
,
Q=9-E
c3(.4.....i.),
iJCW /A V r 1 i
1 >
.,,) ; °•- ,...,
7.
0
..z.-
,..,.,.
..„....
*
''.'• ,_ .t I
,
.,
,
,, •,.
.t, I
, i
0:00/ I ., An„o2,L1,.1 i N 1)'
(.,\
. so'
-,5.
•,.„.., - I
,
,
''''''''''''-''','"°4 -4, -; • ,, ,
•: , , .
. .
, . .., - • '
. . .
, • - ..
. ,
• " ... . .• , , ,
, . .
-
, . ,.-„-•.,-4:-,:-'6 ;,,;,-•,•'-''_,,,,.;<;,
,',•''' • ' ' - -' -- '-'-'-, --• - = 4,-","'',-;',...,-.-,:-;-•-;‘1',4K11,:Lr''.."*4'°""'",'*!;,..: ,,' ‘: : - ---.-;•- - .:, ' ' - ' ' ' '' i- . .4qr,': • - -',':,,'L.-."..*.,'-'":-,:';:,,'-eqi''.1
jv . . , --.. ,', - ;; . ;.. 'i,z- j',C'is:Ter:''' '"i'' V: '` , ' ' ' ' ' ' ' ,,, " ., -‘,,-..;,=-`:,.:-;4,.-yi, •,,f,,,• ,..1,.;,;i:_k--,