HomeMy WebLinkAboutTransfiguration of Christ Church �0�1FF0(�-C'
ELIZABETH A.NEVILLE, MMC �O �j Town Hall,53095 Main Road
TOWN CLERK y� P.O.Box 1179
Cos Southold,New York 11971
REGISTRAR OF VITAL STATISTICS %r• Fax(631)765-6145
MARRIAGE OFFICER •
y O� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER ��,� �`1 www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
i
TO: Southold Town Building Department p ISD
FROM: Sabrina Born, Southold Town Clerk's Office • JUL 2 3 2018
DATED: July 23, 2018
BUILDING DEW.
RE: Cesspool Construction Application 'TOWN OF SOUTHOLD
Transmitted herewith is a copy of application No. 4631 for a Cesspool/Septic Tank Construction
Permit submitted by:
Almas Construction LLC for Transfiguration of Christ Greek Orthodox Church C
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature
D8 �3 /
Dated
ELIZABETH A.NEVILLE,MMC ��� ry"", Town Hall,53095 Main Road
TOWN CLERKS P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER ��4 ��uo �,, Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM- Sabrina Born, Southold Town Clerk's Office
DATED: July 23, 2018
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4631 for a Cesspool/Septic Tank Construction
Permit submitted by:
Almas Construction.LLC for Transfiguration of Christ Greer Orthodox Church.
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: l"inial anni,ovsrl ac Quircd from the Suffolk Couqtkw�altb l,2t: artnient
Signature
Dated
49,
ELIZABETH A. NEVILLE " Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER !, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 �'� or Non-Residential @ $25 Application No.
Permit No.
Applicant ant Name " $ L-6-
__
Applicant Mailing Address . Z G 3
ptlc Tank ��
p
Seg Dc ,option of Proposed Construction or Alteration � W... _.
Location of Proposed Construction/Alteration:
Owner of Property: .
Owner Mailing Address:
m _...._
Owner Property Address: 9 ......
Name and phone number of contact person
Tax Map No: Section Block . " � Lot
Cross Street `
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITI L DEPARTMENT APPROVAL
Signature of Allicai Date
Received by:
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