Loading...
HomeMy WebLinkAboutDaly, Mathew , "d.1~:""'" ""h;jf'1;",~"""'l'r'i\i"'" . " ~~"',;Ji': ~~~j;t :~r ,,"lli",l\,,-.:~' ~ ,;,:'"":''.:.:<(rllti;'~ ':'~,l"::-t'., - 'i(<:-; ~",:,; ";'j, .,:p., < ;.: ' "', '-')'~,'i' c omCl Q,,1lUl'IQWlf Q.IlIlK 'IO:omorllQ~OUI IlIJZAlIll\1\ K; NBYIU.B. TOWN CUlRK cc' p.o;_ 1179 SOtmlOLD,NBWYORK 11911 ," Application N~i? ~I Construction ~ Alteration . Telephone 1rt"Jv _ ~"i' (531) 75~-1 ~ ~I ~. rJt - Y.:' . ~f,tfr'TOWN OF SOUTIIOLO . .,.fJ SOUTHOLD WASTEWATER DISPOSAL DIS IIUeT ~:v $ 10, Oil n Hesldentlal "..... $)5.0U ' Non-Residential APPLICATION for CONSTRUCTION 01' ALTEHATI()N PEHMII SEPTIC TANK or CESSPOOL Permit No. Fee '$ DATE ~~ APPLICANT NAME: PECONIC CESSPOOL APPLICANT ADDRESS: P. O. BOX 972 ._-~---_._.._."_. -..-....--.---..--"-- MATTITUCK, NEW YOR!',)192.L._,,__ . ~~~,.,~f!~,e.8~LV 'l.l,~,i,:i~~''IT;0;Jf'~~~P~~E~~~4ftTIO~ OR ~~ J ',": " ~ ~:>Jl:/-'__,=-_,,=,..-_-.r... 4 "';'~i!#<'c: ~1'1-~___ I --___.__. _______._. :~~+-";'~\ty~:;~';-,,~-: - --- ',~~ll.&~':,~~P: M!Jst be attached hereto before ponlllt lIIay ue Issued. ~~\Q,..1]1$Jf;.j9~.,. PROPOSED CONSTRUCTION OR (\L TERA T ION: ~ifi~~~~fQF PRQPERTY: fv1ntlh ",...J/ l4/J 12, 1$" [) Illy dRW~E~MAILING ADDRESS: P-IJ A~K 7f1 , , . "7"Y'uv1.L-r. ~ AJ.~ /I J..S n frJlHh /J.A '711Ad;h:/~ J. ,u. r .b~TIF~~tlONE NUMBER OF CONTACT PEHSON: ~ 9f- 9~53 :l;i!;,!.':~M':.i,_,J.:>, .~': _ - ..- ___,,_...____... ",-',--.., -.._ :':~Ii~p liO.: Section I';)..~ Block 3 Lul 8 ;;;~;fli~~STREET: /!;~ ~.., ... ,._,_. BUI~DING PERMIT NUMBER CROSS REFEHr leI: . ""'"-- 1-" h..L ( OWNER PROPERTY ADDRESS: :- 1 , RECEIVED BY: Town Clerk's Office DATE: . \ ,i i I . t r , --'--'jr ~- ') \) ,<;J j . \~ . , ,'" ~ S I ." . \ t.., I /~ i ,~ /"') . jI'V,~-i MATTHEW & LAURIE DALY 11250 MAIN ROAD MATTI TUCK 122-3-8 ---"~_.'--"- /tt/fA'}v ~ f ,,:;t / f i A ---y .(1 \~v ( ~<f \ I I I I I 11/ I IV ~,.. ;--Jl~t~ 6''' I .,'7"1, i 0 . dJ tJ1 (t 0/' L...,. .~.7..'~.~ra. . , . ..,~~ r"rI ,..------../ \? ~. .f~ ",., ~ 1- ~ \ " . s I I ~ -.-- TOWN OF SOUTH OLD BUilDING DEPT. 765.1802 INSPECTION REMARKS: [ ] FOUNDATION 1 ST [] ROUGH PlBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION G.o~tpo~ , ~ ok; DATE 9-~d--~t INSPECTOR ~ ~