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HomeMy WebLinkAboutVerostek, Jessie .. ,/ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential@$10 V or Non-Residential @$25_ Application Nc3l3 L:" Permit NG Applicant Name Applicant Mailing Address PECONIC CESSPOOL P. O. BOX 972 ~ Owner Mailing Address: Owner Property Address: Name and phone number of contact person Tax Map No: Section / 3) _ ~Street ~~ .-r-d NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPART~ENT APPROVAL Sign~~ ~jd/ Date Lot 30. I jS-JDt ,rW)l . ~.---_.~._._-,-- ~~~_ -yu;> ').cV y'''''' V(/ '1f!J };7'YW "',i " ~---r---'- ::] . ...OS < ~l.-"\,,.r _L'n '''"1.- 1'7.3 N~-\. . . i ""~ r }i.-__-""". . I.,"'_L_"'.'. . -'f " '~_T' ~.' --,o'.T.. . , ." ""Mi . r?'J !{ .s If> --:---,,,,,,-Y,-;j--1-~ ," ";:" .. , Iv L O'IOHJ,nOS (J\!OH :;rAOII,) 0', ?Ia.r.SCn:i31\ 3ISS:::Jf . ./ . ..-\) i I-'~~i r:a I~wl rv ~I <=> .," , I I I ! .};H:,. 1."',0'::" ..~ ~,' .;. , ,~ ~:~'~;' I Ii I: I'! , " I , i , I II I' .I I , 1 I II 1 I I I .. j .. .;' ~:r' :! : .~.. ." ",' '.! -.~ j , I I I . I~ \~I;rl f;; .. < ~ ,- 0 Z \II ~ " '" ;0 a :< I 'nl I ~ Xi I :> ~ , , '" i ,- I l i Gl < 0 , 'R os -"=->i ~! m] I~ :.. I' I\.. ,h] q 01< IU'I r) im c ,,-< !~1 ml(:1 im,'? ~ Q '.<. f' 12; ,-- If' ! f I~ i'l 2 G>, \ 1-< iilj^r( r li.~( ~I~ ~I ~ ~ j';. " \ .~' .llt ~ ~. :{ ~ t!J f'- 10 i'J <: m 8_-'~ I I , t;,/,..~- ~ s ~ ~"" '., ;'t;i~ ~ ~ 1 " ijj 111 '!' U> 9 , _ ' .~ - :N'~'Zzl; ;,. ':' -~OE.. ", ~." -.' 8 o ,,' ~.?'-C:,. ......~:w:... t#."~,'} ~.. t~~~ ~rr.n;d.;~:a (;\0 3.,,";.~I-\ !:::::~ \:~ , I.:.-'"..;'.,c.'/~J ,:,',~::~:..'~t?!: ;;'. E .;t ~55JDY <. ' .~. l> , . ,.'It;:~. :. ,~'~~~':~:!:~'::~')~Zi?::(:-:~'F:): . ,.t'. .;;Z@l~1fi?'m~ ,.It.,,-If',,:;''.'~ "~""o+.: ~t.~ "'i;'('::i:::;:.cf.~[~ .~ .'S~/-,t;: ',~ 4:#t~~ip)'W;:~:' ";"~,;;" \ 1.:.: ,-!-.- ,:;", ~,.....-.,'c:":'?- \ :'-..-, _ ~x: " - :;." ~ "l \" ~. i..t ,,,". ~<I . . ,'.r. -:?f . .~., . ;,' ,":. .. y:~ . .~-'. - ...~. "',-:':: .. ," <"';:''-''".: ." .~",.. .~, .~. ": .. 69/13/2667 67:56 6312984965 PECONIC CESSPOOL PAGE 62 10/ JUSI. VDOSTBK 50 GllOVll ROAD SOO'1'ROLD ~ .-::--"' ~. , \ I , , , , ( ..\ ol: t , \ u.--- ' '+If tt.J, ~ ....---~ /. ' v:;;;:-- ~ ~ t ~11 fA- ~ ~ - 09-13-2007 06:59 50UTHOLD BUILDING DEPT 16317659502 PAGE2 v~ J-fls /Z1 ~ CA~ bJ? ~ . . Ou~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRlJCnON REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON CeA-d~~ ~~ '~ 0 f<- DATE /O-~3- 07 INSPECTOR ~~ 1__