HomeMy WebLinkAboutAlder, Rita oo,„
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ELIZABETH A.NEVILLE ti� Vy.04�` Town Hall, 53095 Main Road
TOWN CLERK ti -� P.O. Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • v' **#I Fax (516) 765-1823
MARRIAGE OFFICER # %N..° Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER Ng
FREEDOM OF INFORMATION OFFICER ir Aso
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1810 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner ALDER, RITA
Mailing Address 1 50 TOWN HARBOR ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 50 TOWN HARBOR ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 66.00 block 1 lot 30.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 2/11/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE Gym�` Town Hall, 53095 Main Road
TOWN CLERK p � P.O. Box 1179
Cl) = Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v' �• Fax (516) 765-1823
MARRIAGE OFFICER #* Telephone Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER oi
FREEDOM OF INFORMATION OFFICER '
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: February 9, 1998
Transmitted herewith is a copy of application No. 1884 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Rita Alder
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 this office.
Thank you.
Li da J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
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Date
BLDG.DEPT.
'TOWN OF SOUTHOID
OFFICE OF THE TOWN CLERK
Town of Southold Application No./kW
Judith T. Terry, Town Clerk ,
Town Hail, 53095 Main Road Construction
P. O. Box 1179 Alteration 9
Southold, New York 11971 01,00
Telephone �� ,� $10.00 -Residential
(516) 765-1801 1' $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No!
Fee $/o _dC�
DATE
APPLICANT NAME: 0/74'hre-; 0 -t'
APPLICANT ADDRESS: ' GoP
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SEPTIC CESSPOOL^!
DESCRIPTION OF ROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTS ATION:
OWNER OF PROPERTY: 01 "tag ,9/&-i
OWNER MAILING ADDRESS: rd-LrJ� ,' f%1 ,
s ,
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section ‘ 45.
Block / LotC3
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Jo, //17,01,t,,,-
Signature of Applicant
RECEIVED BY:
giregibtaief Office
DATE:
A 133
town Clerk Soutnoid
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