HomeMy WebLinkAboutCalligan, Fred /0 SUFFOL, 0
ELIZABETH A.NEVILLE .03• Town Hall, 53095 Main Road
TOWN CLERK ; p - P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER :` 1i�l0.1 Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER : '01 �� �
FREEDOM OF INFORMATION OFFICER ��
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1877 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
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 CALLIGAN, FRED AND ANN
Mailing Address 1 PARK AVENUE
City St Zip MATTITUCK NY 11952
Property Address 1 PARK AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 123.00 block 8 lot 28.004
Cross Street BUNGALOW AVENUE
Building Permit Number Cross Reference:
Issue Date: 6/03/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ,�� , c�°y�►
� Town Hall, 53095 Main Road
TOWN CLERK p _-� t P.O. Box 1179
Cl) Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • Fax�'�1 Fax (516) 765-1823
MARRIAGE OFFICER � yo ') Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
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: June 1 , 1998
Transmitted herewith is a copy of application No. 1951 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Fred & Ann Calligan
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.
Linda 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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Signatu
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Date
OFFICE OF THE TOWN .CLERK , , ',,,
Town of Southold �,�0VOtk
CQG Application No. �?-
Judith T. Terry, Town Clerk �` � ;`
Town
Hall, 53095 Main Road ; Construction
P. O. Box 1179 ' 1:t="1 Alteration —
Southold, New York 11971 -
Tele hone =y0,� �� �i' $10.00 - Residential____
p
(516) 765-1801 ' 2i * $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 $
DATE
APPLICANT NAME:
APPLICANT ADDRESS:
SEPTIC CESSPOOL,/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/1,001/ ,
__._----------------
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY :
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:`__ 3
TAX MAP NO. : Section 2.. Block Lot „1-f,
CSL S S STREET : /4. .-_
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Signature of App cant
RECEIVED BY :
RIVrk's Office
DATE:
M AY 2, 1998
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