HomeMy WebLinkAboutDanowski, Edward oi F044
ELIZABETH A.NEVILLE �`1O Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS %%%°4 '�� Fax (516) 765-1823
MARRIAGE OFFICER y �1
RECORDS MANAGEMENT OFFICER : �� � �1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER i���
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 81 N Residential Non-Residential X
Fee $ 25.00 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 DANOWSKI, EDWARD
Mailing Address 1 P. O. BOX 1118
City St Zip MATTITUCK NY 11952
Property Address 1 400 DEER PATH
City St Zip SOUTHOLD NY 11971
Tax Map No. section 61 .00 block 4 lot 22.000
Cross Street YOUNGS AVENUE
Building Permit Number Cross Reference:
Issue Date: 7/21/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
. O
ELIZABETH A.NEVILLE It i ' *1
Town Hall, 53095 Main Road
TOWN CLERK
,-� P.O. Box 1179
2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; Fax (516) 765-1823
MARRIAGE OFFICER ' 4 4 �f° Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER "' f4' ilig 0 1.
FREEDOM OF INFORMATION OFFICER �i
OFFICE OF THE TOWN CLERK
[)
TOWN OF SOUTHOLD U
1;tl 7 Km
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office I
F+_�c; `rnT.
DATED: July 6, 1998 TQV" . ' _ i-;n`P._..._
Transmitted herewith is a copy of application No. NR1973 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Edward Danowski
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.
- cK.�tv
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the followinglorecommendation:
APPROVE - ✓
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
gnatuti
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Date
OFFICE Of THE TOWN •CLERK ,i"
Town of Southold Application No.��
Judith T. Terry, Town Clerk ,�� �y�;
Town Hall, 53095 Main Road ;� = Construction-
P. O. Box 1179 : co .n ; Alteration
Southold, New York 11971 $ ----------
Tele hone =2%/• �0V/ $10.00 - Residen p
(516) 765-1801 =�J �; ' $25. i : - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /99 '
APPLICANT NAME:Ye � �, . / '
/� 6,-)z /
APPLICANT ADDRESS: (/��
SEPTIC CESSPOOL v
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
er-2)-V61-v,- geed/1)-1'
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONS ,UhUCTION OR AL ERATION:
OWNER OF PROPERTY: !/ i' • , 51 1 k`"� �ci" C3i, 7
OWNER MAILING ADDRESS: 44Y zleatp- A
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON :
TAX MAP NO. : Section 4417-• `Block Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Ap nt
RECEIVED BY :
RAVED erk's Office
DATE: --- — _--
JUL 1998
Southold Town Clerk
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