HomeMy WebLinkAboutGreenly, Mike ELIZABETH A.NEVILLE is may` t N Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
• V3 Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS .e.
MARRIAGE OFFICER ` Fax 1 Fax (516) 765-1823
�� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER ‘"•1 41
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FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1815 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RAYMOND FEENEY
Address 1 : 1945 WESTPHALIA ROAD
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF CESSPOOL SYSTEM TO AN EXISTING HOME WITH A SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner GREENLY, MIKE
Mailing Address 1
City St Zip 0000
Property Address 1 920 CEDAR BIRCH DRIVE
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 8 lot 26.004
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 2/23/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
00 fP951WF , O
ELIZABETH A.NEVII.LE i°11
Town Hall, 53095 Main Road
y
t
TOWN CLERK p 1 P.O. Box 1179
y = Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • A.1•• ivy�f Fax (516) 765-1823
MARRIAGE OFFICER •
FRRECORDS EEDOM OF INFORMATION OFF CER ��1 '�►aodl', Telephone (516) 765-1800
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: February 17, 1998
Transmitted herewith is a copy of application No. 1889 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Raymond Feeney for Mike Greenly
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.
\ S ignatur
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Date
(II: I(.L Or THE TOWN CI..I:ItK )0114)f(:I) ,i-
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Application N
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)cci1 , T. Terry, fuwi Clerk t �� �
(own Hall, 51095 Mals Road Constructionto Y; :, " ..
I . O. lux 1179 .O AlterationSullculc , New York 11971 O(l Residential.Telephone
(51(i) 765-- 1001 �'�'r!r"�r(f Non Residential
•
TOWN OF SO11-I IIUL_D
S(.)UTIU)I..1) WASTEWATER DISPOSAL DISTRICT
•
APPLICATION
s., ,.1:1,4,1.1,11.11,141.1
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.CONSTUour ION or Al. 1'EItATION PERMIT
SEPTIC (MNK( or (.:FsSI'OOI.
I'(:rmll Nu.
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APPLICANT I'1AME:
AI'I'I.ICAN I. ADDRESS: 5 I[lC60-,041 e
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..._.41 .._. ..f/ ''a. ._. ._... ._._._..._.. ___.._. .......... .. ..__. _ _.
s1:P-I IC CESSPOOL •
1)1 SCR I l'-I' ION Or PROPOSE]) COils-I RUG( ION OR AI_.-I-t ItA-I-ION � �'R"'rl.
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LOCATION MAI': Must he attached hereto before permit cictay he Issued.
• LOCATION OF PROPOSED CONS F izucT IOI'l OR ALTERATION:
OWNER Or PROPERTY : ,
OWNER MAII_1NC ADDRESS:
OWNER PROPIERTY AI)DItI:SS : go7C.?_. ... ,c
l:l_1:I'llONE NUMBER OF CONTACT PERSON :
TAX MAI' NO. : Section 15 I)Iuc:I( Lot C -
CROSS. sTRIF-f : T .....a..2 -- ......._.. .... .
BUILDING PERMIT NUMBER CROSS REFERENCE : 0?1A-310 t
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iinalui e o Call ��_.._..,....._.
RECEIVED 13Y : /1"--/L(--A---1,.(S2_, • .
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f;....wil Clerk's Offic:e..,.. .....
DATIE: 7 ._ ....
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