HomeMy WebLinkAboutHaf, Arthur /_ow•ice
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JUDITH T.TERRY ',I�� Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
v' Prt Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Oy �����, Fax(516) 765-1823
MARRIAGE OFFICER �f `IP
•\./MANAGEMENT OFFICER : 49l �a�dTelephone(516) 765-1800
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. 1755 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 HAF, ARTHUR
Mailing Address 1 144 BROWN STREET
City St Zip MINEOLA NY 11501
Property Address 1 1020 STROHSON ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 10 lot 25.000
Cross Street BALDWIN ROAD
Building Permit Number Cross Reference:
Issue Date: 10/24/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
/ 753
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JUDITH T.TERRY ��•_� '1L�`� Town Hall, 53095 Main Road
TOWN CLERK % y Z P.O. Box 1179
% „� Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER \.t 11
RECORDS MANAGEMENT OFFICER =%o.( 4 'Oa” Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER - �s,g, ; j i IJjIl� '
Allt
OFFICE OF THE TO i► t L ; ioo,:,r , u
TOWN OF SOUT 1• I 'J
TO: Southold Town Building Departm ,.-----
FROM: Linda Cooper, Southold Town CI- - i �t�.....
DATED: October 22, 1997
Transmitted herewith is a copy of application No. 1829 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Arthur Haf .
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 followin recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
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Date
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OFFICE OF THE TOWN CLERK ,.,'',,,,,,,,,''--
Town of Southold ;,'o�� FFO[KCp Application No. oj?
Judith T. Terry, Town Clerk ,` �
Town Hall, 53095 Main Road < • Construction L----
P.
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P. O. Box 1179 ,� M,: Alteration _
Southold, New York 11971 ----- -4,-,,----
‘:...1364,
`+Q �: $10.00 - Residential_ _.
Telephone ---..:490 �,'
(516) 765-1801
�,a
' $25.00 - Non--Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ .
DATE /aj 2 17__-__-- -- - - ---- -
APPLICANT NAME:
L
eir-,_72-Ar_z, _ ___ _ . _ _ _ __ _.
APPLICANT ADDRESS: 72-
A� ^9_ -__ -__------------_.-
SEPTIC CESSPOOL v
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
_-- - ---
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION/ ,,r�OR ALTERATION :
OWNER OF PROPERTY : Grit;LGA- #00/ /Mr
OWNER MAILING ADDRESS:_/if_ _ S'r ---- ----____ -__.
OWNER PROPERTY ADDRESS: /O 20 ,,,�,7%;: __ -ze_-_
TELEPHONE NUMBER OF CONTACT PERSON: C5-,(9- Y6SE
TAX MAP NO. : Section / 0 �j Block / L2 Lot �-S—
CROSS STREET :
BUILDING PERMIT NUMBER CROSS REFERENCE :
kie #loc/atie ,,
Si nature of A icant
RECEIVED BYA' - / AV, -V/
Tow CT- k's Office
DATE:___ /4_4107 _ ____________
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