HomeMy WebLinkAboutHiggins, Mary ��i iii
o�•��S11FFOL4.
Off, G.
JUDITH T.TERRY u=� 'fJ►�• Town Hall, 53095 Main Road
TOWN CLERK :.c
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS O �1
Southold, New York 11971
# 1.._ Fax(516) 765-1823
MARRIAGE OFFICER � � O /
RECORDS MANAGEMENT OFFICER .� +000 0 Telephone(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. 1680 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 ADJACENT WELLS
BUILDINGS, PROPERTY LINES, AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner HIGGINS, MAUREEN
Mailing Address 1 1500 BAYSHORE ROAD
City St Zip CREENPORT NY 11944
Property Address 1 1500 BAYSHORE ROAD
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block 4 lot 32.001
Cross Street
Building Permit Number Cross Reference:
Issue Date: 6/04/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
- 1
c,51F0Ur ` ��, g6
•
iO �J► 1�
Town Hall, 53095 Main Road
I� ve Off- i P.O. Box 1179
'4% (11 `��_ t 1 i,_'a-' Southold, New York 11971
JUDITH T.TERRY �•�������— TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD .,
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
;)A :
Transmitted herewith is a copy of application No. 1 746 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Maureen Higgins
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 followi g recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
2C J
Signa u e
41 1 1
Date
OFFICE OF THE TOWN CLERK ,,,'"" .
f-' Town of Southold "C.0D1.kCO Application No. 7V°
l Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road i iG = Construction
P. O. Box 1179 Alteration //----
Southold,
New York 11971
Telephone 0,� 'aQ���' $10.00 - Residential
(516) 765-1801 y�.�
�'' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /7,7 / 7 :Y?
APPLICANT NAME: /%/e/e�
APPLICANT ADDRESS: , ‘,0 /7/9f Cof( rip
_6 /41 4/
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
• , 0
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /4G ; ,,'
OWNER MAILING ADDRESS: 4 ' 3 -49:X /
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 7‘f- ,��`� 3
TAX MAP NO. : Section ) 3 Block / Lot cJ /
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
< 1i / ZO1i �
I ,ignature of Applicant
RECEIVED BY:
v o kL 's Office
v (
DATE: �7
/ i �/
D 0
V Q
1,02
/ -II
/64)
7.1-10,-P-C ?itiec