HomeMy WebLinkAboutKerwin, Joseph "F"-----
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JUDITH T.TERRY e yt Town Hall, 53095 Main Road
TOWN CLERK ; y Z P.O. Box 1179
vi Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �Oy �4?/�� Fax(516) 765-1823
MARRIAGE OFFICER '4, ,' Fax
(516) 765 1800
RECORDS MANAGEMENT OFFICER 1 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. 1528 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS
BUILDINGS, AND PROPERTY LINES. EXCAVATION INSPECTION REQUIRED.
Name Of Owner KERWIN, JOSEPH
Mailing Address 1 BOX 4955
City St Zip CUTCHOGUE NY 11935
Property Address 1 PINE TREE ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 138.00 block 2 lot 2.003
Cross Street SKUNK LANE
Building Permit Number Cross Reference:
Issue Date: 8/21/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
if, OFF04
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JUDITH T.TERRY ����� 4 Town Hall, 53095 Main Road
TOWN CLERK 4
y = P.O. Box 1179
t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G
MARRIAGE OFFICER �y;# W. or Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER : OlJggTelephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER �••„ ,0's°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: 8/16/96 C'
Transmitted herewith is a copy of application No. 1594 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
,Morris for Joe Kerwin
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.
Signature
Dai ��
OFFICE OF THE TOWN CLERK ,'''�
Town of Southold •••'O�j� �l Application No/ 7
7.
Judith T. Terry, Town Clerk 1 �_1
Town Hall, 53095 Main Road Z !� ; Construction
P. O. Box 1179 c=saZ
Southold, New York 11971 Ira r,•' Alteration
$10.00 - Residential
Telephone ' �� s '0'1''
(516) 765-18011 ��' $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 .41 /L / 16
APPLICANT NAME: A
APPLICANT ADDRESS: �27‘(!)
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS:
jv
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: in� ����
TAX MAP NO. : Section /i7,F- Block 2 Lot 2. 3
CROSS STREET :
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
4- )
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