HomeMy WebLinkAboutMcCaffery, Bernard '/,i##
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? • Town Hall, 53095 Main Road
JUDITH T.TERRY ��11_$
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TOWN CLERK ; N x P.O. Box 1179
rrri' Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER "y* Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER : �l � '1►too 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. 1486 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
REPLACE CAVED-IN CESSPOOL WITH NEW TYPE.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner MCCAFFERY, BERNARD
Mailing Address 1 840 PEQUASH AVENUE
City St Zip CUTCHOGUE NY 11935
Property Address 1 850 PEQUASH AVENUE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 11 lot 6.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 5/24/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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O��Of FO4coG,
JUDITH T.TERRY Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
$ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER y* 0-60 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER 6:1 jlig `1a,d� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER —�„„ ,•.'t
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1846 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
REPLACE CAVED-IN CESSPOOL WITH NEW TYPE.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner MCCAFFERY, BERNARD
Mailing Address 1 850 PEQUASH AVENUE
City St Zip CUTCHOGUE NY 11935
Property Address 1 850 PEQUASH AVENUE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 11 lot 6.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 5/24/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
.00 co -
JUDITH T.TERRY �� �� yj Town Hall, 53095 Main Road
TOWN CLERK i y Z P.O. Box 1179
Ili $ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS : O
Fax(516) 765-1823
MARRIAGE OFFICER ` q O�'1��
RECORDS MANAGEMENT OFFICER �•� * i',."' Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK D 1 $ 1 I V 17
TOWN OF SOUTHOLD
TO: Southold Town Building Department MAY 2 11996
FROM: Linda Cooper, Southold Town Clerk's Office p�,�i�'[
DATED: May 21, 1996
"Illi aIIMIDLD I
Transmitted herewith is a copy of application No. A1548 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
PECONIC CESSPOOL FOR BERNARD McCAFFERY
•
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 - 4.7
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Signature /
Date
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OFFICE OF THE TOWN' CLERK ,.,'"""
Town of Southold .0"c VO[koi
Judith T. Terry, Town Clerk ��'s % cV Application No. A"i�y&
Town Hall, 53095 Main Road ;� Construction
P. O. Box 1179 z ` Alteration
Southold, New York 11971 �;
Telephone D,y�O ��O�r4'1 $10.00 - Residential (/
(516) 765-1801 _ 1 r
,. $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 ✓ 1' '"
Y`_
APPLICANT NAME: / f./ '
APPLICANT ADDRESS:
SEPTIC CESSPOOL :."
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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____ ._ �/ � I
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIO
OWNER OF PROPERTY: 4.
OWNER MAILING ADDRESS: k 1°'
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OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /O3 Block /1 Lot �
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
/ _____40,1
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Signature of ,i�'lplicant
RECEIVED BY: �4/%'At //
To j = k's Office
DATE: Vt' �/a7Z
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