HomeMy WebLinkAboutMcGinness, Robert 430 OUre`s
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i Town Hall, 53095 Main Road
;0 P.O. Box 1 179
1Diliv & Southold, New York 11971
JUDITH T.TERRY 111�.,`1 -' TELEPHONE
TOWN CLERK ����� (516) 765-1801
REGISTRAR Of VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1588 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : STANLEY SKREZEC
Address 1 : 50 GULL POND LANE
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
REPLACE ANTIQUATED SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS
BUILDINGS, PROPERTY LINES, AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner MCGINNESS, ROBERT AND DARLENE
Mailing Address 1 405 WASHINGTON AVENUE
City St Zip GREENPORT NY 11944
Property Address 1 25160 MAIN ROAD
City St Zip ORIENT NY 11957
Tax Map No. section 18.00 block 6 lot 12.000
Cross Street PLATT ROAD
Building Permit Number Cross Reference:
Issue Date: 12/26/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY D ZigZ 1` Town Hall, 53095 Main Road
TOWN CLERK fi y P.O. Box 1179
' � Southold, New York 11971 •
REGISTRAR OF VITAL STATISTICS ;Oy ��,�� Fax(516) 765-1823
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RECORDS MANAGEMENT OFFICER :
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OFFICER �f0 .ate.° Telephone(516) 765-1800
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FREEDOM OF INFORMATION OFFICER es°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: December 20, 1996
Transmitted herewith is a copy of application No. 1656 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Stanley Skrezec for Robert and Darlene McGinness .
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.
�7�a
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.
RECEIVED
Signature
DEC 2 61998
Date
Town Clerk
OFFICE OF THE TOWN CLERK ,'�' "-
Town of Southold ��'�� �FF���(t' S
Judith T. Terry, Town Clerk Ol/� Application No. /(to '
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 sct� rn�� Alteration
Telephone Qi $10.00 - Residential
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(516) 765-1801 1 �, �' $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 f Z 20 I 61
APPLICANT NAME: (cR-ezcc
APPLICANT ADDRESS: SC) acv Lew
Grwepra-T- )( tlVy
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION � �.
C€ 476 CI 1f ;ti /1t,pc v-14-1 i k RP' 411,1I 7L
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: (otat A- I)412J.pvM C 6 t wive cs
OWNER MAILING ADDRESS: 40 S L014 04CrTacv
e•e obi , V. I
OWNER PROPERTY ADDRESS: 45---76,0 / Jr\' fjy, /LI ev,if
TELEPHONE NUMBER OF CONTACT PERSON: .L---11R — j 2 2_
TAX MAP NO. : Section /1- Block Lot 7' --
CROSS STREET: PL.AT- p-c_
BUILDING PERMIT NUMBER CROSS REFERENCE:
\O--"
ig1:t t e of Applicant
RECEIVED B Y: RECEIVED
Town Clerk's Office
DATE: DEC 2 61996
Southold Town Clerk
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