HomeMy WebLinkAboutMarriner, Philip 04114
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i I Town Hall, 53095 Main Road
�� y0� P.O. Box 1 179
/���� "v1 •��0 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
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1591 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
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 ADJACENT WELLS
BUILDINGS, PROPERTY LINES, AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner MARRINER, PHILIP AND JEANNE
Mailing Address 1 P. O. BOX 449
City St Zip MATTITUCK NY 11952
Property Address 1 320 SAILORS NEEDLE ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 144.00 block 5 lot 28.000
Cross Street SAILOR LANE
Building Permit Number Cross Reference:
Issue Date: 1/16/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
��o��OFFO(,�60
JUDITH T.TERRY �I � *14 Town Hall, 53095 Main Road
TOWN CLERK ` y Z P.O. Box 1179
v► T ,i Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 't. �4" Fax(516) 765-1823
MARRIAGE OFFICER � �f� a0,��1 Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER l �►
FREEDOM OF INFORMATION OFFICER , •�6_i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: January 14, 1997
Transmitted herewith is a copy of application No. A1660 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Philip & Jeanne Marriner
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.
RECEIVED
199. Linda J. Cooper
JAN 15
3 45 tot * * * *
Southold TQv ren Clerk
ave 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.
Signatur-
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Dat-
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OFFICE OF THE TOWN CLERK ,,,'"',,• •
Town of Southold se's, vFFW.ire /�,66
Q Application No.
Judith T. Terry, Town Clerk ts � 44". t�
Town Hall, 53095 Main Road ;� ' ,;` Construction
P. O. Box 1179 ;
Southold, New York 11971 rn Alteration
‘y0�'1
%r : $10.00$10.00 - Residential
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Tele hone _ '.
(516) 765-1801 = , ' $25.00 - Non-Residential 6/
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE • 'tel: I LI, �_1 C �
i
APPLICANT NAME: Ae"-Z-c7-11----6-'" �JQ - s .---7-7 i.--f
APPLICANT ADDRESS: ,%' & / 7
--17 CT S
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
adie.:- .4-zic2<--, C7-1-t- -t -6--z-,.; i--e`
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION 0 ALTERATION:
OWNER OF PROPERTY: g) Atet fj/L,l}l2.
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OWNER MAILING ADDRESS: / y 54
OWNER PROPERTY ADDRESS: s�Jd .SG -41.." / 4eE2- .% (-J .5 e
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TELEPHONE NUMBER OF CONTACT PERSON: dic ' 9G, ST"
TAX MAP NO. : Section . / 1 Block S Lot 09-7C'R9r€S STREET: 5D-4-1.--(6
At..."..--%*
BUILDING PERMIT NUMBER CROSS REFERENCE:
C/4- 4/‘---
Signature of Appli nt
RECEIVED BY :
Town Clerk's Office
DATE:
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