HomeMy WebLinkAboutMullholland, John O� S�FFO(,�Co
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JUDITH T.TERRY �$�,,_�
y1 Town Hall, 53095 Main Road
TOWN CLERK ; y Z P.O. Box 1179
rn � Southold,New York 11971
REGISTRAR OF VITAL STATISTICS `may O
MARRIAGE OFFICER l���� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER -_ l '�� ��� Telephone (516) 765-1800
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. 1493 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 TWO OVERFLOWS 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 MULLHOLLAND, JOHN
Mailing Address 1 725 ISLAND VIEW LANE
City St Zip GREENPORT NY 11944
Property Address 1 725 ISLAND VIEW LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 57.00 block 2 lot 24.000
Cross Street BAY SHORE ROAD
Building Permit Number Cross Reference:
Issue Date: 6/21/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY �0 y< Town Hall, 53095 Main Road
TOWN CLERK ; y = P.O. Box 1179
f � Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ,�� Fax (516) 765-1823
MARRIAGE OFFICER 1f� ������ Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER 1 1 [ �`
FREEDOM OF INFORMATION OFFICER ���„ ,•��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: June 21, 1996
Transmitted herewith is a copy of application No. 1563 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for John Mullholland •
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.
Signatur
Date
4
'OFFICE OF THE TOWN CLERK ,,,,,,
Town of Southold ,,''��Of[itkpd;, cc:4c_ Application Nd.
Judith T. Terry, Town Clerk ;'
Town Hall, 53095 Main Road Construction
P. O. Box 1179
: 1=0
Southold, New York 11971 cn Alteration d�
��
Telephone '--W0 �1P �
$10.00 - Residential
(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 (3474- 1-4- 27 /<Q
YC
APPLICANT NAME: RD RRi.S 7--Y
APPLICANT ADDRESS: 2Pc d
/4P7/
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:4
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: 72)- 75-4-Ai ire. ) !tet
- /(/)/'
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 57 Block 2 Lot 2
CROSS STREET: �/7 �/ rLe A
r)
BUILDING PERMIT NUMBER CROSS REFERENCE:
Al i�syc
ignature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:_ 6, - 02.y-
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