HomeMy WebLinkAboutCassidy, William o\\FFoUKG
JUDITH T. TERRY z = IF Town Hall, 53095 Main Road
TOWN CLERK . o T •
t P.O. Box 1179
trI *.$ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS VO �. ��� Fax (516) 765-1823
MARRIAGE OFFICER ' '' �� l" Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER '_"7/1 4
FREEDOM OF INFORMATION OFFICER liill� l
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1234 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
ADDITON OF AN OVERFLOW 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 CASSIDY, WILLIAM AND ELIZABETH
Mailing Address 1 1560 SIGSBEE ROAD
City St Zip MATTITUCK NY 11952
Property Address 1 1560 SIGSBEE ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 144.00 block 1 lot 9.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 10/27/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
iSIJ ,
JUDITH T. TERRY :, Town Hall, 53095 Main Road
TOWN CLERK : v T t P.O. Box 1179
to w Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ‘204
VO �.e��% Fax (516) 765-1823
�
MARRIAGE OFFICER _ //���� O ' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER ' �'+�/J ,�i�
FREEDOM OF INFORMATION OFFICER ��.„..",iii°°
OFFICE OF THE TOWN CLERK WI
TOWN OF SOUTHOLD " '=
TO: Southold Town Building Department I 2_ 4 1994
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: October 21, 1994
Transmitted herewith is a copy of application No. A1279 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for William and Elizabeth Cassidy .
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.
i
�Y_
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - !/ EXCAVATION INSPECTION
DISAPPROVE - REQUIRED
COMMENTS: Maintain required setbacks from adjacent wells, buildings,
property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
off' •
��
4
Signature
iV:9 --"/'‘' Y(
Date
OFFICE OF THE TOWN CLERK ''' -.
Town of Southold X01. COf it r`'
Application No. 1 7
Judith T. Terry, Town Clerk ,O
Czr
Town Hall, 53095 Main Road ; Construction
P. O. Box 1179 ; v r411Southold, New York 11971 to Alterationt.
Telephone "WO
�,0 9 $10.00 - Residential L�
(516) 765-1801 _ 1 I �, �' $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 I012-1h
APPLICANT NAME:
APPLICANT ADDRESS: ,49 L._.
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRU TION OR ALTERATION:
OWNER OF PROPERTY: AP ,�,��,
OWNER MAILING ADDRESS: ISMO . .lL A
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:,'—??i .r
TAX MAP NO. : Section /1/44 Block / Lot 7
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
/(9 -
Signa re o Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
�- 4
cou
. cac
ops
ric' iv Od cpro
. 0......,k70 ,/-
S• h----- Y-0 hl--- P1
.,,\:, (ITT' T-T -k-H7'e-e`rL
V , tAt.
J . ,
, ,,........„______„.......________
..,„., 6,54.-E, ,,...,„,.._
_____ , ....,
�____________
,,
s
V
..., ---t----- N