HomeMy WebLinkAboutCorlett, Walter t ;;;;i/iii,ia.
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• cn Town Hall, 53095 Main Road
yQ'4O �4-���� P.O. Box 1179
1 ��II. Southold, New York 11971
JUDITH T.TERRY ---.,,r,�'� FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 638 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECON I C CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF TWO NEW POOLS TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED PRIOR TO
COVERING.
Name Of Owner CORLETT, WALTER
Mailing Address 1 84-35 KINDRICH PLACE
City St Zip JAMAICA ESTATES NY 11422
Property Address 1 815 HARBORVIEW AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 99.00 block 3 lot 17.001
Cross Street BAILY BEACH ROAD
Building Permit Number Cross Reference:
Issue Date: 9/10/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
aECE1VED �?V ji ' OL ///
tt' 0'1 1990 r , ,IN ;c
-� '�� Town Hall, 53095 Main Road
von CIO .y .% ..� P.O. Box 1 179
%:(// .'• t i� i.° Southold, New York 11971
JUDITH T. TERRY �"PM i I�� TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
ISr--74.-
E OW E,
August 27, 1990
It°
s\ic
AUG 2 1990
To: Southold Town Code Enforcement Officer
BLD
From: Linda J. Cooper, Southold Town Clerk's Office TOWN OF , .v. ;F'CA i'l
Transmitted herewith is a copy of application No. A653 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Walter Corlett
•
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. -
"K4'6. Et C'"0J
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - bC
DISAPPROVE -
COMMENTS: pl�o, y,,t,o1. .c I O co.i-a,cJO4s d_-- .Q.iGa.l cl i .
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Signature
1 Liigo
Date
OFFICE bF THE TOWN CLERK ' cjVFMire"
Town of Southold
Judith T. Terry, Town Clerk A4 I Application No. cO S3
Town Hall, 53095 Main Road g Construction
P. O. Box 1179 `
Southold, 'k
New York 11971 ,y �•�J Alteration
Telephone ?I lit O, Residential �--
(516) 765-1801
Non-Residential
TOWN OF •SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ l�
c1
DATE '/ Z-.
APPLICANT NAME:
APPLICANT ADDRESS: .1? , /'7 97
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:
OWNER OF PROPERTY: /1 ' 1
OWNER MAILING ADDRESS: $#— ,.3s -
f. AA-P, //y Z L
OWNER PROPERTY ADDRESS: c9/S
, 4/ fes,
TELEPHONE NUMBER OF CONTACT PERSON: Zjr�- 9'6
TAX MAP NO. : Section 7 Block 3 Op Lot -,t7
CROSS STREET: /
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Appl• ant
RECEIVED BY
ow C er 's Office
DATE: AUG 2 7 1990
Town Clerk Southold
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