HomeMy WebLinkAboutBail, Samuel r
W$ Town Hall, 53095 Main Road
�O c. J P.O. Box 1179
JUDITH T.TERRY -.762 ��0►'1•�, Southold,(N 6w7Yor8k 3 1971
TOWN CLERK
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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. 442 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : MAGILL, RICHARD
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF NEW OVERFLOW POOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. NOTE: NOT TO EXCEED 10'0" FROM EXISTING POOL.
Name Of Owner BAIL, SAMUEL
Mailing Address 1 1920 SIGSBEE ROAD
City St Zip MATTITUCK NY 11952
Property Address 1 1920 SIGSBEE ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 144.00 block 1 lot 15.000
Cross Street PECONIC BAY BLVD.
Building Permit Number Cross Reference:
Issue Date: 1/05/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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$ Town Hall, 53095 Main Road
•' P.O. Box 1179
Z4' Jilt 't ,.O ' Southold, New York 11971
JUDITH T. TERRY '����� •'1°°,,I TELEPHONE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLDrq
December 14, 1988
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F pEC 1 41988
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office '
Transmitted herewith is a copy of application No. 4/L/ 9 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Samuel Bail
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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 - >c
DISAPPROVE -
COMMENTS: /Jar T, L,S[_� lO-v7. '
A .I, n
Q.,.ca-
Signature
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Date
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OFFICE` OF THE TOWN CLERK �44C$FU1.A��
Town of Southold G ,
Judith T. Terry, Town Clerk Application No. T
Town Hall, 53095 Main Road g Construction
crl
P. 0. Box 1179 v
Alteration
Southold, New York 11971 ,y� O�,s`,
Telephone 01 �� � Residential
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(516) 765-1801 "' Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE / 2" /i n/
APPLICANT NAME: j (_ k4Ir�i(i�e ,A ,
APPLICANT ADDREI&O, 97z.
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SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: .54-4//, .0-6,_ /'54'1/
OWNER MAILING ADDRESS: / 92...-0 �-�-C� /L4
OWNER PROPERTY ADDRESS: (.S' --•-)
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /W Block / Lot /5-
CROSS STREET: /
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Appli ant
RECEIVED BY:
T�ow`n�CClerk's Office
DATE: DEC 141988
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