HomeMy WebLinkAboutBergmann, Erich 1
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�,,1 Town Hall, 53095 Main Road
.G:#4, 0- P.O./ Box 1179
_ w0/ s itt ��rot Southold, New York 11971
JUDITH T.TERRY '�--,..,,,,,,,A'ool FAX 765-1823
TELEPHONE(516)765-1801
TOWN CLERK
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. 441 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
ADDITIONAL CESSPOOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED.
Name Of Owner BERGMANN, ERICH
Mailing Address 1 P. O. BOX 311
NORTH ROAD
City St Zip PECONIC NY 11958
Property Address 1 NORTH ROAD
City St Zip PECONIC NY 11958
Tax Map No. section 84.00 block 2 lot 42.000
Cross Street BRIDGE ROAD
Building Permit Number Cross Reference:
Issue Date: 1/05/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
t.
0 .% Town Hall, 53095 Main Road
;y.�►o1 ��%.., P.O. Box 1179
0 Southold, New York 11971
JUDITH T. TERRY '"','.����/ TELEPHONE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS (516)765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD ( -, , ,I N, f ! ,!M
December 14, 1988 1 f '`
KC 1 41968 ! ?:i
To: Victor Lessard, Southold Town Building Department
S:?;`7PUL .-.
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. 448 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Erich Bergmann
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.
4•--x-e"
Linda J. Cooper
* * * * * * * * * * *
* *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X
DISAPPROVE -
COMMENTS: .A- t-;1U- n,. .c....Nkt.
cal.& YIN Sk-dc.0%
\1(04-0.4., c ...4...i_...). .t..t. GO—
Signature
Date
•
OFFICE OF THE TOWN CLERKcOFU(,(�
Town of Southold 0�� COG ' C� Cf
Judith T. Terry, Town Clerk Application No.
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 O •`J Alteration
Telephone 640 Art ��0 ��, Residential v
(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 fA/V
APPLICANT NAME: I1/?4,
APPLICANT ADDRESS: " . /�-t
SEPTIC CESSPOOL G/
DESCRIP OF PROPOSED CONSTRUCTION OR ALTERATION
l ig „ Z,// . „„, Air-Le 41 — =
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: � � /5§74y/PM-/(//11
OWNER MAILING ADDRESS: 4.473
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OWNER PROPERTY ADDRESS: 54- �r
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section Pi4. Block _„2.- Lot 4 Z-
CROSS STREET: /34 yq"9 - 41
BUILDING PERMIT NUMBER CROSS REFERENCE:_.
At4
Signature of Applican
RECEIVED Bysimpanuen
Koiourdwn Clerk's Office
DATE: DFC1it1988
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