HomeMy WebLinkAboutBillman, John G=
JUDITH T. TERRY �� er
1 Town Hall, 53095 Main Road
TOWN CLERK Z P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS off
MARRIAGE OFFICER y Fax (516) 765-1823
= ��`O %O/ Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 739 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 AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD 12'0" SEPARATON AND CALL FOR NECESSARY
EXCAVATION INSPECTION.
Name Of Owner BILLMAN, JOHN
Mailing Address 1 10850 MAIN ROAD
City St Zip EAST MARION NY 11939
Property Address 1 10850 MAIN ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 11 lot 6.000
Cross Street BAY AVENUE
Building Permit Number Cross Reference:
Issue Date: 7/26/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY �� iC Town Hall, 53095 MainRoad
TOWN CLERK = i P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS rr' Southold, New York 11971.
MARRIAGE OFFICER Fax (516) 765-1823
- -elle- . 65-1801
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OFFICE OF THE TOWN CLERK JUL 191
TOWN OF SOUTHOLD
July 18, 1991
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No.A 761 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for John Billman
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 - D(
DISAPPROVE - , _ }�
COMMENTS: 4.. _.: 4.h.v4ot 1 nnlot %\ltt n i' ^
VI, -0 visr.t.a4...v. esdi
Signature 444.49=EIVID-
\\ JUl 26 1q
'" Date
fos
Tom SoutlioN
OFFICE OF THE TOWN CLERK "',,""'
Town of Southold .�' ,�Q�\\VULkCe,
,�. G � 76/
Judith T. Terry, Town Clerk � y' Application No.
Town Hall, 53095 Main Road • Z 1; Construction I—
P. 0. Box 1179 ; o m
Southold, New York 11971 ct� Alteration
Telephone �y0 Q ;�, $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 -771I
APPLICANT NAME: ee ,42-tfrir'6
APPLICANT ADDRESS: g0 607 97 2-
SEPTIC CESSPOOL
DESCRIPTIO OF PROPOSED� CONSTRUCTION OR ALTERATION
ate
ED
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST CTION OR ALT RATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRES . rQ,Y5-0 4 ./ i
&( 124- /114 /1-?.‘'
OWNER PROPERTY ADDRESS: - —
TELEPHONE NUMBER OF CONTACT PERSON: d' "- 7-8
TAX MAP NO. : Section 3 / Block If Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Appli nt
RECEIVED BY: LCIS-' G-,
oyvn Clerk's Office
DATE: �' ��
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