HomeMy WebLinkAboutBrady, Tom ,,,OFFOLA,v0 -
���� Gt
JUDITH T.TERRY ; C c Town Hall,53095 Main Road
TOWN CLERK H Z P.O.Box 1179
41
REGISTRAR OF VITAL STATISTICS
Southold,New York 11971Fax(516)765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER �.( `1►a0080° Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1296 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW 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 BRADY, TOM
Mailing Address 1 OAK DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 OAK DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 80.00 block 1 lot 35.000
Cross Street REYDON DRIVE
Building Permit Number Cross Reference:
Issue Date: 3/03/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
IP '‘
62
� , /c)
le- StrFOUle %'
,lam i
JUDITH T.TERRY TownC Hall,53095 Main Road
TOWN CLERK y x •; P.O.Box 1179
111 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 1 Fax(516)765-1823
MARRIAGE OFFICER t.*6 01 11/
x
RECORDS MANAGEMENT OFFICER : .( ��/1� Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER "--.•,,,. ••ig T W
;)
IF II
ff
OFFICE OF THE TOWN CLERK )68) 2 4 1105 - ,
TOWN OF SOUTHOLD -
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
• TOWN OF SOUTHOW
DATED: February 24, 1995
Transmitted herewith is a copy of application No. A1343 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool Service for Tom Brady •
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 followingllrecommendation:
L
APPROVE - /
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
. . /�
Signa ure
5/2/93—
Date
OFFICE OF THE TOWN CLERK
Town of Southold ,�'��OFUIkt' -
Judith T. Terry, Town Clerk ;%` • �l/* Application No./ `713
Town Hall, 53095 Main Road Z < - Construction
ii t.
-
P. O. Box 1179
1 z-e.2-
Southold, New York 11971 IP Zc Alteration
,`
Telephone
‘-' 64.j.
, ���•:� $10.00 - Residential
(516) 765-1801
��,� '� $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 d ' ,9�,�
APPLICANT NAME: //06e,f ,6.y,,,,,-e
__„4,,,„
APPLICANT ADDRESS: 2 ' o cf'
SEPTIC CESSPOOt/
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: i c-y,z, igoe-"" /
OWNER MAILING ADDRESS: C- ,,C
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: ..‘ -.3�•
TAX MAP NO. : Section (6 Block / Lot , ,c
CROSS STREET: ,e7-40-o,
BUILDING PERMIT NUMBER CROSS REFERENCE:
%'' /14. -7-1-1-s-
'-7,Aignature of Applicant
RECEIVED BY: 4
Tow/17.,4erk's Office
DATE: "�
4
•
r�
s