HomeMy WebLinkAboutTuthill, Preston o��FFOL��OGy
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
JUDITH T.TERRY 1 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. 21 N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P.O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
REPLACE EXISTING CESSPOOL WITH NEW TYPE.
APPROVED AS SUBMITTED. BE SURE TO PLACE AS INDICATED ON SUBMITTED
PLANS. NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner TUTHILL, PRESTON W.
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Mailing Address 1 MAIN ROAD
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City St Zip CUTCHOGUE NY 11935
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Property Address 1 MAIN ROAD
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City St Zip CUTCHOGUE NY 11935
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Tax Map No. section 102.00 block 6 lot 3.000
Cross Street NEW SUFFOLK ROAD
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Building Permit Number Cross Reference:
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Issue Date: 12/06/89 Judith T. Terry
-------- Southold Town Clerk
(TOWN SEAL)
BLDG. DEPT. to7
TpWN OF SOUTHOtD ® � Town Hall, 53095 Main Road
�'� Q� P.O. Box 1179
Southold, New York 11971
JUDITH T. TERRY
TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
November 8, 1989
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A581 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Preston W. Tuthill
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 - X-
DISAPPROVE -
COMMENTS: Jo, nSQp C- o.e .cti 1, oil QQ,
,Fisc
Signature
Date
OFFICE OF'THE TOWN CLERK
Town of Southold �� C Application No.
Judith T. Terry, Town Clerk ..�
Town Hall, 53095 Main Road Ln Construction
P. 0. Box 1179 Det Alteration l/
Southold, New York 11971
Telephone Olt �►�� Residential
(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
APPLICANT NAME:
APPLICANT ADDRESS:
r -
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:
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section—/d2,,_Block Lot
CROSS STREET: A
BUILDING PERMIT NUMBER CROSS EFERENCE:
Signature of Appl' ant
RECEIVED BY��„�,r,�
ImPa�TuPbwn Clerk's Office
DATE: Noy U8 , ,
-toM n Clerk WOW
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