HomeMy WebLinkAboutDiCandis, Frank JUDITH T. TERRY '"
ERRY :,, ` ; Town Hall, 53095 Main Road
TOWN CLERK : p rZ P.O. Box 1179
vs r �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = 0 ''� Fax (516) 765-1823
MARRIAGE OFFICER 'AGEMENT OFFICER _.,'/�„11 ��� si Telephone (516) 765-1801
RECOFREEDOM OS FINFORMAT ON OFFICER -- '"„///'i''I/,,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1160 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 OVERFLOW CESSPOOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS
BUILDINGS, PROPERTY LINES, AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner DICANDIS
Mailing Address 1 P. O. BOX 613
City St Zip LARUEL NY 11948
Property Address 1 275 DOGWOOD LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 5 lot 26.000
Cross Street KENNYS ROAD
Building Permit Number Cross Reference:
Issue Date: 7/07/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY ; Town Hall, 53095 Main Road
TOWN CLERK Z =v T P.O. Box 1179
w Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; y Fax
MARRIAGE OFFICER ` t �� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER =7 1 0�t� Fax
(516) 765-1801
FREEDOM OF INFORMATION OFFICER =�,...roil,,,,,°'
OFFICE OF THE TOWN CLERK �
TOWN OF SOUTHOLD O E f U'n 15 ,
TO: Southold Town Building Department JUN2 9 `- s} U
14
FROM: Linda Cooper, Southold Town Clerk's Office
"`I "t"PT
DATED: June 28,
1994 TOWN O� SOUTHOLD
Transmitted herewith is a copy of application No. 1204 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Frank DiCandis .
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 - -A�
DISAPPROVE - , : 1 , :l
COMMENTS: / �. .i___„, �. j _ .�_ d/ _ %��
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Signature
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Date
OFFICE OF THE TOWN CLERK ,,,'",,,,,,'--
Town of Southold .'' �C.��FF���`'
Judith T. 'Terry, Town Clerk � � l/y Application No. 1 c:90
Town Hall, 53095 Main Road Z L ; Construction L�
P. O. Box 1179
Southold, New York 11971 ; Alteration
Telephone $10.00 - Residential (/
(516) 765-1801 ���.1 *��, $25.00 -Non-Residential
• - .
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 414/‘
DATE
APPLICANT NAME:
/..e.60/70;
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APPLICANT ADDRESS: /el /39e i-y 72—
SEPTIC
ZSEPTIC CESSPOOL L-
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 ALTERATIO :
OWNER OF PROPERTY: , 44 /
OWNER MAILING ADDRESS: /0 "29( 6/5
44 T ilic'r
OWNER PROPERTY ADDRESS: „I-2r s '�
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section , j y Block � Lot a7
CROSS STREET: ,r �.�
BUILDING PERMIT NUMBER CROSS REF(RENCE:
Signature of • pplican
RECEIVED BY: ? / 0,40- //
T. n erk'- Office
DATE: `„Z�/
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