Loading...
HomeMy WebLinkAboutElliott, Christine /,I,,,,, ,4 ( >C,)FFo��r�D� L JUDITH T. TERRY : ; Town Hall, 53095 Main Road TOWN CLERK : =v T : P.O. Box 1179 cls � Southold, New York 11971 REGISTRAR OF VITAL STATISTICS = ‘04., �. ��� Fax (516) 765-1823 MARRIAGE OFFICER '_ ��O � Fax (516) 765-1801 RECORDS MANAGEMENT OFFICER _ e° 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. 1209 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : ELLIOTT, CHRISTINE Address 1 : 560 LEGION AVENUE City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration ADDITION OF AN OVERFLOW CESSPOOL 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 ELLIOTT, CHRISTINE Mailing Address 1 560 LEGION AVENUE City St Zip MATTITUCK NY 11952 Property Address 1 560 LEGION AVENUE City St Zip MATTITUCK NY 11952 Tax Map No. section 142.00 block 2 lot 10.000 Cross Street PACIFIC STREET Building Permit Number Cross Reference: Issue Date: 9/26/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) • 1 JUDITH T. TERRY :,1 <". Town Hall, 53095 Main Road TOWN CLERK t co T P. O. Box 1179 in � Southold, New York 11971 REGISTRAR OF VITAL STATISTICS = ��' Fax (516) 765-1823 MARRIAGE OFFICER '' 'WO l� Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER =:'_1 �l FREEDOM OF INFORMATION OFFICER „„,,,,/�' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLDL 11 W1 TO: Southold Town Building Department k FROM: Linda Cooper, Southold Town Clerk's Office DATED: September 14, 1994 iBLDG.DEPT. TOWN OF SOUTHOLD Transmitted herewith is a copy of application No. A1254 for an ALTERATION PERMIT for a cesspool or septic system submitted by Christine Elliott (work by Ray Nine) . 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 - t EXCAyAU* INSPECTION DISAPPROVE - UIRED COMMENTS: '” Qro44M yi, ZW-e-4 )'1° .'7 t/�/i✓ i /I✓/`/ / / / de ", .,,,,,.4 z4c,,,,/c ale a SEP 2 3 S gnatur- f 94 tam t9% D e OFFICE OF THE TOWN CLERK ""' Town of Southold Alf QtK Judith T. Terry, Town Clerk C©`! Application No/) r Town Hall, 53095 Main Road Construction P. 0. Box 1179 oirs. Alteration Southold, New York 11971 = t Telephone v&. '�• $10.00 - Residential C_ (516) 765-1801 = l �;,2 $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. • Fee .$ // DATE `/,/ APPLICANT NAME: //1)/,577,eje Z-9/0 717Z — CecThz 4s-e:j APPLICANT ADDRESS: j;Gi /z)/t/ A/E- r Tv('K /C// //ya5— SEPTIC — SEPTIC CESSPOOL X DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /t/tJ xDv /w J2/ kv_fr; 06,e- (46- MP)/ � /J /44c LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OF PROPERTY: �/P/sT�/E G///D L7� OWNER MAILING ADDRESS: /�D X /.300 //n/Q7-rrvck! ivy //1 c OWNER PROPERTY ADDRESS: J lj LFII'/pec/ ,47 - 1-1,477-,ACX ti'Y TELEPHONE NUMBER OF CONTACT PERSON: DAY 797-.3?/ `Amg TAX MAP NO. : Section /1-1/4Z Block 4 a2. Lot CROSS STREET: &/-Ice_. 71ATT/T�i /( BUILDING PERMIT NUMBER CROSS REFERENCE: Signatur of A plicant RECEIVED BY: if C--6-6 Town il- ffice DATE: SEP 1 4 1994 Town Clerk Southold , t' • 01, . v , PROPER T Y ..,,,, ,p -\ AT MA T Tl T UCK 1.., 1 f 4l. .U ' .�, TOWN OF SOUTHOLD * . SUFFOLK COUNTY, N. Y. ia: �4 ''�, §► ,{` — 142 — 02 — 10 ,;, • i, 0 ,, 1000 �� x `' if ,, .. Scale 1" = 30 �� 4-. V , a r L j' i , , 0.,e, ='ks t ;iy June 27, 1988 1110,17 S t,,' 0. ,' a f�;; ,� T N S POOL t8 eoM s,"! °I ° ir,, I' ' r ,;,, tit Z 0 ex(s 4 cE s . , ,,, ,. it ..'1,;-,.‘ ,' ' w:44,01''• C.Rrtt? t�uS '� , � , q ,{; 'e ' ,'L ',ley.) CESSPooI. BE. P' FROM Is' r 1k , c--a .D,-J�fl CtiNtER oc EXIST(A1Fr iN I..oc*r1 DN lip ‘43' / sVJN Ike ' .. + // 3 CERTIFIED ITLE INSURANCE COMPANY A � CHHICAGOO T0 1144ell \ PRUDENTIAL HOME MORTGAGE COMPA'' il• „ell CHRISTINE A. ELLIOTT •1 9/,9 * . i. lie \' s % / 'ii;, L.AND \ rb„„„N. . „ook A /A, 424 \ O.. // 440, op. . ' -.00 .4. \ \‘.‘..\ 9.-1, d”/ 4to S ' ...7)-,.4 " . ' N,I. .i' lc. IVO. 496! cba:(33 , Fifiti6a .'77.4V ..**. I; .c. / ,.....d ‘94, ' ,9661t, 4:j. ' .iio. NEW ;Y" / MA/V - •' .SOUTHOLD,--": 971 Y h71 r• • 88 — 43+ 1