HomeMy WebLinkAboutKorda, Phil ..ivf our
c * Town Hall, 53095 Main Road
P.O.P.O. Box 1179
= �1 $ ,,°' Southold, New York 11971
JUDITH T.TERRY �.,,iiii� 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. 555 R Residential X Non-Residential
Fee $ 10.00 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 TO TYPE OF CESSPOOL.
APPROVED AS SUBMITTED. NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner KORDA, PHIL
Mailing Address 1 44 PAUL AVENUE
City St Zip NEW HYDE PARK NY 0000
Property Address 1 4295 PECONIC BAY BOULEVARD
City St Zip LAUREL NY 11948
Tax Map No. section 128.00 block 3 lot 16.000
Cross Street DELAMR DRIVE
Building Permit Number Cross Reference:
Issue Date: 10/17/89 Judith T. Terr
Sou SEAL jerk
,•��0I//n iii I \
t. :fSTJ:;?: BOxinR0
179
_( NN 0 Southold, New York 11971
JUDITH T. TERRY �'�������1°/ TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 10, 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. A569 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Phil Korda
Please rev' the application and location map and advise if this office may
issue the mit.
Please plete the form below and return it to this office.
Tha
41* -
.4.Q. Linda J. Cooper
A.46 * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - y
DISAPPROVE -
COMMENTS: Qs � caitR,c Ac C—g
09:.4., C1-4.02--
Signature
) e::\1)\.2 Q‘
Date
OFFICE OF THE TOWN CLERKSUFFOCIA'
Town of Southold
0�� CSG y -/c/7,(-1
y. : Application No.
Judith T. Terry, Town Clerk .�
Town Hall, 53095 Main Road ; Construction
P. O. Box 1179 ��� Alteration L�
Southold, New York 11971 u
Telephone *.or * ��O �� Residential v
(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 /10404 �J
APPLICANT NAME: 42,-72-e--e.
APPLICANT ADDRESS:
SEPTIC CESSPOOL
DESCRI :�/ ` • OF PROPOSED CONSTRUCTION OR ALTERATION
/ / r
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST cTIO R ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: 1c /C4,-uie
`t"e.� / � 35 -763
OWNER PROPERTY ADDRESS: ," ‘4 95'
TELEPHONE NUMBER OF CONTACT PERSON: i-, 5,1(
TAX MAP NO. : Section /..) K Block 3 Lot / $
CROSS STREET: � .� J, ,
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of App ant
RECEIVED BY:
Town Clerk's Office
DATE:
4
jj.L_A_Vt
♦ ( r;
/9M../7)7Uri,_, /22-y--7 13‘4.-1(
vj
3