HomeMy WebLinkAboutKrueger, Robert Town Hall, 53095 Main Road
‘‘V4.4, ��♦ P.O. Box 1179
� Southold, New York 11971
41.
JUDITH T.TERRY 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. 541 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 NEW OVERFLOW POOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED.
NOTE: HOLD TO MAXIMUM OF 12' 0" BETWEEN POOLS. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner KRUEGER, ROBERT
Mailing Address 1 OAK STREET
REYDON SHORES
City St Zip SOUTHOLD NY 11971
Property Address 1 OAK STREET
City St Zip SOUTHOLD NY 11971
Tax Map No. section 80.00 block 1 lot 49.000
Cross Street WEST SHORE DRIVE
Building Permit Number Cross Reference:
Issue Date: 8/29/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
l,J .K I���•,•�„
BLDG.DEPT. • ��� Town Hall, 53095 Main Road
TOWN OF SOUTHOLD O 1
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��'�• P.O. Box 1179
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•d' Southold, New York 11971
JUDITH T. TERRY 1.4.0.0,04
TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
August 25, 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. A555 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Robert Krueger .
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 - D(
DISAPPROVE -
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OFFICE OF THE TOWN CLERK OCjVFFOUreD
Town of Southold Q� Application No.555
Judith T. Terry, Town Clerk ..�
Town Hall, 53095 Main RoadConstruction
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone * � Residential C/
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME:
APPLICANT ADDRESS: Ae9 4 /)/ 97
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: 765--/05/
OWNER OF PROPERTY: /10421,,P*fra--1,..r„.
OWNER MAILING ADDRESS: EeK- Se-
,
44"
OWNER PROPERTY ADDRESS: '' Y /7" .7r
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section re Block / Lot sty
CROSS STREET: f(/` , S/ i(,
BUILDING PERMIT NUMBER CROSS REFERENCE:
Z % t.40/ /Z.j/(1/
Signature of App ecant
RECEIVED BY:
Town Clerk's Office
DATE:
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