HomeMy WebLinkAboutLevin, Donna OFFICE OF THE TOWN CLERK c)1FOLA-t
Town of Southold G
Judith T. Terry, Town Clerk 4% .
Town Hall, 53095 Main Road 'mac
P. O. Box 1179 .1f)
Southold, New York 11971 O •
Telephone alt 0, 0
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. A311 Residential x
Non-Residential
Fee $ 10.00
Septic Cesspool x
PERMIT ISSUED TO:
NAME: Peconic Cesspool
ADDRESS: P.O. Box 972
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
Addition of new overflow cesspool to existing system.
APPROVED as submitted.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Donna D. Levin
OWNER MAILING ADDRESS: Soundview Avenue
Southold, New York 11971
OWNER PROPERTY ADDRESS: Soundview Avenue
Southold, New York 11971
TAX MAP NO. : Section 135 Block 1 Lot 7
CROSS STREET: Clark Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Southold Town LeCrk
DATE: March 17, 1988
(TOWN SEAL)
..
t) 311
. D .'('' -:i ii "'vs's-.r\
• cp-FOL `, -
;r, 16 044��� oke
BLDG. D='T. % r rF577 ‘LD t ` '"'"' `''r'''-'' Town Hall, 53095 Main Road
,;..V,'• ' \-$0 P.O. Box 1179
.�( �' jib�t. 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
March 15, 1988
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A315 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Richard Magill for Donna D. Levin .
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: 0.... t..ti.44.ccac a A.,, a,2a4 1 _
\Ce7C...%40 C:261/41
Signature
3� ) •,\,ti
Date
.
,,,,I
OFFICE OF THE TOWN CLERKS�FFU(,rC
Town of Southold . O�► Application No.l9 3/3
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ` Construction
P. O. Box 1179 Alteration
Southold, New York 11971 Or
Tele hone *0l * •' Residential
Telephone
(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 � /s! _ r
APPLICANT NAME:
APPLICANT ADDRESS: j' 772"-
401P-
SEPTIC
71/'SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION --c
' j
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /JQ/v/i4
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section / -15 Block / Lot 7
CROSS STREET: C /49-Z /E" p� /
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature o Ap.ji ant
RECEIVED BY:
Town Clerk's Office
DATE:
%
• lib,
if /1
iiii
C
livov
(
r lx -I-
4 i
e
LI p•ol.
i
4_r_s
A
.. .„,
Iiii !
' 1-4.4 it
, .
...- ..
. __
3
•
•
•
} ..1
•
? 4
w v 4C„
N
010
•
!Al
•
............
f .