HomeMy WebLinkAboutMcDermott, John ,,,,,,,,,,,
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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK : p rZ : P.O. Box 1179
cls �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = BYO ��� Fax (516) 765-1823
MARRIAGE OFFICER ' ,1%67;� Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER jilt ,l
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. 1186 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
ADDITION OF AN OVERLOW 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 MCDERMOTT, JOHN J.
Mailing Address 1 222 COLUMBIA DRIVE
City St Zip LAKE WORTH FL 33460
Property Address 1 8530 PECONIC BAY BLVD.
City St Zip LAUREL NY 11948
Tax Map No. section 126.00 block 11 lot 22.000
Cross Street BRAY AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/12/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY • L ; Town Hall, 53095 Main Road
TOWN CLERK : p r= P.O. Box 1179
Vs $ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = VO IFax (516) 765-1823
MARRIAGE OFFICER - ., _`�� �� Fax
(516) 765-1801
RECORDS MANAGEMENT OFFICER _ 1 � T •�i�
FREEDOM OF INFORMATION OFFICER --.....,,,,,,,,r,°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD D M r2
TO: Southold Town Building Department U L
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FROM: Linda Cooper, Southold Town Clerk's Office I I I99L
DATED: August 10, 1994
TOWN OF SOUTHOLD
Transmitted herewith is a copy of application No. A1232 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for John J. McDermott
•
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 - EXCAVATIft
wSpWioi
DISAPPROVE REQWRED
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COMMENTS: /i�.. .�_ L ' _'-'_'_ i� >e.-. 41 ,v
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Signature
Date
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OFFICE OF THE TOWN CLERK ,,,,,,,,, --
Town of Southold .1'. ��FFDRKCO Application No. /off 3 )^
Judith T. Terry, Town Clerk gr 7.1
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Town Hall, 53095 Main Road Z !� ; Construction
P. 0. Box 1179 'G 1.-Zv ^'
Southold, New York 11971 �� Alteration
Tele hone � ,j' ��' $10.00 - Residential
(516) 765-180101 4 'to 1'
$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
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APPLICANT NAME:
APPLICANT ADDRESS: /?4,
/19-5'1
SEPTIC CESSPOOL
DESCRIPTION OFPRO PO$ED CONSTRUCTION OR ALTERATI N
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUC 10 OR ALTERATION:
OWNER OF PROPERTY: .J
OWNER MAILING ADDRESS: 222. 2-t
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OWNER PROPERTY ADDRESS: 7330
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TELEPHONE
1,±TELEPHONE NUMBER OF CONTACT PERSON: C:s1-9796,,Sr
TAX MAP NO. : Section /� < Block 1/ Lot ,2 02
CROSS STREET:
BUILDING PERMIT NUMBER CROSt REFERENCE:
Signature of Applic t
RECEIVED BY:
Town Clerk's Office
DATE:
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