HomeMy WebLinkAboutMcKillop, James '/'�,,
JUDITH T.TERRY �/o� '4 • Town Hall,53095 Main Road
TOWN CLERK H Z ; P.O.Box 1179
REGISTRAR OF VITAL STATISTICS %, Oy
MARRIAGE OFFICER , �,�� Southold,New York 11971
f, � , Fax(516)765-1823
RECORDS MANAGEMENT OFFICER ==7�.( .4 ,,.�, Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER if-
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1343 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
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 MCKILLOP, JAMES
Mailing Address 1
City St Zip 0000
Property Address 1 945 GLENWOOD ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 137.00 block 5 lot 15.000
Cross Street PEQUASH AVENUE
Building Permit Number Cross Reference:
Issue Date: 6/01/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
•
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JUDITH T. TERRY 1Z ` ; Town Hall, 53095 Main Road
TOWN CLERK : p r= P.O. Box 1179
tl'i � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = VO �. ; Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEEN T OFFICER _=� .t10�'/ Telephone (516) 765-1801
FREEDOM OF INFORMATION OFFICER � i,,��I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office 'SAY 3 01995
DATED: May 30, 1995
Transmitted herewith is a copy of application No. A1393 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for James McKillop
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 - !/
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
RKZIVED / _4411111w f
MAY 3 1 1995 =19na • re ,
Tam Clerk Souttla 0///_ `5�
Date
3: 50
OFFICE OF THE TOWN CLERK ",,""'-,
Town of Southold ,�'�i.s�FFOZ/(t+O = Application No. /3C 3
Judith T. Terry, Town Clerk :` G
Town Hall, 53095 Main Road Construction
P. 0. Box 1179 Z = M `
Southold, New York 11971 O Alteration /
Telephone
$10.00 -Residential ✓
(516) 765-1801 _ �l ,, '' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
e(APPFee $ h
DATE7 J 05e-
APPLICANT
LICANT NAME: A>i),M:5rfa.- -ellak5a.e./...ter.„,--
APPLICANT
ADDRESS: ,../6? ' / `" Mr'
, ir----zer/ 7
SEPTIC CESSPOOL
DESCRIPTIONOOPOSEECONSTRUCTION OR ALTERATION
,.-0-�/& D:�-meq'
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: c ,,-e %7C
OWNER MAILING ADDRESS: 9 /j��y Q ye..0)
Ct /I ,V
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 71 7 Block S Lot (5
CROSS STREET: gfre_4.4— ,ji-2
BUILDING PERMIT NUMBER CROSS REFERENCE:
,4 _,--(7.dr- 7 -7,Z1-11-t:
Signature of Applicant
RECEIVED BY: , k
/ - -
Town Cle k's Office
DATE: ,p71,-,y"
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