HomeMy WebLinkAboutDanowski, Edward (2) "kg FOLt
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ELIZABETH A. NEVILLE �,�` Town Hall, 53095 Main Road
TOWN CLERK .'� P.O. Box 1179
•REGISTRAR OF VITAL STATISTICS v. '•
� Southold, New York 11971
MARRIAGE OFFICER : Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER 44, a '1�� Telephone (516) 765-1800
49
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. 91 N Residential Non-Residential X
Fee $ 25.00 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 OVERFLOW POOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner DANOWSKI, EDWARD
Mailing Address 1 400 DEERFOOT PATH
City St Zip MATTITUCK NY 11952
Property Address 1 54280 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 61 .00 block 4 lot 22.000
Cross Street YOUNGS AVENUE
Building Permit Number Cross Reference:
Issue Date: 5/25/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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t ELIZABETH A.NEVILLE ,Y,Ay.• l/ts,;, Town Hall, 53095 Main Road
TOWN CLERK = < P.O. Box 1179
CD
REGISTRAR OF VITAL STATISTICS Ny, " Southold, New York 11971
MARRIAGE OFFICER , O :'' Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER 4N-, Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ---.,l �� ;�`
r- zzctiarilY
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED : May 18, 1999
Transmitted herewith is a copy of application No. 2166 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Ed Danokski .
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
ecommendation:
APPROVE -
DISAPPROVE -
COMMENTS : Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
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Date
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OFFICE OF THE TOWN CLERK C�Oi ti
1 "TOWN OFSOUTHOLD ` Application No.6 J64.
ELf .BETH A.NEVILLE,TOWN CLERK e
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
Alteration
Telephone O �
$10.00 -Residential
(516) 765-1801 "�l
$25.00 -Non-Residential x
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
• kio Permit No NR 9
Fee .$
DATE /72/ / /O l
APPLICANT NAME: /`) R,f XX/5_7,-(APPLICANT ADDRESS: Z 2 '
SEPTIC CESSPOO ---NI
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: i7I° 10 :1
OWNER OF PROPERTY: k'CQ /2�� 4- 'de-)s',fr'
OWNER MAILING ADDRESS: 1 00 .e.vZw-{.
OWNER PROPERTY ADDRESS: S 4 a$() nL,,„ S�d
So ,Ick
TELEPHONE NUMBER OF CONTACT PERSON: 7,(5--- 576-z)
TAX MAP NO. : Section 67 Block I( Lot 22,
CROSS STREET: \'C)u174 ig
BUILDING PERMIT NUMBER CROSS REFERENCE:
gi-14
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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