HomeMy WebLinkAboutBob Realty Corp (Metro Gas) o��S�fFOL�-co
ELIZABETH A.NEVILLE 111, t; Town Hall, 53095 Main Road
TOWN CLERK c P.O. Box 1179
ed3Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
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MARRIAGE OFFICER O 1 Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER � �fO �0�1�/ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER -.l 41 *410.00
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 94 N Residential Non-Residential X
Fee $ 25.00 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
REPLACE CAVED IN SYSTEM
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner BOB REALTY CORP. (METRO GAS)
Mailing Address 1 P.O. BOX 1006
City St Zip WESTHAMPTON NY 11978
Property Address 1 28975 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 102.00 block 5 lot 26.000
Cross Street DEPOT LANE
Building Permit Number Cross Reference:
Issue Date: 10/26/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE to i ' 4. • Town Hall, 53095 Main Road
TOWN CLERK k o t % P.O. Box 1179
ti 2 $ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 11,
MARRIAGE OFFICER %I.
` $ Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER =4:6 Os*/ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER .,:fel
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 25, 1999
Transmitted herewith is a copy of application No. 2272 for a Cesspool/
Septic Tank Construction Permit submitted by:
i
(Peconic Cesspool) for Bob Realty Corp. (Metro Gas) .
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE V
DISAPPROVE
Comments:
Anaure
Dated
•
OEFICE Ok'DU:TOWN CLERK
TOWN C�tsUtTHOLU C'J 111Z";---, Application No. "0_._
LLIZABE rli A NEVILLE,TOWN CLLRK %4°.:4 -""-
P.U.fi0X 1179
: Construction
SOI11'HOLD,NLWYORK 11471 p T : Alteration
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Telephone =*� ire/ $10.00 - Residential_
(516) 765-1801 --- Z( •��' $25.00 - Non-Residential .-
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATEGi%/G y ri9.9
APPLICANT NAME:
APPLICANT ADDRESS: /4.70 i30xr 97. &..
..SEPTIC - CESSPOOL_ U
DESCRIPTION OF PROPOSED CONSTRUCTION Old ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
'LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY;
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OWNER MAILING ADDRESS: p, O. Qay( Ioa64,1
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OWNER PROPERTY ADDRESS: .2V\--15-
TELEPHONE
2 *\--15`TELEPHONE NUMBER OF CONTACT PERSON: C)7,9•_ 9' 5p
TAX MAP NO. : Section r 73 Vg q Block 102,.. 5 Lot 2.
CROSS STREET : M3��— A.- Q D ' L►& cocner
BUILD/NC PERMIT NUMBER CROSS REFERENCE:
Signat re o A I cant
RECEIVED BY :
/ wn er k's Of I e
DATE: - / 0/ G
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