HomeMy WebLinkAboutDinnigan, Diane •
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ELIZABETH A. NEVILLE '��h� Gy�; Town Hall, 53095 Main Road
TOWN CLERK - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v. Southold, New York 11971
MARRIAGE OFFICER �, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER N.-T p
- 1 �aO,i Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �
OFFICE OF THETOWNCLERK
SOUTHOLD WASTEWATERUDISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2401 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : PO BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
REPLACE OLD CESSPOOL WITH NEW TYPE.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner DINNIGAN, DIANE
Mailing Address 1 330 EAST LEGION AVENUE
City St Zip MATTITUCK NY 11952
Property Address 1 330 EAST LEGION AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 143.00 block 4 lot 7.000
Cross Street BAY AVENUE
Building Permit Number Cross Reference:
Issue Date: 9/13/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ���_� aTown Hall, 53095 Main Road•
TOWN CLERK o -t CA
P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER 4.� �t���, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =, Q1 �a0,'ii Telephone (631) 765-1800
41
FREEDOM OF INFORMATION OFFICER _ �
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: September 8, 2000
Transmitted herewith is a copy of application No. 2490 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Diane Dinnigan
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.
S' nature
k800
Date
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OFFICE OF THE TOWN CLERK ,' Ure
TOWN OF SOUTHOLD �' ` �l 4QG Application No?Cef
ELIZABETH A.NEVILLE,TOWN CLERK 0 . .
P.O.BOX 1179 ; Construction
SOUTHOLD,NEW YORK 11971 aC '
Telephone �io /
(631) 765-1800 : 1 / $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE9/ 7"---57.#1-?)
APPLICANT NAME:
4111-44APPLICANT ADDRESS: AO ,3..,.)0 f7
JL
SEPTIC CESSPOOL 1"
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
_
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATI9N:
OWNER OF PROPERTY: !Ji�I � 12-e.x.:4";j4_,
OWNER MAILING ADDRESS: �...3d
OWNER PROPERTY ADDRESS: 3 3•
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section //,3 Block T Lot 1
CROSS STREET: /317 BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of ' '.13 i nt
RECEIVED BY:
Jn Clerk's Office
DATE:
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