HomeMy WebLinkAboutP & G Clipper Holding Corp .Ioos�FFUL4 -
ELIZABETH A. NEVILLE ���_ 'f'd• Town Hall, 53095 Main Road
TOWN CLERK ` C P.O. Box 1179
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v. � Southold, New York 11971
REGISTRAR.OF VITAL STATISTICS .F � Fax (631) 765-6145
MARRIAGE OFFICER ,,L/�
RECORDS MANAGEMENT OFFICER Nt. ir,•�, Telephone (631) 765-1800
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. 2270 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICES
Address 1 : 2360 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW TO EXISTING SYSTEM.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner P & C CLIPPER HOLDING CORP.
Mailing Address 1 BOX 932
City St Zip CUTCHOGUE NY 11935
Property Address 1 275 BOISSEAU AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 62.00 block 1 lot 18.000
Cross Street HUMMEL AVENUE
Building Permit Number Cross Reference:
Issue Date: 3/21/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLEGym Town Hall, 53095 Main Road
TOWN CLERK " p P.O. Box 1179
ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER *4. 414,y4fQ �O�1�� Telephone (516) 765 1800
FREEDOM OF INFORMATION OFFICER =el I jig ' ,8.06
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: March 14, 2000
Transmitted herewith is a copy of application No. 2358 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
P & G Clipper Holding Corp
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 nd location map of the project listed
above and make the followin recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Signature
.311 LS 0
Date
, --i-
OFFICE OF THE TOWN CLERK 1," \Ac
TON OF �"`�O Application No.c5 5
ELIZABETH A.NEVILLE,TOWN CLERK ;°4) �-
Wy/'
P.O.BOX 1179 f IC t• Construction
SOUTHOLD,NEW YORK 11971 Pg `
,
Alteration �'
Telephone _` � . ��; $10.00 - Residential
(516) 765-1801 '- 1 441,,0 $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 /PI ,/ /CZ)
APPLICANT NAME: A4gff _c,<
APPLICANT ADDRESS: 22Co )/5/1//tht.co?1' i2#
SEPTIC CESSPOOL 4
DESCRIPTION OF P 0 OSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTIO OR ALTERATION: /�
OWNER OF PROPERTY: e G Com' ?��C 6D/e'/ < c4O
OWNER MAILING ADDRESS: 2 ? r t(6:132',4`at'ACie 3ox9t1a
OWNER PROPERTY ADDRESS: a--)3 (-)- 0;4.3SeCjo A,.-K, wi35
TELEPHONE NUMBER OF CONTACT PERSON: 76.5 �Jv
TAX MAP NO. : Section ‘2. Block ( Lot ? I$
CROSS STREET: 'V yNA m.4 ( ..)-e-
BUILDING PERMIT NUMBER CROSS REFERENCE:
I
1 ;1.04"//194,0tY/e.1"--''
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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