HomeMy WebLinkAboutReeser, Donald ,
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ELIZABETH A. NEVILLE ,$ti`Z` G�f%; Town Hall, 53095 Main Road
TOWN CLERK p !� P.O. Box 1179
y Z ` Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; Fax (516) 765-6145
MARRIAGE OFFICER
Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER SIJ
FREEDOM OF INFORMATION OFFICER ,•i��
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2136 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : DONALD A. REESER
Address 1 : 580 NEW SUFFOLK AVENUE
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner REESER, DONALD AND JAYNE
Mailing Address 1 580 NEW SUFFOLK AVENUE
City St Zip MATTITUCK NY 11952
Property Address 1 580 NEW SUFFOLK AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 114.00 block 12 lot 5.000
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 8/16/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
1 3
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ELIZABETH A. NEVILLE t°may` 4 1 Town Hall, 53095 Main Road
TOWN CLERK ; o 1 , P.O. Box 1179
REGISTRAR OF VITAL STATISTICS V, Southold, New York 11971
MARRIAGE OFFICER
• O Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER x;44. ,O�IIfe Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER —� I* •I
4 ',�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: August 10, 1999
Transmitted herewith is a copy of application No. 2-2-21--- for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Donald Reeser .
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 follow' g recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Signatu e
Qti, I9q
Date
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OFFICE OF THE TOWN CLERK �' �`FUlK
TOWN OF SOUTHOLD ��s CQG Application No 1
tS0
FI.I7ABETH A.NEVILLE,TOWN CLERK
Z Construction
P.O.BOX 1179 F.
SOUTHOLD,NEW YORK 11971
Z
; Alteration
Telephone iyy �Q••' $10.00 - Residential
(516) 765-1801 — Ol l �,'I' $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 $
DATE g/‘ /q9
APPLICANT NAME: 1. 04c.1c ( eese'—
APPLICANT
ADDRESS: 5 6-O /Vet) j-pl/t ( je
19(6.1-r-crk 5J • - . I( 2----
SEPTIC
_SEPTIC CESSPOOL ✓
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Acfciii-704
DI I /leo (essf°co l ( 2 r',r1�S 4 cover-) &id/5 ex r 5
L,n ,r 'r& en eY,S /,io3 Pools [1 1cc,,iL/4e 60-mi
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: CO/lc-lc( 4 ,s of (ees er-
OWNER MAILING ADDRESS: Sal) Nat) SU Q1/( ewe
'fli aTT 11 Uc k. S (!S s I--
OWNER
OWNER PROPERTY ADDRESS: S644
TELEPHONE NUMBER OF CONTACT PERSON: 2q5"- /2FS7 H 263- /463 , yer
TAX MAP NO. : Section 1 14( Block 13' Lot Ss-
CROSS
CROSS STREET: (-t' 2 5-
BUILDING PERMIT NUMBER CROSS REFERENCE:
nahati
rant
Signature f A I
o ant t
RECEiVELI
RECEIVED BY:
Town CliTlIsistffiM
DATE:
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