HomeMy WebLinkAboutReilly, William ,i"figg FO(,tCOG-
ELIZABETH A. NEVILLE $�`t` yam► • Town Hall, 53095 Main Road
TOWN CLERK N :'� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER V
O t Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER `;#4/ �0�0
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FREEDOM OF INFORMATION OFFICER ? * ,i"�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2156 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
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 REILLY, WILLIAM 8 BERNADETTE
Mailing Address 1 1535 BAY AVENUE
City St Zip EAST MARION NY 11939
Property Address 1 1535 BAY AVENUE
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 9 lot 8.002
Cross Street
Building Permit Number Cross Reference:
Issue Date: 10/01/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVIL i, 0G.y1 ` Town Hall, 53095 Main Road
TOWN CLERK p _ P.O. Box 1179
,
- CA Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER . 1 Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER ;-P46, ���1/ Telephone (516) 765-1800
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FREEDOM OF INFORMATION OFFICER =�l jig '-
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: September 20, 1999
Transmitted herewith is a copy of application No. 2242 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for William and Bernadette Reilly
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.
Signature
Date
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OFFICE OF THE TOWN CLERK ''. CA fp L
Ut�1 e /,��
TOWN OFSOLTH ��
OLD .s'O 44: /(Application No0 f� ---
ELIZABETH A \F\Rik. FOWr\C..t'F.K '
PO BOX 1174 .� Construction t`�
SOUTHOLD,NTW YORK 11,4", OG
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Alteration
Telephone ty0 �Q��.• $10.00 -- Residential ___�
(516) 765-1801 -�'y 1 *ski, X25.00 Non Residential_�"_
TOWN OF SOUTHOLD
SOU-I HOLD WASTEWATER DISPOSAL DISTRICT f'`,
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APPLICATION II.
for
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CONSTRUCTION or ALTERAT ON PERMIT
SEPT IC TANK or C [
SSLS5 OOL
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Permit No. ti
Fee S
DATE � `/S/ l997
APPLICANT NAME: beL, is
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APPLICANT ADDRESS: tee :
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SEPT CESSPOOL. i
ION OF PROPOSED CONSTRUCTION OR ALTERATION I.___
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LOCATION MAP: Must be attached hereto before permit may be issued.
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LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY :
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OWNER MAILING ADDRESS. �S
OWNER PROPERTY ADDRESS: ___-' .
TELEPHONE NUMBER OF CONTACT PERSON: 01'11-- TGS-ir -`
TAX MAP NO. : Section 3/ Block9 Lot &Z.___
CROSS STREET :
BUILD!' T NUMBER CROSS REFERENCE:
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Signature of A icant
RECEIVED BY :
Town Clerkir Office ___-
DATE: �i
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