HomeMy WebLinkAboutFeinberg, Randall ,'lS�FFOL4'
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ELIZABETH A.NEVILLE "_ 4 • Town Hall, 53095 Main Road
TOWN CLERK co - P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ��, Fax(631) 765-6145
MARRIAGE OFFICER �y `. •�
RECORDS MANAGEMENT OFFICER --_ �a'''i� 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. 2241 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL INC
Address 1 : PO BOX 972
City St Zip MATTITUCK NY 11952
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 FEINBERG, RANDALL
Mailing Address 1 2860 SKUNK LANE
City St Zip CUTCHOGUE NY 11935
Property Address 1 2860 SKUNK LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 8 lot 70.000
Cross Street LESLIE ROAD
Building Permit Number Cross Reference:
Issue Date: 2/17/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE �y�,` Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax (516) 765-6145
` Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER � 11 1 P
FREEDOM OF INFORMATION OFFICER = ' l
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED : February 7, 2000
Transmitted herewith is a copy of application No. 2329 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Randall J. Feinberg
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.
ignatu
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Date
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OFFICE OF THE TOWN CLERK ��,r
TOWN OF SOUTHOLD ; Q = Application No. � y
ELIZABETH A.NEVI!.!F,TOWN CLERK/,
P.O.BOX 1179 ` Construction ��
SOUTHOLD,NEW YORK 11971
^' Alteration
4 $10.00 - Residential
Telephone ' �j' ��b��' —
(516) 765-1801 ' Ol 44�,," $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 7 e
DATE .,Z ' i 70
APPLICANT NAME: tee-C-rn,e,e-
APPLICANT ADDRESS: /?c 71dy6. 972,
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SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: J 474/Ai && 'F /5A4 +
OWNER MAILING ADDRESS: c3P-840 S
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section //1V" Block elui Lot 8---72)
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Signature of ppli ant
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RECEIVED BY: AAnni�
{Tito dela Office
DATE:
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