HomeMy WebLinkAboutSheehy, John 401OFFOL,1-co
ELIZABETH A.NEVILLE �) y l/y Town Hall, 53095 Main Road
TOWN CLERK < ;� P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER = y� �� Telephone(516) 765-1800
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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. 2038 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
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 SHEEHY, JOHN & MARY
Mailing Address 1 PO BOX 1260
City St Zip SOUTHOLD NY 11971
Property Address 1 355 YOUNGS AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 61 .00 block 4 lot 35.000
Cross Street MECHANIC STREET
Building Permit Number Cross Reference:
Issue Date: 3/17/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE hyo Gy Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
t N Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �� - Fax (516) 765-1823
MARRIAGE OFFICER Z 4 Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER = � 4i ,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: March 10, 1999
Transmitted herewith is a copy of application No. 2118 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for John & Mary Sheehy
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:
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APPROVE - ✓
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Si nature
31coliA
Date
JP- OFFICE OF THE TOWN CLERK �j
TOWN OF SOUTHOLD 470,11 Application No. //lSELIZABETH A.NEVILLE,TOWN CLERKP.O.BOX1179 Construction
SOU'THOLD,NEW YORK 11971
Alteration-,V �. .Telephone �; $10.00 -Residential
(516) 765-1801 j�
`ti $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 /,&
APPLICANT NAME: fiC,<
APPLICANT ADDRESS: 2. 71d
d , r
SEPTIC CESSPOOL
DESCRIPTIO F PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: Jf j )/ A
OWNER PROPERTY ADDRESS: /„e‘6 (o L K
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section Block Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RialiVeu
RECEIVED BY:
ownrerk's OffAR
n 1999
DATE:
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