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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 • Ol jig ), 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) a03 t 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: lr, 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: ç/ JI e 0 0-10-7;-6-76 Xtej • ,•