HomeMy WebLinkAboutMooney, Maureen StFFO(,�
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ELIZABETH A.NEVILLE
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Town Hall, 53095 Main Road
TOWN CLERK c t ` P.O. Box 1179
ti x i Southold, New York 11971
REGISTRAR OF VITAL STATISTICS .rry7 ` Fax OFFICER O ax (516) 765-1823
RECORDS MANAGEMENT OFFICERti l Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 1? �� li � �
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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. 1950 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MAUREEN M. MOONEY
Address 1 : P. O. BOX 702
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 MOONEY, MAUREEN M.
Mailing Address 1 P. O. BOX 702
City St Zip MATTITUCK NY 11952
Property Address 1 11520 MAIN ROAD
(11520 - 11600 - 11700)
City St Zip MATTITUCK NY 11952
Tax Map No. section 122.00 block 3 lot 3.000
Cross Street PACIFIC STREET
Building Permit Number Cross Reference:
Issue Date: 10/19/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE is 1=
GZ�; Town Hall, 53095 Main Road
TOWN CLERK p :4 % P.O. Box 1179
y 2 % Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % v' T t
O ' . 0 Fax (516) 765-1823
MARRIAGE OFFICER :` y
RECORDS MANAGEMENT OFFICER : 'O! 100 ��� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ���
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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: October 9, 1998
Transmitted herewith is a copy of application No. 2026 -,b for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Maureen Mooney
•
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.
" s"—(A-.......—.4... —
Si ature
lq/3/1 r
Date
• OFFICE OF THE TOWN CLERK % ,, &---
TOWNOFSOITfHOLD ;' �CJ�FF� QQ =_ Application No. aoa(
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.Box 1179 Construction
SOUTHOLD,NEW YORK 11971
. Alteration
Telephone �O Ay • $10.00 -Residential r/
P �
(516) 765-1801 = lilig ,�' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
^nT
CONSTRUCTION or ALTERATION PERMIT 1998
SEPTIC TANK or CESSPOOL f own Clerk Southold
Permit No.
Fee $
DATE 10 ( � (q e
APPLICANT NAME: /11 /4LE0,) Ale 440e i6 /
APPLICANT ADDRESS: Po goy_ 0 ).-
/k,I4- 't-`c-(-rcJ C- •A),y .
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
( , iit/eA- c -4-CO ✓l5-4Z
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: , f14-✓itEi r/ ,zl Air—WA/X-41
OWNER MAILING ADDRESS: PO / Vi- 1 04._
/Ll IY-21 c e n/y 1(4 r
OWNER PROPERTY ADDRESS: /J . . ' - f/ oO —(1'70.2 /2/ 4;ti41
TELEPHONE NUMBER OF COON 12A�CCT PERSON: a q; �-fi 00 C ( AK),
TAX MAP NO. : Section Block �.�. Lot 3i 411 S-
CROSS STREET: 014 i L
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Appli ant
RECEIVED BY: C GoL
Tarn Clerk's Office
DATE: t (`j I C( 57
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