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HomeMy WebLinkAboutCarrig, Marie ow OOP °1g\OO(,r0 ELIZABETH A.NEVILLE .Z. l/y Town Hall, 53095 Main Road TOWN CLERK 1 P.O. Box 1179 i N �2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Fax (516) 765-1823 ` RECORDS MANAGEMENT OFFICER = # 0' Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER � jig ��.� /" ' , 1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1940 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : GARY TABOR Address 1 : 680 NAVY STREET City St Zip ORIENT NY 11957 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 CARRIG, MARIE Mailing Address 1 BOX 84 City St Zip SOUTHOLD NY 11971 Property Address 1 RICHMOND ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 51 .00 block 6 lot 11 .000 Cross Street ROUTE 48 Building Permit Number Cross Reference: Issue Date: 10/06/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 'OgkifFOL jU ELIZABETH A.NEVILLE t$/ 4ot Town Hall, 53095 Main Road TOWN CLERK ; c3 - P.O. Box 1179 y Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS " OPrit t Fax (516) 765-1823 MARRIAGE OFFICER � y %T.or Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER 'RI `0 FREEDOM OF INFORMATION OFFICER •I .1���,,' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: September 28, 1998 Transmitted herewith is a copy of application No. 2017 for an ALTERATION PERMIT for a cesspool or septic system submitted by Gary Tabor for Marie Carriq 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. � Cw 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 3 712_1 RI Date / � OFFICECE OF THE TOWN CLERK ,�FII/hI 'C.r O Town of Southold Judith T. Terry, Town Clerk ;' 0 �l/y�: Application No. Town Hall, 53095 Main Road � � Construction P. O. Box 1179 Southold, New York 11971 stJ� ��� Alteration Telephone /yy $10.00 - Residential its. (516) 765-1801 = (l 4 ,, $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No.00 I Fee $ l (J 60 DATE ?'/ 9 APPLICANT NAME: APPLICANT ADDRESS: o 12/ 9 1,-/ $ % 1 , c. Air 7 j/ SEPTIC CESSPOOL t DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 72- Pt/ S 71.5.// ,- I c r° 41,-/),I-t'/ foo LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ,h � ' �. ,ti )'7` o ' 7. OWNER MAILING ADDRESS: '0 $ '1j/• 3c ITA0Id OWNER PROPERTY ADDRESS: ) 0 J�,/e !f, 010 k✓0 j©i d Sa omo /cI TELEPHONE NUMBER OF CONTACT PERSON: ""3 p� �- �� (s /7 TAX MAP NO. : Section .a C.9/ _ Block Lot ! /_`4_ CROSS STREET : )?ou7 BUILDING PERMIT NUMBER CROSS REFERENCE: S' nature of Applicant RECEIVED BY : �' To n '� 'ce �. DATE: /67 ei; e ' c, s e� 0 4 c/' l$r✓K_ © � ,�- �� 0 r-O J000 // too /s cpV r I0c) �