HomeMy WebLinkAboutFenkle, Jeanne j
,
Town Hall, 53095 Main Road
ri $ P.O. Box 1179
Southold, New York 11971
JUDITH T.TERRY FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 562 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : FENKLE, JEANNE
Address 1 : 22 GRAND AVENUE
City St Zip PT JEFFERSON STATION NY 11776
Descripton of Proposed Construction or Alteration
RELOCATE CESSPOOL AND LEACHING AWAY FROM HOUSE AND WELL.
APPROVED AS SUMBITTED. DISCONNECT EXISTING CESSPOOL AND LEACHING POOL
AND INSTALL AS SHOWN ON SUBMITTED PLANS.
NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner FENKLE, JEANNE
Mailing Address 1 22 GRAND AVENUE
City St Zip PT JEFFERSON STATION NY 11776
Property Address 1 1475 POINT PLEASANT ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 114.00 block 1 lot 5.001
Cross Street WESTPHALIA ROAD
Building Permit Number Cross Reference:
drireaw.hors
Issue Date: 11/06/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY " "#1°I ELEPHONE
TOWN CLERK J iii"
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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October 17, 1989
•iu. ', 11l_0� I
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A574 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Jeanne Fenkl •
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 - X
DISAPPROVE -
COMMENTS:
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Town Clerk Southold Avsfs„4Signature
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Date
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OFFICE OF THE TOWN CLERK
Town of Southold
Application Ncq.,Y'7 9'
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. O. Box 1179 -�
Southold, New York 11971
i'Alteraton/
Telephone Residential L
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT, r)
Gee APPLICATION
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BLDG. DEPT.
CONSTRUCTION or ALTERATION PERMIJT TOWN OF SOUTHOLD
SEPTIC TANK or CESSPOOL
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Permit No.
Fee .$ /D -
DATE 1---,0“-/— S9
APPLICANT NAME: EA Nl E F N kL
APPLICANT ADDRESS: me P
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SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: T k
OWNER MAILING ADDRESS: 1,6
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OWNER PROPERTY ADDRESS:
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TELE HONE NU 1 ER OF CONTACT PERSON: _-a - -' -� �S45-1*
TAX MAP NO. : Section / / 51 Block 0 / Lot 5. 1
CROSS STREET: &q
BUILDING PERMIT NUMBER CROSS REFERENCE:
RECEIVED
Signature of pplicant
RECEIVED BY: OCT 17 989
Town Clerk's Office
DATE: , rk,�
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