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HomeMy WebLinkAboutFerguson, Mary 1v� ICl Town Hall, 53095 Main Road 12 �O r1P.O. Box 1179 4._° lol .10 '1 Southold, New York 11971 JUDITH T.TERRY ��� �,,i�' 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. 506 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : FERGUSON, MARY, F. Address 1 : 670 HICKORY ROAD City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration NEW CESSPOOL INSTALLATION TO EXISTING SYSTEM. APPROVED AS INDICATED ON SUBMITTED SKETCH. *** NOTE: EXCAVATION INSPECTION REQUIRED. CONTACT THE SOUTHOLD BUILDING DEPARTMENT (765-1802) TO ARRANGE AN INSPECTION. Name Of Owner FERGUSON, MARY F. Mailing Address 1 670 HICKORY ROAD City St Zip SOUTHOLD NY 11971 Property Address 1 670 HICKORY ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 54.00 block 6 lot 7.000 Cross Street SOUNDVIEW AVENUE Building Permit Number Cross Reference: Issue Date: 6/27/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) oil IP'wag 56 k2 frp nj: -iTh r" ri n, . 7 _ 10. cp-Ellf, e, .1 i 1 t c ' `-: , '• , ._Ii Pia I (J ' i zt o r.yx.,I�,e U a w tP :li. & t',, ,;�y` . ••` Town Hall, 53095 Main Rm.( • P.O. Box 1179 TOWNOF6 ;c{ LLD ( - '�toe Southold, New York 11971 JUDITH T. TERRY ""mf" TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 19, 1989 To: Victor Lessard, Southold Town Building Department From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. A519 for an ALTERATION PERMIT for a cesspool or septic system submitted by Mary F. Ferguson 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. C4'^ - Linda J. Cooper * * * * * * * * * * * * * F I have reviewed the application and location mapof the 5 project listed above and make the following recommendation: APPROVE - DISAPPROVE - COMMENTS: GI,,, .,,,,, N..LcA.k ca 01n 03;tet 03;tC1442 ijt fc a �'C3 , -_47::‘p ..a... cu..l, ,c. exJ am Signature Q` Date / OFFICE OF THE TOWN CLERK COFQLt Town of Southold Clerk % 0 C% ` Application No.457' Judith T. Terry, Town „L Town Hall, 53095 Main Road ` ti Construction P. O. Box 1179 Southold, New York 11971 O,y� Alteration l� Telephone �l Jit It Residential ✓ (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. O �, Fee $ y DATE ' / /lq 7/ c7 217 APPLICANT NAME: . APPLICANT ADDRESS: 670 - e Z._:,,4? , __,,--„/ 144-9-1211/ SEPTIC CESSPOOL X DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Air.A.--- 6.-=y-t-v--ems LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 7 () . - OWNER MAILING ADDRESS: C7 e / - 4 6ed-v--7 /7 ('77/ OWNER PROPERTY ADDRESS: ,r r-=.- .4--.--' TELEPHONE NUMBER OF CONTACT PERSON: /5"> 7C)--- t_,37 TAX MAP NO. : Section "7/ Block 6 Lot 7 CROSS STREET: 5-ov o D ✓ I E Lc/ ( 1 i/e. BUILDING PERMIT NUMBER CROSS REFERENCE: ahLe- cV Sig 7ature of pplicant RECEIVED BY: RECEIVED DATE: Jr3:19 9 rp's Office / ' ( I ' 6,}dre' I � I _ e......-e 4\ , \‘?/, 0 , , 7 1 f \-- ff 14, F ‘. 4,- , /....,______ _________:> , w -, , -R , i .. , , � y t l t ' , , w,..Q_ ___,_,,, ___________�Il `q© (L,.:L.7 A___,„( r v I