HomeMy WebLinkAboutFiedler, Frederick II
,,o0FOIKCOG==
y .
JUDITH T. TERRY � Town Hall, 53095 Main Road
_
v 2C •
TOWN CLERK . P.O. Box 1179
U' Southold, New York 11971
REGISTRAR OF VITAL STATISTICSVv �. �, Fax (516) 765-1823
MARRIAGE OFFICER //���,� Se .. Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER ' '�/1 41( �
FREEDOM OF INFORMATION OFFICER ''�"��� /,I�I
� II
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1274 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1: 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner FIEDLER, FREDERICK L.
Mailing Address 1 REYDON DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 REYDON DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 5 lot 15.001
Cross Street N. BAYV I EW ROAD
Building Permit Number Cross Reference:
Issue Date: 1/19/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
\A.a 7 .
0,,,,,spFF0��6OG-
� �
JUDITH T.TERRY % 4.... '4 , Town Hall,53095 Main Road
TOWN CLERK ti Z ; P.O.Box 1179
1 P77
��1 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER 4. 416 0 oil Fax(516)765-1823
RECORDS MANAGEMENT OFFICER :PIRI * *',..6 Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER --"•.-......,,, ,0.'1 t
D
5 f
r tp
OFFICE OF THE TOWN CLERK
,.i!r 4 1995
TOWN OF SOUTHOLD €
TO: Southold Town Building Department Y r
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: January 3, 1995
Transmitted herewith is a copy of application No. A1321 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Frederick Fiedler Jr. .
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 - L�
DISAPPROVE - EXCAVATION INSPECTION
REQUIRED
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Y . 4... 10e/I '
Signature
V/Date
lei -3
•
GFFICE OF THE TOWN CLERK ,I''
- Town of Southold "c41 olltt+
-Judith T. Terry, Town Clerk � �� �l/ Application No. A.- 0)-(7
Town Hall, 53095 Main Road .G= Construction
P. 0. Box 1179
Southold, New York 11971 ` 11) Alteration
Telephone =ori, �D0- $10.00 - Residential
(516) 765-1801 _ Ol , �'. $25.00 - Non-Residential
.,.,,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 4 i -Z/cr-
APPLICANT NAME:
APPLICANT ADDRESS: 27
' ' 4 f
SEPTIC CESSPOOt-
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATI N
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: ifq4- #' J21 '
/7 Y
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: Am.
J
TAX MAP NO. : Section Block $ Lot (.5:7
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of Applicant
RECEIVED BY:
Town ZRffice
DATE: JAN 3 1995
fon Cleric souttrom
i
5
PA
ey-tf
i0
----7
0 /
O �
6 �
6
4