HomeMy WebLinkAboutFitzpatrick, Michael l
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1 Town Hall, 53095 Main Road
�O �� P.O. Box 1179
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JUDITH T.TERRY FAX(516)765-1823
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TOWN CLERK
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. 545 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : STANDLEY, LEON H.
Address 1 : BOX 611
City St Zip NEW SUFFOLK NY 11956
Descripton of Proposed Construction or Alteration
ADDITION OF NEW SEPTIC TANK TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. EXCAVATION INSPECTION WAS REQUIRED.
Name Of Owner FITZPATRICK, MICHAEL
Mailing Address 1 283 AVENUE C, APT. 9D
City St Zip NEW YORK NY 10009
Property Address 1 2 BIRCH LANE
City St Zip LAUREL NY 11948
Tax Map No. section 128.00 block 1 lot 19.000
Cross Street PECONIC BAY BOULEVARD
Building Permit Number Cross Reference:
Issue Date: 9/14/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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•�% Town Hall, 53095 Main Road
O7Ol0��'s••� P.O. Box 1179
0,•i Southold, New York 11971
JUDITH T. TERRY "'b'/0- TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 8, 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. A559 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Leon H. Standley for Mike Fitzpatrick •
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. e
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - D(
DISAPPROVE -
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OFFICE OF THE TOWN CLERKQc,VFFGL4 .
Judith T. Terry, Town Clerk G
,�►C Application No.
.
Town Hall, 53095 Main Roadtrz 5Construction
Town of Southold
P. O. Box 1179
Southold, New York 11971 ,y� O� Alteration
Telephone 0lJR( �N Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /Q -
DATE
APPLICANT NAME: Leon le y
APPLICANT ADDRESS: e6h 6
/1 icS ,h
SEPTIC I----- CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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Na<pe/ry
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: "771-4?_,
OWNER MAILING ADDRESS: (2761 ,2/02 _6, 77- 3003
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OWNER PROPERTY ADDRESS: ec
Ectr
TELEPHONE NUMBER OF CONTACT PERSON:c 9c - L/ /, 7
TAX MAP NO. : Section lam- Block ) Lot / 9
CROSS STREET: et-C.v16,c,e_ 6 (j/ ce✓.
BUILDING PERMIT NUMBER CROSS REFERENCE:
Si nature of Applicant
RECEIVED BY: G t1L.ate-, --
gsreal
rk'se
DATE:
SEP 8 1989
Southold Town Clerk
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