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HomeMy WebLinkAboutFlaherty, Eileen ,,,Io��FFo1.K�D� JUDITH T. TERRY . Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER 1-V3 A, ��0r/� TelephoneFax )6)(516) 765-1801 1 � /1 1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1014 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : PECONIC CESSPOOL Address 1 : P. O. BOX 972 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration INSTALLATION OF AN ADDITIONAL OVERFLOW CESSPOOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. KEEP 10' APART. EXCAVATION INSPECTION REQUIRED. Name Of Owner FLAHERTY, EILEEN Mailing Address 1 415 SIGSBEE ROAD City St Zip MATTITUCK NY 11952 Property Address 1 415 SIGSBEE RPAD City St Zip MATTITUCK NY 11952 Tax Map No. section 143.00 block 2 lot 8.000 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 6/22/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) r ,,,,,,,,,,.,, ° ( l ,,,,. cOFOIKt� JUDITH T. TERRY ; L 7.: Town Hall, 53095 Main Road TOWN CLERK ;„ p T P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS it .IF Southold, New York 1 1971 � MARRIAGE OFFICER yQ ��0r �°, Fax (516) 765 1823 1 t� Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK ��,:,,, r -- TOWN OF SOUTHOLD , k JIM I7 mu TO: Southold Town Building Department t.i ` FROM: Linda Cooper, Southold Town Clerk's Office I TD•i:,; DATED: June 16, 1993 Transmitted herewith is a copy of application No. A1043 for an ALTERATION PERMIT for a cesspool or septic system submitted by Peconic Cesspool for Eileen Flaherty 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 followin ecommendation: APPROVE - DISAPPROVE - COMMENTS: EXCAVATIN et'ii INSPECTION �� REQUIRED e ij ' 5 } r OFFICE OF THE TOWN CLERK ,,,'""""' Town of Southold .�' ,COOLkri Application No./ ' cL Judith T. Terry, Town Clerk Gy Town Hall, 53095 Main Road ; Construction �--� P. O. Box 1179 Southold, New York 11971 sct� � Alteration Telephone .��Q���' $10.00 - Residential t.� (516) 65-180101 r� �' $25.00 - Non-Residential •TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE //5 Al5 APPLICANT NAME: 'l��'tiZ� 21/4/-----ica„ ©''A/`! 6-414/7--ted9c-eA CANT ADDRESS: /6? L' 6r)/_T72- SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION AIP LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ' • OWNER MAILING ADDRESS: - OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section /r3 Block g Lot CROSS STREET: 414-;. -� BUILDING PERMIT NUMBER CROSS REFERENCE: &C- / A • .// Signature of Appli �'1. RECEIVED BY: /VI/ /44.-,�tQ_ Town Clerk's Office DATE: 6 //f��Y t . . .. _______ • . , ,s,/,‘,5, 4__ - A / f--e _ --...._ _ _ win 11211 S ti 6/16 m-spea 5, J , i