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HomeMy WebLinkAboutHarrison (3) - _ '. ��y/_/0 Itis„,,,,,, 'COf gU JUDITH T. TERRY °�'`?y � Town Hall, 53095 Main Road TOWN CLERK ' s rau ;. P.O. Box 1179 ® a` t L , _,• Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �' ® Fax (516) 765-1823 MARRIAGE OFFICER y Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER _ �p��,1 FREEDOM OF INFORMATION OFFICER . OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1214 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MARION B. HARRISON Address 1 : 2300 NORTH OAKWOOD ROAD City St Zip LAUREL NY 11948 Descripton of Proposed Construction or Alteration ADDITION OF A CESSPOOL 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 HARRISON, MARION B. Mailing Address 1 2300 NORTH OAKWOOD ROAD City St Zip LAUREL NY 11948 Property Address 1 2300 NORTH OAKWOOD ROAD City St Zip LAUREL NY 11948 Tax Map No. section 127.00 block 6 lot 2.000 Cross Street PECONIC BAY BLVD. Building Permit Number Cross Reference: Issue Date: 9/26/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) W(..4i,s/4 PL- Ee•-s a ( 00.;,,c) pee,_-, o2_( JUDITH T. TERRY :' .. l Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 td°a W Southold, New York 11971 REGISTRAR OF VITAL STATISTICS 1.V ��" Fax (516) 765-1823 MARRIAGE OFFICER st/, avb® 0 Telephone (516) 765-1801 a_ ® RECORDS MANAGEMENT OFFICER ,� i .l FREEDOM OF INFORMATION OFFICER ���,�.1�1��. ��/ ;gym OFFICE OF THE TOWN CLERK B [ Q [1 ` TOWN OF SOUTHOLD TO: Southold Town Building Department [I SEP 2 0 1994 ,,q FROM: Linda Cooper, Southold Town Clerk's Office !_ _ Spetmber 19, 1994 BLDG.DEPT. ELATED: P `fOWNOFSOUTHOLD Transmitted herewith is a copy of application No. A1259 for an ALTERATION PERMIT for a cesspool or septic system submitted by -- Marion B. Harrison by Ray Nine . 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 - �/ EXCAVKTION I6 SPECT 1ii DISAPPROVE - REQUIRED COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. RECEVED r `-- -.-f.?:::),, Oa® � 7 "�� �'�"— 4, Signat e SEP 3 1994 7%- [own Clerk Southold Date/V OE ICE OF THE TOWN CLERK """''-- Town of Southold .so c 0LK/1- /R �' 5-1 Judith T. Terry, Town Clerk oss% Application No. Town Hall, 53095 Main Road ;� P. O. Box 1179 i ; Construction Southold, New York 11971 IP '",' Alteration Telephone .0f. ���;i $10.00 - Residential (516) 765-1801 = 62 �,, "' $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL r Permit No. - Fee .$ DATE 5€1 t ` '7 APPLICANT NAME: /0 /9-72, d n/ 4g-tel -7 APPLICANT ADDRESS: ,z oo Aro 5 Re,..),00 4ra-ti ( / SEPTIC CESSPOOL DESCRIPTION/ OF PROPOSED CONSTRUCTION OR ALTERATION j dot, - n 9 4 Ce-S Srq ao J - /:zl, S G ' `� s �• r J I/ LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ,a-en�, OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: �519 Z q12- TAX MAP NO. : SectionIZ,7. Block / .Z Lot CROSS STREET: J ��� , L j6 J _ Jv p B BUILDING PERMIT NUMBER CROSSEFERENCE: Signature of App icant RECEIVED BY: Town Clerk's Office. DATE: a lit v 2©' -- _/?/Z - —.--.-� > < 1 a i 419,490 i ,�nJ,#-� �! ego 2 ?00 I' 0 wv, t'£ PE) r`j'r21 (2 ,v' il e;'P-.e i.2 it --io'` 2 3 Dv 4.70 0d /ct.,1 octd iC,.9gCl, ,C-s1-.4 a-6'1I ,'f.`/ / 1 9 qec� 1- rr? ..r eta ,,, ,.., e i-r/ 3 d'9 fZ7 _ 4 - 2 r - -�