HomeMy WebLinkAboutJessup (2) ,'Ill' cr 11
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Town Hall 53095 Main Road
a � P.O. Box 1179
, , �® ��" Southold, New York 11971
JUDITH T.TERRY ®� `� �
l0FAX(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. 509 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
ADDITIONOF NEW OVERFLOW CESSPOOL TO EXISTING SYSTEM.
APPROVED AS INDICATED ON SUBMITTED SKETCH.
*** NOTE: EXCAVATION INSPECTION REQUIRED. CONTACT THE SOUTHOLD TOWN
BUILDING DEPARTMENT (765-1802) TO ARRANGE AN INSPECTION.
Name Of Owner JESSUP, ROBERT
Mailing Address 1 BOX 1249
City St Zip MATTITUCK NY 11952
Property Address 1 MCDONALD ROAD
City St Zip LAUREL NY 11948
Tax Map No. section 145.00 block 4 lot 17.000
Cross Street PECONIC BAY BOULEVARD
Building Permit Number Cross Reference:
Issue Date: 6/27/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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� , t. .;.y �'•7-1 � Town Hall, 53095 Main Road
; �� ` e ����•� P.O. Box 1179
l d "poor Southold, New York 11971
4.JUDITH T. TERRY �'"����'i 4' TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK -
TOWN OF SOUTHOLD _ rp;"g ! t`
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June 20, 1989 �t i 1 989 �,
;\c\ 1 JUN 2.....! '`
To: Victor Lessard, Southold Town Building Department DES-71:101-D.,
From: Linda J. Cooper, Southold Town Clerk's Office ICANRU __..."
Transmitted herewith is a copy of application No. A 522 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Robert Jessup
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 - D<
DISAPPROVE -
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Signature
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OFFICE OF"THE TOWN CLERK cOr()Ur
Town of Southold ��o C�� Application No ��-
Judith T. Terry, Town Clerk 1
Town Hall, 53095 Main Road ` .j. Construction
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P. O. Box 1179Alteration
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Southold, New York 11971
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Tele hone �l * ' ,# Residential V
(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 $
DATE 6441
APPLICANT NAME:
APPLICANT ADDRESS: % ' c2, /2.476 97
SEPTIC CESSPOOLZ------
DESCRIPTION OF PROPOSED CONSTRUCTION,OR ALTERATION
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LOCATION MAP:- Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �' -Zh 17103-5-
OWNER
17 5—OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: / t (.7(--5 CJ )
TELEPHONE NUMBER OF CONTACT PERSON: ezticice-
TAX MAP NO. : Section RIC Block 5•- Lot /7
CROSS STREET: / ?. L 414--
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applican,
RECEIVED BY: ,
Town Jerk's Office
DATE: JUN 2 o
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