HomeMy WebLinkAboutJester (3) JUDITH T. TERRY [ Town Hall, 53095 Main Road
TOWN CLERK � " P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER " trA.41 Fax (516) 765-1823
," Telephone (516) 765-1801
at
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 917 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
REPLACE EXISTING SYSTEM WITH NEW TYPE.
APPROVED AS SUBMITTED. OLD CESSPOOL TO BE REMOVED AND DEPOSITED AT
TOWN LANDFILL. CALL FOR EXCAVATION INSPECTION.
Name Of Owner JESTER, CLARENCE
Mailing Address 1 3875 OAKLAWN AVENUE EXT.
City St Zip SOUTHOLD NY 11971
Property Address 1 ROUTE 25
City St Zip GREENPORT NY 11944
Tax Map No. section 45.00 block 4 lot 2.000
Cross Street SILVERMERE ROAD
Building Permit Number Cross Reference:
Issue Date: 10/14/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
n
r �
C,( 7'
„„„.,
•moi
:,...
---,,
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK i P.O. Box 1179
REGISTRAR OF VITAL STATISTICS01
Southold, New York 11971
MARRIAGE OFFICER t0 .;i! Fax (516) 765 1823
��® �® �! Telephone (516) 765-1801
, V
��_ Vii.
,, d „ ?i , it .'L!:-_--, ----4.4...„„,f,II
x ' 4+ _ - ,�
SEP 2191992 H 1:i, OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
,' ,, ,'`' 1t i- September 29, 1992
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A941 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Clarence Jester ,
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.
44-7,Le,C‘,
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - pC
DISAPPROVE -
COMMENTS: -7-0 tk_C. . _ est��.od„Q ei.�
. c . o_24 Ci f 64 r � . .,_a d ct o-Q,_x�
c _ ! t, 1 : .
� I I. _ ,
14,4
s
cLitco' . ,
�x\$ ignature 0i¢ ��c;
s.\.\\e_V 1 \ . ...,\°oL Tom
' Date ®/
T,
r ,.r
OFFICE OF THE TOWN CLERK ,.,,""""'
Town of Southold 4•�� 'S�F���Kco -
Application No. $//
Judith T. Terry, Town Clerk �� Gy
Town Hall, 53095 Main Road �� T �: Construction
P. 0. Box 1179 . = 2
T
Southold, New York 11971 ;to .� yc �• Alteration
Telephone ‘%04„. - �Q '� $10.00 - Residential 'c
(516) 765-1801 _ 0,/ Pi"
$25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 9 zf/
Fee .$ i®
DATES
APPLICANT NAME:
APPLICANT ADDRESS: A7O 4v-14 `� L--
SEPTIC
_SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:_ :e.2. 7 �
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
r-
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section . $' ®1/Block 9 Lot
CROSS STREET: � y
BUILDING PERMIT NUMBER CROSS REFERENCE:
446 ;
Signaturer Applicant
RECE-I VE-D -BY: l v c
Town Clerk's Office
DATE: •
If ii -,
K
4
r
4. - f ,------,I , .Wr2A-Akfi:. A t
!a 0 ,
,
c.-------"-' °MAO Pr-) ':, 01
f Al
5 i
\lt)\
1
A