HomeMy WebLinkAboutKennelly (2) 111
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, Town Hall, 53095 Main Road
t��� P.O. Box 1179
• . �' �$• Southold, New York 11971
JUDITH T.TERRYsr'1 �� TELEPHONE
516
TOWN CLERK
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. 419 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO :
Name : PECONIC CESSPOOL
Address 1 : P . 0. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. BASE OF POOL TO BE MINIMUM OF 2 ' 0" ABOVE WATER '
TABLE.
Name Of Owner KENNELLY, JOHN
Mailing Address 1 2000 DEEP HOLE DRIVE
City St Zip MATTITUCK NY 11952
Property Address 1 2000 DEEP HOLE DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No . section 123 . 00 block 4 lot 2 . 000
Cross Street RICHARD STREET
Building Permit Number Cross Reference:
Issue Date: 11 /09/88 Judith T . Terry
Southold Town Clerk
(TOWN SFAI )
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Town Hall, 53095 Main Road
�.4 ,.9 ;;;;,;--V .°7-/• P.O. Box 1179
_ ., Southold, New York 11971
JUDITH T.TERRY -4.10....maid n.0 TELEPHONE
TOWN CLERK - (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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To: Victor Lessard, Southold Town Building Department ' `�
OCT 1988
From: Linda Cooper, Southold Town Clerk's Office
Dated: October 28, 1988 BLDG DEPT.
Toying OF SOUTHOLD
Transmitted herewith is a copy of application No.A425 for a Cesspool/
Septic Tank Construction Permit submitted by:
Richard Magill D/B/A Peconic Cesspool a/c John Kennelly
Please review the application and location map and advise if the project
has received Suffolk County Health-Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X
DISAPPROVE
Comments: 0,, ,lL &. ' - 0:1;u/1_ .ke.1_`cD,
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Signature
Dated
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OFFICE'OF THE TOWN CLERK cCi\FF0L*'(
Town of Southold 0� Application No.A yc31.rj
Judith T. Terry, Town Clerk rC
Town Hall, 53095 Main Road • / Construction
P. O. Box 1179 V
New York 11971 ��!J Alteration
Southold, 0 �. 1-7--
Telephone
�
Tele hone =01 t �� 'Residential
p o .
(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 .$ )�, eV
DATE 41/4 ��,
APPLICANT NAME: ' ,9, /j, /9
APPLICANT ADDRESS: (f( / ?J2_
/14
SEPTIC CESSPOOL 17
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
_ Ly/�
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: car' "-
OWNER PROPERTY ADDRESS: -r-,�
TELEPHONE NUMBER OF CONTACT PERSON: 3-9S- 2 ��
TAX MAP NO. : Section /P-3 Block ,? Lot
CROSS STREET: (---//3-./1.--of ,S
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Alp,: scant
RECEIVED BY: ,.4e///../
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on Vier s Office
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