HomeMy WebLinkAboutReilly (2) ��-
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JUDITH T.TERRY Town Hall, 53095 Main Road
TOWN CLERK y 2 ; P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS :�®y X477 ,
Fax(516) 765-1823
MARRIAGE OFFICER O ,
RECORDS MANAGEMENT OFFICER ®.( .:"01ii Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ,.•so
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1403 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARY TABOR
Address 1 : 680 NAVY STREET
City St Zip ORIENT NY 11957
Descripton of Proposed Construction or Alteration
ADDITION OF A 6 X 8 LEACHING POOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED. **SEE ATTACHED**
Name Of Owner REILLY, PAUL
Mailing Address 1 KNOLL CIRCLE
City St Zip EAST MARION NY 11939
Property Address 1 KNOLL CIRCLE
City St Zip EAST MARION NY 11939
Tax Map No. section 37.00 block 5 lot 13.000
Cross Street BAYVIEW DRIVE
Building Permit Number Cross Reference:
Issue Date: 10/26/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY /it tj Town Hall, 53095 Main Road
TOWN CLERK ; Z P.O. Box 1179
I.1.- .0 Fax
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS L O
MARRIAGE OFFICER y� ®��1�' Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER _ od ",„ �� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER „ ”
OFFICE OF THE TOWN CLERK € Y-I�'l
TOWN OF SOUTHOLD 1, f '4�C� �1 "�1 ;°
71995
TO: Southold Town Building Department ,_ _
FROM: Linda Cooper, Southold Town Clerk's Office �`�' ^1; _
DATED: October;.16, 1995
Transmitted herewith is a copy of application No. A1455 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Gary Tabor for Paul Reilly .
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.
4
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPRO - Z---'---
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED. „-*44,..,,fre.-4 r f
W4,1, g, ,A/ .4 rf r � .G%�moi' lell 7 i -�� �c,,.ill&OZ
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Signature
D70 .014_5/9.5.----
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OFFICE OF THE TOWN CLERK ,..rr...
Town of Southold ' cySFfWee;
Judith T. Terry, Town Clerk ® 47 ,-`‘``
; ° ;a4 �( Application No. I
Town Hall, 53095 Main Road urf Construction
P. O. Box 1179 2 a � � ,�
Southold, New York 11971 " `�"° _ � ti
Alteration
Telephone =_d� t�k ' ®�"' $10.00 - Residential
(516) 765-1801 = ®d 4i $25.00 - Non-Residential
• - _.,,I,'
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
--
4-
Permit
-Permit No.
Fee .$ '
DATE / //
APPLICANT NAME: �./ ;i'
APPLICANT ADDRESS: �Q R---9
/ 7-
SEPTIC
-SEPTIC ,CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
f /
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: / . � o��
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
too /-*("" /„" 4/ cy i-)-7."7-1/,
O '
TELEPHONE NUMBER OF CONTACT PERSON: .;-T - — 2 6 7, `
TAX MAP NO. : Section
S 7 Block Lot l� •
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
,,Signature of Applicant
RECEIVED BY: 44C-Izte._,,
Town Clerk's Office
DATE: /67/ 76?
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