HomeMy WebLinkAboutRobins (2) l
esr
JUDITH T. TERRY Town Hall, 53095 Main Road
r—„-., f P.O. Box 1179
TOWN CLERK
REGISTRAR OF VITAL STATISTICS A Southold, New York 11971
MARRIAGE OFFICER
i�' Fax (516) 765-1823
��® �®is- Fax
(516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 835 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
ADDITION OF NEW OVERFLOW POOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED.
Name Of Owner ROBINS, BERNARD
Mailing Address 1 1550 STROHSON ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 1550 STROHSON ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 10 lot 30.001
Cross Street BALDWIN ROAD
Building Permit Number Cross Reference:
Issue Date: 5/11/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
. .
- }
F
0_,,,7,„,...„_
_. ifiL
„_,_
,,
.i
"4 F� V90f fe&N
JUDITH T. TERRY
it
� Town Hall, 53095 Main Road
TOWN CLERK t= t) h P.O. Box 1179
REGISTRAR OF VITAL STATISTICS t gl .% Southold, New York 11971
MARRIAGE OFFICER ®
N� O �l' Fax (516) 765-1823
_�
-*+_.eQe wv,” Telephone (516) 765-1801„
d0
OFFICE OF THE TOWN CLERKippff:ga\-I--7
TOWN OF SOUTHOLD
May 5, 1992li 1 NAY 51992
_c . I/
To: Southold Town Code Enforcement 'Officer T®W1r•1-'6'-' •'~c`—J``-"`"'J
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith iit a copy of application No. 859 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for BERNARD ROBINS .
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 - X
DISAPPROVE - ¢¢
COMMENTS: p.o' I,,,, cexti in aa'q S }a te.A • C t `9.04.4_,
1. 46z.2...4.0,21 A...v....12.31 -ct„...
RELIVED
MAY 0 71Qg
Town Clerk Southold
AO. 1
���
+ Signature
10 ,V i...S11
kt , e• , -/\--1
sielj14'.1 °.°.‘1.
Date \G\
s ~ r
OFFICE OF THE TOWN CLERK 00,
Town
Town of Southold .�' C,\\MILKC'
1#1-
Application No.
Town Clerk
Judith T. Terry, �, s
Town Hall, 53095 Main Road �� Construction
L .
P. O. Box 1179 ; ot mm3
Southold, New York 11971 tt, �� Alteration
Telephone y®,j- - _. �0��' $10.00 - Residential
(516) 765-1801 ' OlSid ' $25.-00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. -
Fee $
DATE �
APPLICANT NAME:
APPLICANT ADDRESS: / 6,7 2_
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION )
C7V--e'--$70,12 m1'
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �� ��
OWNER MAILING ADDRESS: /f59
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /415 Block /D Lot &/ 2 U, /
CROSS STREET: -
BUILDING PERMIT NUMBER CROSS REFERENCE:
v
-/ //
Signature` of Applicant/r '.
RECEIVED BY:
Town Clerk's Office
DATE: . -
i . p
, ..Z1
,
• '
raA,
0 r d
,71)
I ',\W'r
• vii., .
1 '04
I b
., AI
,-(1°`---e-
-',......4... -- ------___--.---------------v-=--
--- ,
ife'--------,
ti
I
V 1
1 I en
1
, ..
, - . _ _ T\I
\:1
"..'
1-___-
ilapnute /C 1
XVI
L,- , __J
P v*'
O III
1,:v
e...1)„,fr.6
k .
i
! '
1 4 s'i
„tf r
41,/, ' -..-:----------
\--------'''