HomeMy WebLinkAboutRodia (2) At' CID
�.i Town Hall, 53095 Main Road
v® .�. P.O. Box 1179
�® �� Southold, New York 11971
JUDITH T.TERRY Jo'
FAX(516)765-1823
TELEPHONE(516)765-1801
TOWN CLERK
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. 550 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 AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner RODIA, ALFRED
Mailing Address 1 665 PEQUASH AVENUE
City St Zip CUTCHOGUE NY 11935
Property Address 1 665 PEQUASH AVENUE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 7 lot 26.000
Cross Street WILLOW STREET
Building Permit Number Cross Reference:
Issue Date: 9/14/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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_ �. �� �. Town Hall, 53095 Main Road
p j A:tr.. *,. ® '44L-7-'? ®k'�.�� P.O. Box 1179
c,alp ► �4 '� •i Southold, New York 11971
JUDITH T. TERRY -'"oo,"o,/ TELEPHONE
TOWN CLERK (516)765-1801 ,
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 12, 1989
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A564 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Alfred Rodia
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 - k
DISAPPROVE -
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OFFICE OF THE TOWN CLERK c3IFOUr O
Town of Southold �, �► Application No 51-'7
Judith T. Terry, Town Clerk .G
Town Hall, 53095 Main Road l � :'111.2`
- Construction
P. 0. Box 1179 `
Southold, New York 11971 ®� Alteration
Telephone =®1 Np Residential
(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 5" _/ 72-`A
APPLICANT NAME: ✓�� � /L
APPLICANT ADDRESS: /IC) F.7 Zs
SEPTIC CESSPOOL 4/7
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION,OR ALTERA ION:
OWNER OF PROPERTY: Arr'
OWNER MAILING ADDRESS:
f
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: -77- 96 5
TAX MAP NO. : Section /03 Block7 Lot 0
CROSS STREET: nL)
BUILDING PERMIT NUMBER CROSS REFERENCE:
xi,c47
Signature of A plicani
RECEIVED BY:
Ktratfi .lerk's Office
DATE: R FJ 1929
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