HomeMy WebLinkAboutSakowicz t
J
/ •I
/!// pp Ili.
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
tf; ri
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER �� Fax (516) 765-1823
� Telephone (516) 765-1801
—_I4rd �
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC-TANK or CESSPOOL
Permit No. 758 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : DOUG STANLEY
Address 1 :
City St Zip 00000
Descripton of Proposed Construction or Alteration
ADDITON OF AN 8' DIAMETER X 8' DEEP CESSPOOL AND DOME TO AN EXISTING
SYSTEM.
APPROVED AS SUBMITTED. HOLD 10'0" SEPARATION BETWEEN POOLS. LAW
REQUIRES AT LEAST 24" ABOVE WATER TABLE. EXCAVATION INSPECTION REQUIRE])
Name Of Owner SAKOWICZ, STELLA
Mailing Address 1 PECONIC LANE
City St Zip PECONIC NY 11958
Property Address 1 PECONIC LANE
City St Zip PECONIC NY 11958
Tax Map No. section 75.00 block 5 lot 3.000
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 9/24/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
1 ‘-'1-
,
-'rr
t
401# -•'.i7;. 73 (r."/ .
JUDITH T. TERRY %' „tlf,A2 AteAl Town Hall, 53095 Main Road
Ck a ` P.O. Box 1179
TOWN CLERK . = :
REGISTRAR OF VITAL STATISTICS . 5 r „ Southold New York 11971
MARRIAGE OFFICER ® ���� Fax (516) 765-1823
® i�� Telephone (516) 765-1801
OFFICE OF THE TOWN CLERKtelic ��jj
TOWN OF SOUTHOLD U `�'
3
September 13, 1991 SEP 13
19��
7
To: Southold Town Code Enforcement Officer ` " BLDG DE-Pr
TOWN OF SOUTHOLD
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. 779 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Doug Stanley for Stella Sakowicz
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. •
4e-1z-4Y-ed.,'
__ --
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X
DISAPPROVE - n
COMMENTS: JJ, iI,a, I 0 aa.o .�r� Lam.: ,v% � i *
�p �l
AAA) -. a:tr 2 QJ. t. .A. ''alLn
16 .
14.4. "As c.`a.o ..Ex a .mac., ,,,
EXEAVATI®N \I ��f'�. ,'
INS
. Signature
REQUffRE®. EVILej 9 f
Date
OFFICE OF THE TOWN CLERK ,''',,,
Town of Southold .1'14f Wire'
Application -No. 7 7
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Z . L Construction
P. 0. Box 1179 � � w '� :
Southold, New York, 11971 cats r47,,' Alteration
Telephone G' 116��i $10.00 - Residential
765-1801
(516) 1
, ''' $25.00 -Non-Residential '
n
...i '' ,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
'APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 6 12 l
APPLICANT NAME: 3 � eu L c,7_, "
APPLICANT ADDRESS: fe L ® 01. CG 04.4,4%,, C-C '7 L
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
X -d-- cam""
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: '..p ' f U) 1 GZ
OWNER MAILING ADDRESS: Pe
•
OWNER PROPERTY ADDRESS: ''PQ C.-0 /
s
TELEPHONE NUMBER OF CONTACT -PERSON: �,
7
Is .3 •
TAX MAP NO. : Section/60 p73 Block r Lot
CROSS STREET: Pte- 02,c
BUILDING PERMIT NUMBER CROSS' REFERENCE: -
Signature of Applicant-
-
RECEIVED BY: 1 ,
Town Clerk's Office , 'DATE: ' , '
•
70207 — - � /
' 76e.c 2 ,..;44111.',2 .7 .
7cc- ! 7 2 3
, .. . ,
. . .
. ..
_,„
1 ,
-
, t
Ys 4.4
1' Y' Z� • at
/
,;z,;=' _-r�tv ',Z., .-_,___ _ .d,,.c-r::a.�'. _.._ _ ,tea _ „,`,..:-,,,Y,.:-.7.......-,--._,,,,,,,,-...7,
•
. .
..... . .
—,f. — cyL„,e,_,- --, '” ,
, .
, . _
. .
102 i ; .. ��f .,
, , . a :
. 1( /),...1. - ..7,
_ ,I !
- 414:14%1"16 ,
, Q
• . / ,.
.
� 5; STS
�
��� ;.. - .