HomeMy WebLinkAboutSawicki (2) „ ,,,.......,.
cOFOL/{�®G
JUDITH T. TERRY � O Town Hall, 53095 Main Road
TOWN CLERK w T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS to Southold, New York 11971
•� Fax (516) 765-1823
MARRIAGE OFFICER ®
� O &N‘” •
Telephone (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. 994 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or. Alteration
INSTALLATION OF NEW OVERFLOW TO AN EXISTING SYTEM.
LOCATION OF NEW OVERFLOW APPROVED AS SUBMITTED. DIG OUT OLD CESSPOOL
AND DEPOSIT CEMENT INTO LANDFILL. EXCAVATION INSPECTION REQUIRED.
CALL 765-1802 FOR AN APPOINTMENT.
Name Of Owner SAWICKI, HOWARD
Mailing Address 1 49450 ROUTE 48
City St Zip SOUTHOLD NY 11971
Property Address 1 49450 ROUTE 48
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 3 lot 5.000
Cross Street OLD NORTH ROAD
Building Permit Number Cross Reference:
Issue Date: 5/11/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL 1
, •
cro
•
ovv
t6)I
ROAM
C ri
MAY 7 1993
/D
• _ lar
fAd:,-11
j'a,11.1,-,:lAr),‘y1 • ,
•
'f'r
..i.- ..
OFFICE OF THE TOWN CLERK ,."'""""'
Town of Southold ,��.111 0UL/re'OG Application No. l U /
Judith T. Terry, Town Clerk e %%, _ y' 7
Town Hall, 53095 Main Road �� `"`` '�: Construction
P. O. Box 1179 ''' '
B • .;; . :. " ; Alteration
Southold, New York 11971 ;y : : ,:.,;- • ���q`
Teleph ".• 1%16 - " Off ' $10.00 - Residential Le.�
o_ne,,,.
(516) 765-S1�8O1 .;4" '_ "l �, •' , $25.00 -Non-Residential
'''•Eiej 'h Y,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
•
' for
CONSTRUCTION or ALTERATION PERMIT •
SEPTIC TANK or CESSPOOL
` Permit No./ 0/ 7 -
Fee '$ /D --'
DATE -.--e/9 .7 5 ('�.>
i
APPLICANT NAME: "'2)g/ r(5- C7-.C,T.,077(
APPLICANT ADDRESS: 2l O X..C........A1 ,4.,,.i �� .
;, ,: .7 K. .y 77/7 ?/
SEPTIC CESSPOOL 1"
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attachedhereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ,F, _ ._z t .
OWNER MAILING ADDRESS: y '7..� /e4'
.ire? .LY• 7.7. 7/
OWNER PROPERTY ADDRESS: •
�,a\9
•
TELEPHONE NUMBER OF CONTACT PERSON: 71,E ---47-• •
TAX MAP'NI8. : Section _Cc Block 3 Lot _S
CROSS STREET: ,/ �e'7
0.4,,‘,..;.f
BUlll,L-DING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: //01- , /7-itA--(-t_ •
Town Clerk's ffice
DATE: t//L- �f' • `
d'7?
s i
OFFICE OF THE TOWN CLERK ,,,,,,,,,,,i.,,,,
Town of Southold .s \001./( t `
'
Judith T. Terry, Town Clerk �44. . (V Application No. / 0 / 7
Town Hall, 53095 Main Road ; Construction
P. O. Box 1179 , =1 rn „
Alteration
Southold, New York 11971 s
Telephone ` �O - Q���' $10.00 - Residential .�
(516) 765-1801 ���(14 ��o'�
$25.00 -Non-Residential
• -- ~ 0°1'
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.! 0/ 7
Fee $ 1D
DATEffi..„---/124,7 t!��
APPLICANT NAME: AV9 rr( ,901e?
APPLICANT ADDRESS: 2 7. d p,
S ice a ,2•Y //7 ?J
SEPTIC CESSPOOL t"
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ��' -�(' 5 -'•GGl,L.
•
OWNER MAILING ADDRESS: e-Ke
-sty ct,K. /(Y•
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: W:r � °Z)
TAX MAP NO. : Section �� Block Lot �r
CROSS STREET: ��� //iC71°
BUILDING PERMIT NUMBER CROSS REFERENCE: •
/67r,Z7i7--13 ,
iPer. /,‘
ignature of Applicant
RECEIVED BY: ..
- - Town Clerk's Office
DATE: 7A. /0