HomeMy WebLinkAboutScheideler .ate � �.
Town Hall, 53095 Main Road
4,1 P.O. Box 1179
o" �"'' Southold, New York 11971
JUDITH T.TERRY —®� i!l��l 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. 593 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
REPLACE EXISTING CESSPOOLS WITH NEW POOLS.
APPROVED AS SUBMITTED. NOTE: DIG DOWN TO VIRGIN SAND AND CALL FOR AN
EXCAVATION INSPECTION. CALL THE SOUTHOLD TOWN BUILDING DEPARTMENT AT
765-1802 AT LEAST 24 HOURS IN ADVANCE.
Name Of Owner SCHEIDELER, HANS
Mailing Address 1 90E CLINTON AVENUE
City St Zip TENAFLY NJ 0000
Property Address 1 3825 REEVE AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 123.00 block 5 lot 32.000
Cross Street KRAUS ROAD
Building Permit Number Cross Reference:
-- ,a �_ate -
Issue Date: 3/28/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
WS 4.i4..„
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;®n ' '‘‘'• ��� Town Hall, 53095 Main Road
11/4.4%,,,:',11,;:m.'-''='`�®�'I P.O. Box 1179
- Southold,Southold, New York 11971
JUDITH T. TERRY ."�������I/I TELEPHONE
TOWN CLERK 516 7654 801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK1�,' { � l
TOWN OF SOUTHOLD ,' Q ri 1
�-
March 23, 1990 N,
LOG DI-7-T
To: Southold Town Code Enforcement 'Officer �CY....,.:±.c„,! y, :-L,,-',ii
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A608 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Hans Scheideler
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.
f
Linda J. Cooper
* * * - - * * •* * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - K
DISAPPROVE - •
COMMENTS: . !,'c- 'L! , .a t 0 '
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Date
.00 693
OFFICE ,OF THE TOWN CLERK cjU►FDL
Town of Southold
Town Clerk Z0 Cly Application No. w6
Judith T. Terry, ".0
Town Hall, 53095 Main Road - Construction
P. O. Box 1179
Southold, New York 11971 �* •!J Alteration
01 t ' � Residential
Telephone
(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 ' ' • -
APPLICANT NAME: /1f2 ,
APPLICANT ADDRESS: fi
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OORj ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: 99 G .
99 /
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: �--9 � 5g7
TAX MAP NO. : Section / Block S. Lot 3 2-
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applica s+
RECEIVED BY:
WClerk's Office
DATE: MAR 2 3 1990
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