HomeMy WebLinkAboutMajeski (2) //#/c///I/ri,y�''
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK ® ' ► �, P.O. Box 1179
th Southold, New York 11971
REGISTRAR OF VITAL STATISTICS " t e :�1 Fax (516) 765-1823
MARRIAGE OFFICER = '�/ ®'�� Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER = � l
FREEDOM OF INFORMATION OFFICER = �/00-
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1288 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : THOMAS J. MCCARTHY
Address 1 : P. O. BOX 62
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
INSTALL NEW SEPTIC TANK AND LEACHING POOL AS PER SCHD APPROVAL DATED
12/3/93
APPROVED AS SUBMITTED AND AS APPROVED BY THE SCHD. INSPECTION BY
SCHD REQUIRED.
Name Of Owner MAJESKI, FRANCIS AND OTHERS
Mailing Address 1 NEW SUFFOLK AVENUE
City St Zip NEW SUFFOLK NY 11956
Property Address 1 KING STREET
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 7 lot 8.003
Cross Street FOURTH STREET
Building Permit Number Cross Reference:
Issue Date: 2/07/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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. % ie....d, - I (:)____ ---S/
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z Town Hall, 53095 Main Road
JUDITH T. TERRY
TOWN CLERK : ® I P.O. Box 1179
cdb Southold, New York 11971
REGISTRAR OF VITAL STATISTICS .V'® •' Fax Fax (516) 765-1823
MARRIAGE OFFICER ---40
s�`` �® l�' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER =744/ - �l
FREEDOM OF INFORMATION OFFICER %.�/i/p''°�1 •
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OFFICE OF THE TOWN CLERK h1,
TOWN OF SOUTHOLD
[� pry
TO: Southold Town Building Department BLDG.BEPL 1
L_LOWN OF SOUTHOLD
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 1, 1995
Transmitted herewith is a copy of application No. 1116 for a Cesspool/
Septic Tank Construction Permit submitted by:
Thomas McCarthy for Francis Majeski & Others •
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE ,L
DISAPPROVVE ,�
Comments: C�• /) 'i ' �®9,"'T .i---- C�5e 6--A..�._-/ /7, 1A:13
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OFFICE OF THE TOWN CLERK ,,,,'",,,," -` •
Town of Southold 0 e& = Application No. �� ` ''
Judith T. Terr , Town Clerk ,0'�O Gy - ',
y � O ,4F F.;. e �
Town Hall, 53095 Main Road ; /..... .- ;L '• Construction \ —
P. 0. Box 1179 'c
o • ^' ; Alteration
Southold, New York 11971t foe •.. ���
�, $10.00 - Residential - -I °,
Telephone - 0 c!
(516) 765-1801 - Ol * �,�' $25.00 - Non-Residential ,
TOWN OF SOUTHOLD .'
•
SOUTHOLD WASTEWATER DISPOSAL DISTRICT ' '.
i,}
APPLICATION ,,),,,,
for ' hi'
CONSTRUCTION or ALTERATION PERMIT - 0:
SEPTIC TANK or CESSPOOL ti`'
Permit No.
Fee .$ j • r QL , �'t
DATE --1 'i'? ;
APPLICANT NAME: 1-0.(1/1/0-S Z. .
APPLICANT ADDRESS: 6),
• fl 1 U k NV j / ?S)
SEPTIC CESSPOOL / •
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Il, 1111.
OrS'e.t . U-14- 4- 61)&- -a-Cot Pot-e ILL $ , d ,i0 _ :::
LOCATION MAP: • Must be attached hereto before permit may be issued. . :' "'
LOCATION OF- PROPOSED CONSTRUCTION OR ALTERATION: :,,
OWNER OF PROPERTY: ce4\_,\(' (S f1I- 'eSk ( 1L CRs- . ''
am14-06 .
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OWNER MAILING ADDRESS: 0,d .,
• A,' 1,0 • 4 ► ! Y of-SC ' -`;3
OWNER PROPERTY ADDRESS: ALit \i-,210, '•7
AL1 ' '.,)1"
TELEPHONE NUMBER OF CONTACT PERSON: • D?? — S t C ,, , , „
P 4
TAX MAP NO. : Section I ' 7 Block 2 Lot u
r
CROSS STREET: k( I17CJ L° e t J I' -c1J1[
BUILDING PERMIT NUMBER CROSS REFERENCE:
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S'gnature of Apj/4I '
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RECEIVED BY: • -'
Town Clerk's Office.
DATE: •
e
CELLAR 1 `ryAy 1,7'YV� ��UCKADE FLNCE � t...;.%;1555.1.,"5,-.
ENTRANCE O m !/ O B'E E.1-1
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STEPS \+ t CESSPOOL . a; \ t•,
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