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HomeMy WebLinkAboutMandel (3) 40 gist JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK ® to P.O. Box 1179 REGISTRAR OF VITAL STATISTICS qfb ° .�` Southold, New York 11971 G�® ��� �1v Fax (516) 765-1823 MARRIAGE OFFICER 4,4 �� Telephone (516) 765-1801 ili'i- OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 862 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 ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. HOLD SEPARATION DISTANCE TO MAXIMUM OF 10'0". EXCAVATION INSPECTION REQUIRED. CALL FOR AN APPOINTMENT. Name Of Owner MANDEL, HERBERT Mailing Address 1 443 MAIN STREET City St Zip GREENPORT NY 11944 Property Address 1 1100 YOUNGS AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 60.00 block 2 lot 7.001 Cross Street ROUTE 25 Building Permit Number Cross Reference: Issue Date: 7/08/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) .. F . 2--- JUDITH T. TERRY y �: Town Hall, 53095 Main Road TOWN CLERK t ® tai P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 02' %` Southold, New York 11971 MARRIAGE OFFICER '��® O �� Fax (516) 765 1823 ��i®� ��® �! Telephone (516) 765-1801 -1/4,9i? `, ,s2 mss' • oi!. OFFICE OF THE TOWN CLERK iC rg`1\'77-:-;r .1 TOWN OF SOUTHOLD 1,; € A 1 JUN 3 01992 June 30, 1992 LI P _ ' 1.OVVN op sc,;3 k;1 Southold Town Code Enforcement Officer' -= ,._ . o -�? To• =_r_yi From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. A 887 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morris Cesspool for Herb Mandel . 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. 4.7.t_a_eA...i Linda J. Cooper * * * * * * * * * * * * * I have reviewed the application and location map of the project listed above and make the following recommendation: APPROVE - X DISAPPROVE - ,�, nn I COMMENTS: 4 4 4 -d► '� ��� 1 _ t AAA CSL.. tz // !;_ .-IALitoil _.. q ) e. -- 0 3y. cuz_ . . h sLc.R.A.-a cul i r.a...i.e.s. ,,,,, . A ,.,,..6m ., , tv-% y . ,, go. \(A9-1>C1)-1a.4.452 Signature ` \ a- Date °1 Z 111% _ .' / OFFICF QF THE TOWN CLERK ,,,'"""''' Town of Southold .0 ‘z , _ �6 7 Judith T. Terry, ri.O t._ -,;„.-„N Application No. Town Clerk .0 ® G Town Hall, 53095 Main Road ; Z ...4 .4 Construction P. O. Box 1179 ; " rnt v • Alteration Southold, New York 11971 . I� -" • 1,:.--- a. .` ; 0,- Q, '' $10.00 - Residential --.- Telephone �' �1 �`a' ' (516) 765-1801 $25.00 - Non-Residential ntial . ..a• , TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ /O / DATE 2c/7 02- APPLICANT 2APPLICANT NAME: ,i ,(/c5 Ck55- w S e( C6_', APPLICANT ADDRESS: 2 7 :c, /&.�- p-r 2i( -sow tAol & k , (//7/ SEPTIC CESSPOOL V DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ; _ oi i_ ,d.- - r C " ,�• / I LOCATION MAP: Must be attached hereto before permit may be is ued. LOCATION OF PROPOSED CONSTRUCTION "�` .� J U TION OR ALTERATION• OWNER OF PROPERTY: / / Ig , OWNER MAILING ADDRESS: / z) t/�,,-s A,-e �©���` /757 OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section (2 0 Block oL Lot 7 / CROSS STREET: ier 2s- , BUILDING PERMIT NUMBER CROSS REFERENCE: p, / g a , Sig •ature of Applicant • RECEIVED BY: c ✓ . To n Cle k's Office • DATE: - qtr/ FZ� - r Z° f ao eirslidr-1/4 3d I 0 Ka-- �Q o 5 cog// CO