HomeMy WebLinkAboutMartin (4) JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK ® r= P.O. Box 1179
REGISTRAR OF VITAL STATISTICS U'' Southold, New York 11971
��
0✓ �' Fax (516) 765-1823
MARRIAGE OFFICER O ®� r
',y®1 �1� ��' Telephone (516) 765-1801
r0
r/SII
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1107 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
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. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, AND PROPERTY LINES. EXCAVATION INSPECTION REQUIRED.
Name Of Owner MARTIN, WILLIAM
Mailing Address 1 1900 PARADISE SHORE ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 1900 PARADISE SHORE ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 80.00 block 1 lot 16.001
Cross Street NORTH BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 4/04/94 Judith T. Terry
Southold Town Clerk
I rrwgl cam"I 1
, .
--.
. „,„,,„,,,„,,,,
--,
l0 7
�,,'''���FUL��'
'gyp® 0�
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK ® . P.O. Box 1179
¢p ,` Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = ,' Fax (516) 765-1823
MARRIAGE OFFICER ®�� ts8','' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER f oi-
FREEDOM OF INFORMATION OFFICER —�,...iii/01°' N El �(] _,
U Nom ;
OFFICE OF THE TOWN CLERK11
TOWN OF SOUTHOLD
rN .
. 4+:1 2 5 0 0, I_.
BLDG.DEPT.
TO: Southold Town Building Department TOWNOFSOUTHOLD
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 24, 1994
Transmitted herewith is a copy of application No. 1144 for a Cesspool/
Septic Tank Construction Permit submitted by:
Morris Cesspool Service for William Martin .
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: ;;��tt
APPROVE �r EACAVATIIO 9 [NSPECT'OK
DISAPPROVE REQUIRED
Comments: ���r47tey,d4400,-/ ragire2ele_—• 7/24-0,7
ert,jele-et,d9/1.0g. A4:14A—.."-A-
a ..3e2r1"dive:,
RECEIVED �f„� •S . . �/
MAR 3 1 1994 Signatur- -
Town Clerk Southord Dated
• - r-
OFFICE OF THE TOWN CLERK ,,'",,,,,",,,
Town of Southold .s',', 011.1(e'.
Judith T. Terry, Town Clerk ��' �� X4,4% Application No. //Ki
Town Hall, 53095 Main Road ; }- �'; Construction
P. O. Box 1179 c rnz
Southold, New York 11971 tt; �� Alteration
Tele hone y,� Q��i� $10.00 - Residential
p
(516) 765-1801 = 01 � $25.00 -Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE // 2 / �O7
APPLICANT NAME: /7) JeSS
APPLICANT ADDRESS: 7/‘c / ,e£C'o rc
rcAJ-2,04,
SEPTIC CESSPOOL%
DESCRIPTION OF PROPOSED CONSTRUCTION �. ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED' CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: /96r0 $, a
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section f`O Block, / Lot /‘,. f
CROSS STREET: �j �
,49
BUILDING PERMIT NUMBER CROSS REFERENCE:
� 4
,1 - /*10‘4/i7V
Signature of Applicant
RECEIVED BY:
Ai c /
Town Clerk's Office
DATE: RECEIVED
MAR 2 41994
, town Clerk Southold.
• tee4oltz-0-Q
2.1)
to-ek--ut -el))