HomeMy WebLinkAboutNorris (2) ;Il(iP1C3 Uj 41
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Town Hall, 53095 Main Road
.�® ®�., P.O. Box 1179
01\1,6-
�,;,�t. Southold, New York 11971
JUDITH T.TERRY ' (516)765-1823
TOWN CLERK
TELEPHONE(516)7654801
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. 464 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : NORRIS, BRUCE A.
Address 1 : NEW SUFFOLK AVENUE
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF SECOND POOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED WITH THE STIPULATION THAT APPLICANT DOES NOT
EXCEED 15' BETWEEN THE POOLS.
Name Of Owner NORRIS, BRUCE A.
Mailing Address 1 P. O. BOX 25
City St Zip MATTITUCK NY 11952
Property Address 1 NEW SUFFOLK AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 9 lot 3.000
Cross Street REEVE AVENUE
Building Permit Number Cross Reference:
Issue Date: 2/16/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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-oe Town Hall, 53095 Main Road
4i, ar P.O. Box 1179
of ')V •0i Southold, New York 11971
JUDITH T. TERRY 0.04-1TELEPHONEE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. MI5 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Bruce Norris
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.
Linda J. Cooper
* * * * * * * * * * * * *
I
have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X
DISAPPROVE -
COMMENTS: /l)d. Jo —sz jCcx L / —o ?O.—JD
{c.t04. a.4.,
Signature
Date
OFFICE OF THE TOWN _CLERK c3IFO�c- _ 7��
Town of Southold Q�� �l/
� ._ ;� � - Application No./14/
Judith T. Terry, Town Clerk - -C
Town Hall, 53095 Main Road . a - Construction
P. 0. Box 1179 �r J� fter • Y
Southold, New York 11971 �,yL =' Q�-��:' Alter- •
•
Telephone ;-r`. F , _ 1 t i, . ' esidenti
(516) 765-1801 \ Non-Residential
'TOWN OF 'SOUTHOLD ' ,i-
SOUTHOLD :WASTEWATER DISPOSAL DISTRICT
,-f APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
-
Permit No.
Fee $ - - ,
DATE a/ —/S7---- c9 7
e
APPLICANT NAME: aJ---44- .,,
APPLICANT ADDRESS: 7/64.t--/ -
' ` / / / ���/�/✓�-�
'74 '40" if . Co . ,. . 2/_0/__ / /9-§— a_
SEPTIC CESSPOOL 1.---"-- --- .-._
DESCRIPTION OF PROPOSED CONSTR CTION OR A TERATION- - -
... e.-xf -' --t r--- 6--0--
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CON TRUCTION OR ALTERATION:
" OWNER OF PROPERTY: -1 --IAA.-ei,
OWNER MAILING ADDRESS: cP`5
�� i //f
OWNER PROPERTY ADDRESS: / I /'1/ _
TELEPHONE NUMBER OF CONTACT PERSON:a_>Lti---(z.. v�.•- 0?9�-l-104/�
r -2 X8.53(15'
TAX MAP NO. : Section ) / 5Block Lot v
CROSS STREET: PQPiUQ_, jAAS �
BUILDING PERMIT NUMBER CROSS REFERENCE:
- 7,6 j____
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Sign. , e • 'pplicant
RECEIVED BY: O ,- 0.-65--t,
Q-f Q�
,® � i V Town lerk's fice
DATE:
FEB151989
Southold TM
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