HomeMy WebLinkAboutOlsen (2) 4? e
t.
, s, Town Hall, 53095 Main Road
•` ® 1 P.O. Box 1179
-_e® � ,�'�r Southold, New York 11971
JUDITH T.TERRY ���
FAX FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
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. 637 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECON I C CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD 12'0" SEPARATION AND CALL FRO EXCAVATION
INSPECTION PRIOR TO COVERING.
Name Of Owner OLSEN, JAMES
Mailing Address 1 BOX 18B, BRAY AVENUE
City St Zip LAUREL NY 11948
Property Address 1 BRAY AVENUE
City St Zip LAUREL NY 11948
Tax Map No. section 126.00 block 10 lot 3.000
Cross Street ALBO DRIVE
Building Permit Number Cross Reference:
Issue Date: 9/10/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
lot , ,
�_2_ 6 ✓ 7
RECEIVE* - oma, `:'' w• , �G%`a
t..r 0? 1990 ::-_,.� �,,-
�,.`` k al$ Town Hall, 53095 Main Road
_�- `�``T1,4�, • ,t,.. - ,.0 P.O. Box 1 179
TOM Cleric Wife `- ( Ili( d. Southold, New York 11971
JUDITH T. TERRY �'Woii N TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
August 15, 1991, ,_ .\--r\
F'
To: Southold Town Code Enforcement OfficerAUG 2
From: Linda J. Cooper, Southold Town Clerk's Offic= ��-®O DEP
T_OVVN OF SOUTHOLD
OL
Transmitted herewith is a copy of application No. A652' for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for James Olsen .
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: 0....., ..c,,_c ccZtEs. av, a._Trop ca 1cR . 1I—Q9-
bj)&0‘ tA/s-N-AAAAA.:
\CA,A) , CL"6/St-11
Signature
Q‘ 90
Date
_ 81,2-f7/96
•
•
�. ? , Town Hall, 53095 Main Road
), P=x?' z�� � P.O. Box 1179
=• ' � ` j1 �� Southold, New York 11971
•
JUDITH T. TERRY """� ,
" TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
August 15, 1990
To: Southold Town Code Enforcement 'Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A652 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for James Olsen
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 -
DISAPPROVE -
COMMENTS:
Signature
Date
• it
.
OFFICE OF THE TOWN CLERK S�FFQ ' D
Town bf Southold Q Application No. 5-2`
Judith T. Terry, Town Clerk •
�_ <
Town Hall, 53095 Main Road Construction e�
P. O. Box 1179 cry
Southold, New York 11971 ® = � Alteration
*01 ��® � 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 /� �6)
APPLICANT NAME:
APPLICANT ADDRESS: /7, O 71.2'/X. 977--
SEPTIC
-SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTR TION OR ALT RATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRES : /1/
r G- . //rte
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: c9f " 995J7
7
TAX MAP NO. : Section 70-0 Block /d Lot 5
CROSS STREET: /41& /,? /,_
BUILDING PERMIT NUMBER CROSS REFERENCE:
,r4;e-Z
Signature of Applica
RECEIVED :pY •
own C_erk's Office
DATE: AUP 1. 5 19Q0
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