HomeMy WebLinkAboutPeix (2) ,� fO G •
JUDITH T.TERRY ,�� j y1• Town Hall, 53095 Main Road
•
TOWN CLERK y 2 P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ��� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER
MARRIAGE OFFICER Fax
1 * 1` �,�� Telephone(516) 765-1800
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FREEDOM OF INFORMATION OFFICER .�, ,�•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1417 R Residential X Non-Residential
Fee $ 10.00 Septic X _ Cesspool
PERMIT ISSUED TO:
Name : BLUE SPRUCE BUILDING
Address 1 : 275 BALDWIN PLACE
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
NEW SYSTEM FOR HOUSE WHICH WAS RELOCATED.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner PEIX, J. DOUGLAS
Mailing Address 1 208 FIFTH AVENUE
City St Zip NEW YORK NY 10010
Property Address 1 HALLOCK LANDING ROAD
City St Zip LAUREL NY 11948
Tax Map No. section 112.00 block 1 lot 3.001
Cross Street SOUND AVENUE
Building Permit Number Cross Reference:
Issue Date: 11/21/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
_, / (7 / 7
Oil OFFOile ..
JUDITH T.TERRY 211= • e.% Town Hall, 53095 Main Road
at
TOWN CLERK k y Z , P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax®� � �it%
Fax(516) 765-1823
MARRIAGE OFFICER �® 0o��i� Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER _ 1 l
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK f/ /m,
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TOWN OF SOUTHOLD ,Il g
N.--„,€TO: Southold Town Building Department =rte X19 f ��p '�
FROM: Linda Cooper, Southold Town Clerk's Office /= `, .
DATED: November 14, 1995 ,R(-.r
Transmitted herewith is a copy of application No. A1471 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
J. Douglas Peix .
•
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.
'44 --d'r-"--
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed •
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
-buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Amor f;r�E .t
Signatur-
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Date
OFFICE OF THE TOWN CLERK ''
Town of Southold ,�� Ocj� ��v.Application No. � 7/-
Judith T. Terry, Town Clerk � Q
Town Hall, 53095 Main Road Z ; Construction
P. O. Box 1179 ,. ry
Southold, New York 11971 s th . � Alteration
Telephone ,j�� $11)
. b ,•�� $10.00 = Residential
(516) 765-1801 l 4 , ' $25.00 Non Residential
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TOWN OF SOUTHOLD
•
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE Novem er 6 1995
APPLICANT NAME: J. Douglas ,Peix
APPLICANT ADDRESS: 208 Fifth Ave New York NY 10010
SEPTIC x CESSPOOL x
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Existing
house was moved approx 200 ft (permit 4226922) NPw sPptir,
system needs to be .installed closer to house.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: J Douglas Peix
OWNER MAILING ADDRESS: Blue Spruce Building 275 Baldwin Place
(Thtchngue NY 11935
OWNER PROPERTY ADDRESS: Ha11ork Lari1ing rnac1 T,aurP1
TELEPHONE NUMBER OF CONTACT PERSON: ( 516 ) 734-7327
TAX MAP NO. : Section 112 Block 1 ' Lot 3 . 1
CROSS STREET: Sound Ave
BUILDING PERMIT NUMBER CROSS REFERENCE: #226922
'Signature of Applicant
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RECEIVED BY: `U�// 6146 5',4,4�6 IAl W i
own Clerk's Office
DATE: / /•/9
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