HomeMy WebLinkAboutTaylor (2) 1 rrr///%III,I
sit c,)\\FFOLifr
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK
rri "' P.O. Box 1179
' Southold, New York 11971
REGISTRAR OF VITAL STATISTICSe�® N Fax Fax (516) 765-1823
MARRIAGE OFFICER aj' ® �� Telephone (516) 765-1801
i
RECORDS MANAGEMENT OFFICER =_7® •
FREEDOM OF INFORMATION OFFICER
% iir�rr!���
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1212 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
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, PROPERTY LINES, AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner TAYLOR, HARRY
Mailing Address 1 1010 DEAN ROAD
City St Zip MATTITUCK NY 11952
Property Address 1 1010 DEAN ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 116.00 block 5 lot 11 .000
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 9/26/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
___ __, /j( .
-JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER �, •��` Fax (516) 765-182365-1
RECORDS MANAGEMENT OFFICER =_ (If Telephone (516) 765 1801
r•
FREEDOM OF INFORMATION OFFICER "—.. ,,,,,,#"��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD SEP J.1 199
TO: Southold Town Building Department f ® QFE _._.._„_' i`
FROM: Linda Cooper, Southold Town Clerk's Office OUTHOLD
DATED: September 16, 1994
Transmitted herewith is a copy of application No. A1257 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
�6 Morris Cesspool Service for Harry Taylor ,
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: ®®pp �p
APPROVE - G; ��11AT� �TRSEPI ECT11 N
DISAPPROVE -
•
COMMENTS: Maintain required setbacks from adjacent wells, buildings,
property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
.4lOr 40 ,
RECEIVED 41111111111.1.:Arfx”ce
54. 16""~ Signatur-
SP2 1994
' `iown Clerk Southold
'a - /
OFF,►CE OF. THE ,TOWN CLERK ,,,'",,,,, ,-
r
''Town of Southold . ��FFD�K�►
Judith T. Terry, Town Clerk ��'�O ®Gy-: Application NolteS 7
Town Hall, 53095 Main Road $,4Construction
P. 0. Box 1179
ci
Southold, New York 11971 , csa Alteration ✓
Telephone $10.00 - Residential
(516) 765-1801 : Ql '�'
- o•,, $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 ,\S;, r 7‘•
APPLICANT NAME: adv/edi
APPLICANT ADDRESS: 22Co -
ntv
SEPTIC CESSPOOL V
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
L1� .//jy
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /I 1/ 7;4 y4,
OWNER MAILING ADDRESS: 7 //
Ae,tit A,
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section //6 Block Lot (I
CROSS STREET: -
- BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
• �1
r- 4AI
AzdaWar
v