HomeMy WebLinkAboutTruglia JUDITH T.TERRY ® Town Hall,53095 Main Road
TOWN CLERK g P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER `�j` �� Fax(516)765-1823
RECORDS MANAGEMENT OFFICER ®� tfoe Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER s's°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1360 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW 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 TRUGLIA, DURWOOD
Mailing Address 1 2 SHORT ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 2 SHORT ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section �11Z.-8A--blockr8-=mat 1 01 - 7
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 7/26/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
,______, / 3 6 .
JUDITH T.TERRY ® �� Town Hall, 53095 Main Road
%TOWN CLERK k chi g P.O.Box 1179
REGISTRAR OF VITAL STATISTICS % 1�1 Southold,New York 11971
MARRIAGE OFFICER %4. QI1 Fax(516)765-1823
RECORDS MANAGEMENT OFFICER : ®.I `2s' `�`i sd Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER -„ ,••s.
FLT r F—
OFFICE-OF THE TOWN CLERK 1'f Qrg �` i
TOWN OF SOUTHOLD f' �`=i�'^ ��__
I
TO: Southold Town BuildingDepartment I' f ',P L�4�1 JUL�9UL 1899
FROM: Linda Cooper, Southold Town- Clerk's Office u L TM
L____ _ a
.ALL, . DEPT. II
DATED: July 17, 1995 1'01PiNOFSOUTHOID
Transmitted herewith is a copy of application No. A1412 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
_ Peconic Cesspool for Durwood Truglia •
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: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
_ fi..
RECEIVED Signatur: K
JUL 2 4 199546-
Iowa Clerk
Clerk Soutfrold
•
OFFICE OF THE TOWN CLERK ,,,,"""
Town of Southold �.�' � pia
_ Application No. 6
Judith T. Terry, Town Clerk l�'��� ._ ,,. - , Gy
Town 'Hall, 53095 Main Road Z , ;. :G Construction G-
P. O. Box 1179 =='
ary • Alteration
Southold, New York 11971 t�r3 $
Telephone �,�� •�Q 'to $10.00 - Residential 1-
(516) 765-1801 .. Ol J �, $25.00 - Non--Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $,-
•
DATE ` //11/. ")
APPLICANT NAME:
APPLICANT ADDRESS: .47 �� -
SEPTIC CESSPOOL
DESCRIPTION OF P'OPOSED CONSTRUCTION if, ALTERA ION
d•
r 7/
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS:
f //
OWNER PROPERTY ADDRESS: C"
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /17 Block r Lot /Ti
CROSS STREET: /(/ z,/ f-et/54-4e
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sig ture of Applicant
•/-
RECEIVED BY:
ow Clerk's Office
DATE: 2 (Z ��'� •
/1/644(5#(4'