HomeMy WebLinkAboutVerostek (2) i,---CORRECTED PERMIT 10/4/89
,,gi
Town Hall, 53095 Main Road
P.O. Box 1179
,ss��, �• �!! Southold, New York 11971
�
JUDITH T.TERRY `�- �� 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. 521 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RICHARD MAGILL
Address 1 : PECON I C CESSPOOL
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF NEW OVERFLOW CESSPOOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD MAXIMUM OF 12'0 BETWEEN POOLS.
NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner VEROSTEK, CONN I E
Mailing Address 1 MILL COLONY
City St Zip SOUTHOLD NY 11971
Property Address 1 MILL CREEK DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 135.00 block 3 lot 30.001
Cross Street GROVE DRIVE
Building Permit Number Cross Reference:
Issue Date: 8/08/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
RAI p
.'
{ * fes
'' F ' Town Hall 53095 Main Road
® P.O. Box 1179
®1 ������iii! Southold, New York 11971
JUDITH T.TERRY ����._.,�� TELEPHONE(765-1823
6)765 1801
TOWN CLERK
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. 521 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RICHARD MAGILL
Address 1 : PECON I C CESSPOOL
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF NEW OVERFLOW CESSPOOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD MAXIMUM OF 12'0 BETWEEN POOLS.
NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner VEROSTEN, CONNIE
Mailing Address 1 MILL COLONY
City St Zip SOUTHOLD NY 11971
Property Address 1 MILL CREEK DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 135.00 block 3 lot 23.000 U
Cross Street GROVE DRIVE
Building Permit Number Cross Reference:
Issue Date: 8/08/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
,:_,..ww, Iciarrm ____.y(
�� 1. . Azle14''�^ "" k" �Ni- 1
ate 1 , �4
LJ3 14 ,-h gp:,04 PCO *, S 1.; R } { .4
.%)b
y �d b `,I�� 1 co 111141 1c 'aR,u i if it1�b1X° u ,.n Road
�'v,.;26 &\'i P.O. Box 1179
�__i /M for Southold, New York 11971
JUDITH T. TERRY "m 0- TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
July 21, 1989
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A534 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Connie Verosten
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 your
gQ/yLELa..�
Linda J. Cooper
* • * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - J(
DISAPPROVE -
COMMENTS: a., ,I_,Y,,S.i_c__u cQ- ep„n ctit-occaj jeJca,- 14,4 A.
I a (Zr. 0-.,Q s
4
\Clik.4.- C::: 0-4--eL.
��� ,,,,‘N', Ci 'iSignature
c ' � AUG 0719�� 2
1 ck
,..lc
r' Date
- a
iI
OFFICE OF THE TOWN CLERK cOFoLr D
Town of Southoldt'� Application No. .1
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road _ .rt Construction
P. O. Box 1179 �. : .
New York 11971 ,y, " 0�.*-$ — Alteration
Southold, '�l
Telephone �1 * Nt, � Residential
(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 ? -
APPLICANT NAME: (16:4,1A447/f1,7-47
(/ ,/f j ( W9 ` �G✓�?ZLG
APPLICANT ADDRESS: ig,�,�; 6-1,,/ 9 9 1.-
tear // '5-2/
SEPTIC CESSPOOL J�
DESCRIPTIlON OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTRATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: ",71 e
OWNER PROPERTY ADDRESS: '� ' - 1 K/7 rC- 0-t1
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section Fp3 5 Block 3 Lot 2? 3
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
"Zile
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
1(11)9 P
/ 5c 3 —
/14W/ fz -' -, --a/2
/
cO/c / f5(\\ 0 ; _ Jt/t MI
et.<-H7,o1 ci 4,e-55 p (
/ r W
- 5+
IV