HomeMy WebLinkAboutGibbon, Jack OFFICE OF THE TOWN CLERK c0FOUI-e,Ol
Town of Southold �
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179 `
Southold, New York 11971 r ' 00��`�,
Telephone �! i , .,
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. A332 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Richard Magill d/b/a Peconic Cesspool
ADDRESS: P.O. Box 972
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
Addition of an overflow pool to an existing sytem.
APPROVED as submitted with the stipulation that the maximum distance
between the pools be 10'0".
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Jack Gibbon
OWNER MAILING ADDRESS: 720 Midwood Road
Cutchogue, New York 11935
OWNER PROPERTY ADDRESS : 720 Midwood Road
Cutchogue, NY 19135
TAX MAP NO. : Section 110 Block 2 Lot 19
CROSS STREET: Pequash Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. Te
Southold Town Clerk
DATE : May 5, 1988
(TOWN SEAL)
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TOWN OF SOUTHOLD ~' u'.
0 4 $ Town Hall, 53095 Main Rc
_ V'''• •� P.O. Box 1179
Ol y�O0, Southold, New York 119"
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JUDITH T. TERRY /•
TOWN CLERK
TELEPHONE
REGISTRAR OF VITAL STATISTICS (516)765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 3, 1988
To: Victor Lessard, Southold Town Building Department
•
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A336 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Jack Gibbon
•
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 - k
DISAPPROVE -
COMMENTS:
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Signature
Date S�Si?2
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OFFICE OF THE TOWN CLERK
OFOLjC
Town of IA
: Application No. 4,Judith TTerry, Town Clerk
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Town Hall, 53095 Main Road Construction
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P. O. Box 1179
Southold, New York 11971 *01 it
Alteration
''��11 '�' 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 $ JO- DD
DATE7��
APPLICANT NAME: kddr477-e
APPLICANT ADDRESS: i ' 2, ' 7 fr'72,
4 :004( /l72
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
0-2A41,67-1J ,174'
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ti
OWNER MAILING ADDRESS: eee;a
L 4`G4,_e
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: c7-747—,‘,..VS)
TAX MAP NO. : Section /1O Block 0 Lot /9
CROSS STREET: Com.
BUILDING PERMIT NUMBER CROSS REFERENCE:.
cif-e: //(1; "
Signature of Appgicant
RECEIVED BY:
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DATE: .7.41
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