HomeMy WebLinkAboutGrattan, Robert /,/•,
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JUDITH T.TERRY 4 O= y< Town Hall,53095 Main Road
TOWN CLERK H Z P.O.Box 1179
V Southold,New York 11971
REGISTRAR OF VITAL STATISTICSy,L I1 Fax(516)765-1823
MARRIAGE OFFICER �Q ,01- . Telephone(516)765 1800
RECORDS MANAGEMENT OFFICER 1 Pi.
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. 1356 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
FILL IN OLD CESSPOOL AND ADD A NEW POOL WITHIN 20'.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner GRATTAN, ROBERT BRIAN
Mailing Address 1 P. O. BOX 1710
City St Zip SOUTHOLD NY 11971
Property Address 1 875 OAK AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 77.00 block 1 lot 13.000
Cross Street CEDAR AVENUE
Building Permit Number Cross Reference:
Issue Date: 7/13/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY : ` ; Town Hall, 53095 Main Road
TOWN CLERK : o T P.O. Box 1179
tl� � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS VO �. �•� Fax (516) 765-1823
MARRIAGE OFFICER = ., � ,• Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER _ 1
FREEDOM OF INFORMATION OFFICER ,ii,,,ll
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
JUL 12 N
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office ,, v
DATED: July 12, 1995
Transmitted herewith is a copy of application No. 1408 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Robert Brian Grattan
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.
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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.
Ajor
S'i•nature
Date
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OFFICE ,OF THE TOWN CLERK ,s'' -
• " 'Town of Southold '"�I f OUre
Judith T. Terry, Town Clerk ,��'�� Application No./ (�(�
Town Hall, 53095 Main Road Z <= Construction
P. O. Box 1179
a =
Southold, New York 11971 ct� Alteration
Telephone _ Ar $10.00 - Residential
(516) 765-1801 r401 , �' $25.00 - Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE ,
APPLICANT NAME: L�% �f-APPLICANT ADDRESS: .2�d - , paC
SEPTIC CESSPOOL-4
DESCRIPTION OF PR. OSED CONSTRUCTION OR .; LTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPO D CONSTRUCTION OR ALTERATION:
OWNER OF PRO T : jgf
OWNER MAILI G ADDR SS: r75--- i ll 2f S
OWNER PROPERTY ADDRESS: /7/6 ,Id- `t' "
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section �7 Block ( Lot ef
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Signature of Applicant
RECEIVED BY: RECEIVED
Town Clerk's Office
DATE: JUL 1 2 199
Southold Town Clerk
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