HomeMy WebLinkAboutMason, Catherine (2) w ..#0
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ELIZABETH A.NEVILLE /_ 0 %; Town Hall, 53095 Main Road
TOWN CLERK ; H -ft ; P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS , �� Fax (631) 765-6145
MARRIAGE OFFICER �fi Fax
RECORDS MANAGEMENT OFFICER =_�Ql *9-0.01
a�01� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER a igil southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2798 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MORRIS CESSPOOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner MASON, CATHERINE
Mailing Address 1 345 HOLDEN AVENUE
City St Zip CUTCHOGUE NY 11935
Property Address 1 345 HOLDEN AVENUE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 110.00 block 2 lot 13.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 5/17/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
0725 5/
ELIZABETH A. NEVILLE o 'y Town Hall, 53095 Main Road
TOWN CLERK ti P.O. Box 1179
REGISTRAR OF VITAL STATISTICS uto fIrr'�
Southold, New York 11971
MARRIAGE OFFICER ,L Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER y'/�! 4:0,1 Telephone Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ rrrr southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD (';�
i , l
i' PPR 1 0 2002
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office Tc'„
DATED: April 10, 2002
Transmitted herewith is a copy of application No. 2902 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Morris Cesspool for Catherine Mason 110-2-13
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. •
_21"4. 44q,
Signature
41/1AZ
Dated
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• OFFICE OF THE TOWN CLERK ,,,,,,.....,,,,,i
TOWN OF SOUTHOLD
ELIZABETH A.NEVIJ TOWN CERK �• u`K�►O�/�j Application No 49v
P.O.BOX 1179Z.
SOUTHOLD,NEW YORK 11971 '
Construction
c rn Alteration
Telephone = 0,� ��e $10.00 - Residential
(631) 765-1800 = D,f' It ,�.
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,�� $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 #pki /D 0
APPLICANT NAME: /2, S r675:5,2;0 /
APPLICANT ADDRESS: 2zo
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SEPTIC CESSPOOL
DESCRIPTION OF P OPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: CA-721 / p,,/� � ��dv/
OWNER MAILING ADDRESS: i- 0/6(7617•1
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section //6 Block 2 Lot `c
CROSS STREET: ••
BUILDING PERMIT NUMBER CROSS REFERENCE:
//yam,
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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