HomeMy WebLinkAboutMcDowell, George ELIZABETH A.NEVILLE t;; Town Hall, 53095 Main Road
TOWN CLERK O - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
V` Southold, New York 11971
G '7 1� Fax (631) 765-6145
MARRIAGE OFFICER .LGO
RECORDS MANAGEMENT OFFICER y_701 ��or Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,s" 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. 2808 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ARTHUR FOSTER
Address 1 : PO BOX 1645
City St Zip MATTITUCK NY 11952
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 MCDOWELL, GEORGE & VICTORIA
Mailing Address 1 PECONIC BAY BLVD
City St Zip LAUREL NY 11948
Property Address 1 PECONIC BAY BLD
City St Zip LAUREL NY 11948
Tax Map No. section 128.00 block 6 lot 24.000
Cross Street DELMAR DRIVE
Building Permit Number Cross Reference:
Issue Date: 5/17/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ,_0 'y�: Town Hall, 53095 Main Road
TOWN CLERK % o - % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % �+' i Southold, New York 11971
MARRIAGE OFFICER `.O4, 40i./$
Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER I.
_-�e1 �a„ Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 1, 2002
Transmitted herewith is a copy of application No. 2915 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Artco (Artie Foster) for George &Vicotria McDowell
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. .
950
Signature
05/0/ 42_-
Dated
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OFFICE OF THE TOWN CLERK ��''\`fOLK '
TOWN OF SOUTHOLD •�QCJ (#4 • Application No.a9/$
ELIZABETH A.NE VII J F,TOWN CLERK • 4AF
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
• IP • Alteration ✓/
Telephone 0� �Q��' $10.00 - Residential ✓
(63t) 765-1800 l �,ft' $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 0a`
APPLICANT NAME:
4rFhrUk -has -Fe a--
APPLICANT ADDRESS: -P0 6of. (ot{
vv� -) 7 N c� I /q5-2.
SEPTIC v CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 2X/ 7-//v . (2 514 O/-
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J/7~ee� Se,ot,c I1 w or- C azysed c-ssPDO/--
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Gee) ()A -pr:c,„ 1/YIC w e_
OWNERMAILING ADDRESS: `Y-2€ O 1 Ic. t " Q(jcL
rs 1 1l47
OWNER PROPERTY ADDRESS: _So.VV 2
TELEPHONE NUMBER OF CONTACT PERSON: 676,- 903
TAX MAP NO. : Section id <6 Block CO Lot A
CROSS STREET: ,9 Li c( r
BUILDING PERMIT NUMBER CROSS REFERENCE:
d>,
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE: 5 - -
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