HomeMy WebLinkAboutChaig ELIZABETH A. NEVILLE �� Town Hall, 53095 Main Road
TOWN CLERK % ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % Southold, New York 11971
MARRIAGE OFFICER .® .s `' ��1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �__$®d ®�ii� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,,,,�,
OFFICE OF THE TOWN CLERK
SOUTHOLDIIT TTI SAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2598 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
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 CHAIG, MARIE A
Mailing Address 1 1600 JOCKEY CREEK DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 1600 JOCKEY CREEK DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 5 lot 18.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 6/27/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
(95 3./
ELIZABETH A. NEVILLE �i ,.. A Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
cga REGISTRAR OF VITAL STATISTICS P �� Southold, New York 11971
z=g
MARRIAGE OFFICER Fax(631) 765-6145
t''®� i�1+
RECORDS MANAGEMENT OFFICER �d'% �� �i Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 30, 2001
Transmitted herewith is a copy of application No. 2686 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Morris Cesspool for Marie A. Chaim
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.
c-/7
,Signature
.C1 ;L)
Dated
to 54
I�, OFFO fr
® gyp:
ELIZABETH A. NEVILLE d t. Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICSr t Southold, New York 11971
‘IsMARRIAGE OFFICER �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER -.MQ! iNg, ��Qt`,o Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ••'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Depth tinent
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 30, 2001
Transmitted herewith is a copy of application No. 2686 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Morris Cesspool for Marie A. Chaig
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.
Signature
Dated
, OFFICE OF THE TOWN CLERK !'" if 1 0�k
TOWN OF SOUTHOLD �0 O� `(V Application No.�6 �
FI77ABETH A.NEVILLE,TOWN CLERK , �� O .
P.O.BOX 1179 •. F. .G % ' Construction
SOUTHOLD,NEW YORK 11971 ` c s `• Alteration •�
0 ,, 10.00 -Residential
Telephone .f' o0�'0 $
(631) 765-1800 -7.. % ,►'' $25.00 -Non-Residential
,, so,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee .$
DATErf) X-120 v l
APPLICANT NAME: _ /270 t.i / ,4 " / c_e __.
APPLICANT ADDRESS: eye/60 ..,. s0e
$0 ,, ,if
SEPTIC CESSPOOLr---1
DESCRIPTION OF P OPOSED CONSTRUCTION OR ALTERATION
0-0-r--<- _,57y ,..>*,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /M/9 j'/1 /9, (2 /9/7
OWNER MAILING ADDRESS: /�0-0 ,eve,&y Off, _fie
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 76$ 3307)
TAX MAP NO. : Section 76 Block . 5 Lot /e
CROSS STREET:
BUILDING PERMIT NUMBER CROSS, REFERENCE:
52a-A-71-1:;' .
S'gnature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
dpe°
pp) 0 lor
601P).= �\
`-) /411X ('&1A0
G
efejfrc