HomeMy WebLinkAboutTapfor ®
ELIZABETH A.NEVILLE 4/1
� 4 Town Hall, 53095 Main Road
�
TOWN CLERK y P.O. Box 1179
REGISTRAR OF VITAL STATISTICS i Southold, New York 11971
MARRIAGE OFFICER `� ?i ���1+, Fax(631) 765-6145
41
RECORDS MANAGEMENT OFFICER ; ®1 �s ,i• Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER r�'� southoldtown.northfork.net
OFFICE OF THETOWNCLERK
SOUTHOLD WXTER DIISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2916 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : PO BOX 972
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 TAPFOR, GEORGE
Mailing Address 1 1805 BRAY AVENUE
City St Zip LAUREL NY 11948
Property Address 1 1805 BRAY AVENUE
City St Zip LAUREL NY 11948
Tax Map No. section 126.00 block 8 lot 13.000
Cross Street ALBO DRIVE
Building Permit Number Cross Reference:
Issue Date: 10/30/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
1°,Is®��FF®e�00
0 •
ELIZABETH A. NEVILLE 11= y_A: Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
REGISTRAR OF VITAL STATISTICSUlo PPP 1 Southold, New York 11971
MARRIAGE OFFICER � 1i �*"
. Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Q1 $b'11
Vel Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER r��� southoldtown.northfork.net
•.....iii
r lit ; t5 ! + ,
? OFFICE OF THE TOWN CLERK
r}}}
g i l OCT - 9 2002 ,LI) TOWN OF SOUTHOLD
i
fi'O:�"E�i�r,=, 7-Soutfold own Building Department
TOWN k)i
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 9, 2002
Transmitted herewith is a copy of application No. 3034 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Peconic Cesspool for George Tapfar
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.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE L/
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. .
Signature
/e)//'2/2.
Dated
000
OFFICE OF THE TOWN CLERK 1$61C%If OLKC'
TOWNOFSOUPHOLD �' QG= • Application No.i-'
ELIZABETH A.NEVIL E,TOWN CLERK �� �?'
P.O.BOX 1179 oll
SOUTHOLD,NBW YORK 11971 m
. teration
Telephone ,' � �'�,, $10.00-- esi den tial
(631) 765-1800 �l' * �,."' $25.00 -Non-Residential
•
.1g1#
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$
DATE 43/9
APPLICANT NAME: PECONIC CESSPOOL
APPLICANT ADDRESS: P. 0. BOX 972
MATTITUCK, NEW YORK 1195,2 '
SEPTIC CESSPOOL 70"
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• OWNER OF PROPERTY: c;f2-tiz-5-e
OWNER MAILING ADDRESS: /YOE tzt,--e
474(4
OWNER PROPERTY ADDRESS: .�j ^
' TELEPHONE NUMBER OF CONTACT PERSON: 9 " '-./c �
TAX MAP NO. : Section !2-6, Block Lot /3
CRASS STREET: , G244
BUILDING PERMIT NUMBER CROSS REFERENCE:
7 /
-
Signature of App ,'( ant
RECEIVED BY:
Town Clerk's Office
DATE:
L . •
(13/eh I, `/ ."
51
•
a
-frt.
Ss
+4
j_04-4/Ae-
GEORGE TAPFAR
1805 BRAY AVENUE
LAUREL