HomeMy WebLinkAboutMatteini, Stephen FJJZA.BETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFO.RMAT!ON__OEF~ ER
l "~, ! - "!I '~OFFICE OF THE TOWN CLERK
'2~' 0C'~ - '~ ~ ' ~'~i TOWN OF SOUTHOLD
-~ 7 5. -:'?'-, '
TO:~uilding Department
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldWwn.northfork.net
FROM:
Linda $. Cooper, Southoid Town Clerk's Office
DATED: October 5, 2005
Transmitted herewith is a copy of application No. 3524 for a Cesspool/Septic Tank Construction
Permit submitted by:
Stephen Matteini
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 J
Comments:
DISAPPROVE
Signature
Dated
®
P.O. BOX 1179
SOUl. OLD, lql~/YORK 11971
Telephone
(63t) 765-1800
Application No.
Construction
Alteration
$10.00 - Residehtial
$25.00 - Non-Residential
APPLICATION .
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. ~ ~'~k
DATE 10/5/05
APPLICANT NAME:
APPLICANT ADDRESS:
Stephen Matteini
8 First Street
Garden City NY 11530-
SEPTIC X CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
~D~tall ~'ew s~stem pqr attached SCDHS permit.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ~LTERATION:
OWNER OF PROPERTY: Stephen Matteini
OWNER MAILING ADDRESS: 8 First Street
Garden City NY 11530
OWNER PROPERTY ADDRESS:
1060 Willow Terrace Lane
Orient NY 11957
TELEPHONE NUMBER OF CONTACT PERSON: 631-73Z~-5800
TAX MAP NO.: Section 26 Block 2 Lot 22
CROSS STREET:
King Street
BUILDING PERMIT NUMBER CROSS REFERENCE:
·
DATE: ID/5//~'~ Vown Clerk's Office