HomeMy WebLinkAboutLoiacono, Dennis ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
TO:
FROM:
OFFICE OF THE TOWN CLERI~
TOWN OF SOUTHOLD ~{~,
Southold Town Building Department
Linda J. Cooper, Southold Town Clerk's Office
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southo]dtown.northfork.net
DATED:
Transmitted herewith is a copy of application No. 3543
Permit submitted by:
for a Cesspool/Septic Tank Construction
Peconic Cessoool
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:
Signature
Dated
for
CONSTRUCTION or ALI'EI~A1 Hill I'I!HMI
SEPTIC TANK or CESSI'O()I.
Perml~ No.
APPLICANT NAME:
APPLICANT ADDRESS:
PECONIC CESSPOOl,
P. O. BOX 972
HATTITUCK, NEW YORK 11952 . ~.-
SEiki.lC CESSPOOL
':~RrlIa'I'ION, .,:. ~, OF'PROPOSED CONSTRUCTION OR ALTERATION
LO~ION: MAP: Must be attached hereto be/ore Je,'mlt may be issued.
LQ~!~N O~ PROPOSED CONSTRUCT ON O { AL'F[ IIAI'ION:
F PROPERTY:
' ~OwNER MAILING ADDRESS:
OWNER
PROPERTY
No.:
, ~ 05~ .~TREET.
.B,UI~DING PERMIT NUMBER CROSS REFER~ ~Ct :
RECEIVED BY:
DATE: '*
Town
NOTE
· :MONUMENT
ELEVATIONS ARE REFERENCED TOAN
ASSUMED DATUM.
YOUNG & YOUNG
400 O~TRANDER ~ENUE, RIVERHEAD, NEW*-YO.~
^u~. w. ~OUN ~' ~,~
~o ~.v~yo., Nme. ~ .o, ,~e ..
SURVEY FOR
GOLD KEY ESTATES, INC.
MATTITUCK
TOWN OF SOUTHOLD
SUFF. CO., N .Y.
SCALE: 1"=40'
NOV. 9, 1973
NOV. 12, 1975
%
ouo~/o 7
t o be aat ls faeto~'~--~ Chief of General
'i
'L
3
473889 144.-4-3
· N~MBER# DATE
7084 2/15/74
27325 5/21/01
o/oo/oo
o/oo/oo
o/oo/oo
o/oo/oo
o/oo/oo
o/oo/oo
o/oo/oo
o/oo/oo
TYPE CO #
PERMIT
OWNER: DENNIS J SR LOIACONO
USE/DESCRIPTION
PERMIT #7084Z BUILD NEW HOUSE
PERMIT 28200 ACCESSORY
Fl=More F7=Permit Detail F8=Co Detail F9=Preco F12=New Swis/?arcel F3=Exit
0
Z
o