HomeMy WebLinkAboutPilles Holding Corp
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 11 79
SouthoId, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sou tholdtown. north for k. net
_~OFFICE OF THE TOWN CLERK
\\~\ . TOWN OF SOUTHOLD
\
TO: ~t.'a>@.utlwld Town Building Department
FROM: Michelle L. Martoe!chia, Southold Town Clerk's Office
DATED: February2l, 2007
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3668
Construction/ Alteration Permit submitted by:
for a Cesspool/Septic Tank
Pilles Holdinl! Corp,
Please review the application and location map and advise if this office may issue the pemlit.
Please complete the form below and return it to me. Thank you.
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
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DISAPPROVE
Comments:
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Date~1~yt7
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hail, 53095 Main Road
P.O. Box 11 79
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sou thold town. northfork. net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD
SOUTH OLD W ASTEW A TER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10_ or Non-Residential @ $2Sfi
Application No. 3 0\0 ~
Permit No.
Applicant Name p, \ l:"J l-\::,U lV>) <::<.0(' I?
Applicant Mailing Address ~ ,6 \?, rJ)( \ <'09
~xw!-l.o Ii . ^ J~/ (/ 'jl'7. !
Septic Tank or Cesspool L
Brief Description of Proposed Construction or Alteration .r"':'9~I/,
fC4\f\+<=<<M'"
Location of Proposed Construction! Alteration:
Owner of property:_J~Jt'"5> ~! J "':; G{ 0
Owner Mailing Address: 'V, n 1'>0)< \<,D"1-
5oj-/'o/d II If 1/11 (
Owner Property Address 56'], <') ~ M (J... """ ? ~ '5'1' jiu.,f! J.. I Y 11'7" /
Name and phone number of contact person \:::'i'\"7 p, \ k" C:/-b 'i '-19 )., ~ S' 7
Tax Map No: l DOC:> Section r:::: ~ Block ~ Lot i ')..
Cross Street c,~.Jr,,-~'Z.. ,?I (Ac<::' '
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY ITH HEALTH DEPARTMENT APPROVAL
Signature of
Received by0r~G..;m-O_~
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. SCDHS Ref. # ClO-06-0006
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AREA 10,381 S.F.
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STORAGE BLOGS
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SURVEY OF PROPERTY
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. 1':
1000-63-03-12
SCALE: l' 20'
NOV. 14, 2002
Jan. 24, 2007 ({jhal)
'4!j'W -55.78
585 \ COHCRETEf/W - \
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ANY AL TERA nON OR ADOJnON TO THIS SURVEY IS A VIOLA nON
OF SECnON 72090F THE NEW YORK STA TE EDUCA nON LA II(
EXCEPT AS PER SEcnON 7209-SUBDIV1S1ON 2. ALL CERnnCA nONS
HEREON ARE VALlO FOR THIS MAP AND COPIES THEREOF ONL Y IF
SAID MAP OR COPIES 8f:AR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNA TURE APPEARS HEREON.
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