HomeMy WebLinkAboutMonticciolo, Joseph
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAG~FFICER
FJl,EEDftM'QF ~F0RNfA'I\rflN OFFICER
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax 1(31) 765-G145
Telephone 1(31) 7G5-1800
southoldtown. northfork. net
JUL - 2.'r ~'1
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD
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Southold Town Building Department
FROM:
Michelle Martocchia, Southold Town Clerk's Office
DATED:
July 2, 2007
Transmitted herewith is a copy of application No. 3722
Permit submitted by:
for a Cesspool/Septic Tank Construction
Joseph Monticcioto
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and ifthis office may issue the permit.
Please complete the form below and return it to me.
Lynda M. Bohn
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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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Comments:
DISAPPROVE
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ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
.~ Town Hall, 53095 Main Ro
P.O. Box 1179
Southold, New York 1197
Fax (631) 766-6145
Telephone (631) 765- 180(
sou tholdtown ,northfork. m
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$IO_ or Non-Residential @$25_
Application No.37 ~
Permit No.
Applicant Name JD;efh Mtw'!tr....c..IO~
Applicant Mailing AddresS~1Q
W,o~ I Y\ V[mQ7
Location of Proposed Construction! Alteration:
J~whr_ec.clo
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IAJt9-6Jl~ I ('1"f'7
Owner Property Address: 9ft> ~~ (4..e . ~ .
Name and phone nwuber of contact person ~ ~ t;/b'l4':31 I~
Tax Map No: Section 50 Block~ Lot l4
Cross Street V\V. ~~s ~.
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR WITH HEALTH DEPARTMENT APPROVAL
Owner of Property:
Owner Mailing Address:
Received by:
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NOTES
AREA = 54,112 SQ. FT.
o VERTICAL DATUM = N."'.v. DATUM (M.5.L. 1"12"1)
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Young & Young
400 Ostrander Avenue, Riverhead, New York 11901
631-727-2303
Howard W. Y<ru;ng. Land Surveyor
Thomas C. Wolpert, Professional Engineer
Robert C. Tast. Architect
Ronald E. Pfuh/" LaTidscape Architect
Douglas E. Ada,.",... Professional Engineer
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HEALTH DEPARTMENT USE
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SUffOLK. COUN' . ~ , R A
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PERMIT ro>;..:?PY:':~.!\.L' ~,j~~,<;iD,[l'lCE ai'lL Y
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SURVEYOR'S c.ERTIFlc.A TION
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HO~RD l^I. YOUN",. N.Y,5. L.5. NO. 45e"1S
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SURVEY FOR
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JOSEPH D. MONTICCIOlO
At Southold, TOl"ln of Southold
SuFFolk c.ount~, Nel"l York
c.ount~ Tox Mop m,tdcl 1000 Secllon 50 Block 04 Lot 14
I 6lJILDI~ PERMIT 5UR.VEY
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MAP PREPARED
OCT. 1:2. 2005
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SCALE: 1"=50'
..JOS NO. 2005-0:365
DY'I6. 2005_0SE>5_1op
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