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HomeMy WebLinkAboutMazzanobile, GregoryELIZABETH A. NEVII,I,F~, RMC, CMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net TO: FROM: DATED: RE: OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Southold Town Building Department Carol Hydell, Southold Town Clerk's Office January 28, 2009 Cesspool Construction Application Transmitted herewith is a copy of application No. ~ Permit submitted by: Gr6gory Mazzanobile 3852 for a Cesspool/Septic Tank Construction Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE / DISAPPROVE Comments: Signature Dated~/~¢~ SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK 1~ Residential ~ $10 or [] Non-Residential ~ $25 Septic Tank ~or Cesspool Application No. Permit No. "~ Applicant Name: Gregory Mazzanobile Applicant Mailing Address: 18~ Warren Street, Apt 2 Brooklyn, NY 11201 Brief description of Propsed Construction or Alteration: Construct new sewage disposal system Location of Proposed Construction/Alteration: Owner of Property: Gregory Ma z zanob i le Owner Mailing Address: 184 Warren Street Brooklyn, NY 11201 Property Address: 1~00 t.91~ Driar~ Southold, NY 11971 Name and Telephone No. of Contact Person: James Fitzgerald Tax Map No.: Section: 59 Block: 1 Nearest Cross Street: Kenny' s Beach Road 734-5800 Lot: 21.6 & 21.7 NOTE: LOCATION MAP MUST BE SUBMITTED VvTI~H~ CONSTRUCTION REQUIRES SUR~i~ WITH HE · ~/3 Si ~[ture PLICATION. NEW ~cRT?,~PROVAL. ~.~/~/~/~ 1/27/09 ' ~' Date I ' I TAX No. 100(-59--01--21.6 .2.1 SLTRVE'Y OF LOTS 6 & '? ~ SUBDM$ION MAP ~OR . ~ · CONSTANTINE P. GI~,ORGIOPOISLOS $ITTJAT~D AT SOUTHO~ TOWN O~ SO~TNO~D SUffOlK COU~, ~ YORK S.C. T~ No. 1000-59-01-21.6 1000-59-01-21.7 SCA~ I'=50' MARCH 28, 2002 ~"~ =. ~ J~ ~ ~ u.~ EEPTIC S~TEM ~ ~T~NING ~ DENIGN B~' JOSEPH FISCME]il, PE 1725 HOBA~ ROAD SO~O~, NY 11971 PROPOSED SEPTIC SYSTEM DETAIL 651-765-2954 CZ> - Nathan Taft Corwin III Land Surveyor r~,~-~_ sr~ e~,~T c.=,,~, ~ PHONE (651)727-2090 F~ (651)727-1727