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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