HomeMy WebLinkAboutCalabrese, GiovanniTOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
ROUGH PLBG.
INSULATION
,,~FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE
INSPECTOR
ELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS OF MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, NewYork 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
TO:
FROM:
OFFICE OF THE TOWN CLE
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
MAY 0'7 2012
TOWN OF SOL~THOLg
DATED: May 4, 2012
Transmitted herewith is a copy of application No. 4083
Permit submitted by:
for a Cesspool/Septic Tank ALTERATION
Albrecht Land. Construction Inc. for Giovanni Calabrese
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 retum 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: Maintain required setbacks from adjacent wells, buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
Signature
Dated
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 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor thfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 / or
Non-Residential ~ $25 __
Application No. qO~3
Permit No.
Applicant Name
Applicant Mailing Address
Septic Tank t./;r Cesspool I'~
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address: ¢ ~' ~' ~ ~'~ t~]~ 7
Owner mrope.y Address:
Nme~d phone nmber of contact person
T~ Map No: Section
Cross Street
NOTE: LOCATION MAP MUST BE S~I~MITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY/W~TH ~EALTH DEPARTMENT APPROVAL
Received by: ~/~ ~ Signature of/(pplicant /Datte