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Home My WebLink AboutMavellia SOUlyol ELIZABETH A.NEVILLE '` ® Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER 0 a� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERl Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER y"Ouffm� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3558 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : DIRTWORKS Address 1: SCOTT CORWIN-90box a^lb City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration REPLACE COLLAPSED SEPTIC TANK WITH A NEW 1000 GAL. TANK AND INSTALL LEACHING FIELD. MAINTAIN REQUIRED SETBACKS FROM ADJACENT BUILDINGS,WELLS,PROPERTY LINES AND WATER BODIES. Name Of Owner JULIE MAVELLIA ------------------------------ Mailing Address 1 1525 NORTH SEA DRIVE ------------------------------ ------------------------------ City St Zip SOUTHOLD NY 11971 -------------------- -- ---------- Property Address 1 SAME AS ABOVE ------------------------------ ------------------------------ City St Zip 0000 -------------------- -- ---------- Tax Map No. section 54.00 block 4 lot 1.700 ------ --- ------ Cross Street KENNEYS ROAD ------------------------------ Building Permit Number Cross Reference: !4—ke--------a- ;? o Issue Date: 6/21/07 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) ' OF SOUr�ol ELIZABETH A.NEVILLE '` Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N Southold, New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 C FREEDOM OF INFORMATION OFFICER OUN-Y+ southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Michelle L. Martocchia, Southold Town Clerk's Office DATED: June 18, 2007 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 3716 for a Cesspool/Septic Tank Construction/Alteration Permit submitted by: Dirtworks- Scott Corwin 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: 01 . 01 r Signature Dated o. s�ffOLK Town Hall, 53095 Main Road P O Box 1179 ELIZABETH A. NEVILLE �`Z` 'f� New York 11971 TOWN CLERK Z Southold, N T Fax (631) 765-6145 O REGISTRAR OF VITAL STATISTICS O� � Telephone (631) 765-1800 '� MARRIAGE OFFICER southoldtown.northfork net RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLI CATION V� CONSTRUCTIONN or ALTRA ION PERMIT Q CESSPOOLL Application No1� Residential @ S 10 V or Non-Residential a@ $25 permit No --355S lv'J)') Applicant Name \A0O�U . 0 bj �'l JYt ni-\ Applicant Mailing Address Septic Tank v/ or Cesspool Brief Description of proposed Construction or Alteration P ` a_4 Location of Proopo�e� Construction/Alteration: Owner of Property. Owner Mailing Address: 5A. OW n Owner Property Address 0� Name and phone number of contact person Tax Map No. Section � Block Lot Cross Street ------ NOTE: LOCATION MAP MUST BE SUBMITTED WITHRTMENT APPROVAL _ ATION. NEW CONSTRUCTION REQUIRES SU7:=777 '�_Z� U Date Signature of Applicant 4 Received by. k'o-M- t' rrV�,INS �n O lga frAr 9 .'5�)n Vl � - � A I� lr� - 00 PIZ/ (V6 Of- 9YL4r-t ' V-A r J 4 6V��, -1:�7A ° - o��SUFF0j/( ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 REGISTRAR OF VITAL STATISTICS =H Southold,New York 11971 MARRIAGE OFFICER Fax (631),765-6145 RECORDS MANAGEMENT OFFICER y�IJol �a0� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER Telephone OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 J or Non-Residential @ $25 Application No. 3� Permit No.,3S5Y Applicant Names �'`Nod k.c � o tvu�►-� Applicant Mailing Address Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration ' 1 i Location of Proposed Construction/Alteration: Owner of Property: , i p ��4, IT-�. 1 LA Owner Mailing Address: S yip 5-4 d✓ _ Owner Property Address: Name and phone number of contact person�/L, 144 4A ?�j� 31-�7� 3N-0 Tax Map No: Section Block T Lot 1 Cross Street ,V1 ✓ NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITAL DEPARTMENT APPROVAL — Signature o Applicant Date Received by: C� �' "— *pF SOUjyol .ELIZABETH A. NEVILLE Town Hall, 53095 Main Road TOWN CLERK P O. Box 1179 t REGISTRAR OF VITAL STATISTICS G Q Southold, New York 11971 MARRIAGE OFFICER Fax (631)-765-6145 RECORDS MANAGEMENT OFFICEROlif'C Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER 0UNTY, southoldtown northfork net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Michelle L. Martocchia, Southold Town Clerk's Office DATED: June 18, 2007 To RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 3716 for aCesspool/Septic Tank ' Construction/Alteration Permit submitted by: Dirtworks- Scott Corwin Please review the application and location reap 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 ELIZABETH A.NEVILLE h`Z`® Gy Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 C $ Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS v. n1 MARRIAGE OFFICER Oy �.�` Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �f Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �'� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10or Non-Residential @$25 Application No. Permit No. Applicant Name ,� �r I W NYS — Sul cdvJ i-� Applicant Mailing Address V1 aY t AjA G l Septic Tank \/ or Cesspool Brief Description of Proposed Construction or Alteration ✓•Z AQP ,l2 ur Location of Proposed Construction/Alteration: Owner of Property:�6 1A p w b a l l)'A Owner Mailing Address: td-h-n C5- A ,5b� V - V rR� 1 Owner Property Address: alm.Q, A ,C A6Qyq- Name and phone number of contact person Lb':e. L44 61A f f s Tax Map No: Section5L4Block 4 Lot _ Cross Street X e jon NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WI H HE TH DEPARTMENT APPROVAL Signat e of Applicant Date Received by: r l jrpjS�a 1 'tSPS