HomeMy WebLinkAboutMastro o��g�FFO(,�cpG
" ELIZABETH A.NEVILLE = y� Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
CA
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICERFax (631) 765-6145
RECORDS MANAGEMENT OFFICER y'J1pl �aO� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
` AUG 2 6 2002 lJ
TO: Southold Town Building Department r L....._..
j' •`CGU?F�C3lD
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 26, 2002
Transmitted herewith is a copy of application No. 2998 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Peconic Cesspool for Thomas Mastro
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 return it to me.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks om adi acent wells, uildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
Signature
'Z—
Dated
OFFICE OF THE TOWN CLERK (�
TOWN OFSOUMOLD 'J CQGy Application No:�� d'
ELIZABETH A.NEVUIE,TOWN CURK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
Alteration
Telephone �,� ��Q�' $10.00 - Residential
(631) 765-1800 1 $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT s6
APPLICATION D
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: PECONIC CESSPOOL
APPLICANT ADDRESS: P. 0 . Box 972
MATTITUCK, NEW YORK 11952
SEPTIC CESSPOOL p
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ��� /-2dy`�l_.
Com' 4
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: .1130 Cv__,L
s-
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section ' y(� Block /l Lot 3,
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
Co Cle�'s Office
DATE:
... ----- ---
Thomas&Moira Mastro
6760 Peconic Bay Boulevard
Laurel
it
FL
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ELIZABETH A.NEVILLE _� G'y� Town Hall, 53095 Main Road
TOWN CLERK H P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER ® Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER y�Ql �aO� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 26, 2002
Transmitted herewith is a copy of application No. 2998 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Peconic Cesspool for Thomas Mastro
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 return it to me.
* * * * * * * * * * * *
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
r i
OFFICE OF THE TOWN CLERK �F fu . y
TOWN OFSOUMOLD lOGy Application No.�
EL IZABUM A.NEVIllB,TOWN CL URK
P.O.BOX 1179 Construction L ___
SOUfHO1D,NEWYORK 11971
Alteration
Telephone $10.00 - Residential
(631) 765-1800 $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD .WASTEWATER DISPOSAL DISTRICT
c
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: PECONIC CESSPOOL
APPLICANT ADDRESS: P. 0. sox 972
MATTITUCK, NEW YORK 11952
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION, MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �!fLl7�sy hG
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:. C7cD '46_w�
TELEPHONE NUMBER OF CONTACT. PERSON.: __-
TAX MAP NO. : Section Block Lot 3
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
o C e 's Office
DATE: G� Z�
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6760 Peconic Bay Boulevard
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Thomas&Moira Mastro
6160 Peconic Bay Boulevard
Laurel
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