HomeMy WebLinkAboutAmmirati, Diane JUDITH T. TERRY !4Town Hall, 53095 Main Road
; � _ : P.O. Box 1179
TOWN CLERK s *$ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �� Fax (516) 765-1823
MARRIAGE OFFICER ":
RECORDS MANAGEMENT OFFICER `='`'�1 y► /,'s�' Telephone (516) 765-1801
FREEDOM OF INFORMATION OFFICER = ii,,, '
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 48 N Residential Non-Residential X
Fee $ 25.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DIANE AND FRANK AMMIRATI
Address 1 : 730 LOVE LANE
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF A CESSPOOL TO AN EXISTING SYSTEM; ORIGINAL NOT FUNCTIONING
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED BY BUILDING DEPARTMENT.
Name Of Owner AMMIRATI, DIANE AND FRANK
Mailing Address 1 730 LOVE LANE
City St Zip MATTITUCK NY 11952
Property Address 1 SAME
City St Zip 0000
Tax Map No. section 140.00 block 2 lot 18.000
Cross Street RT. 48 & PIKE ST.
Building Permit Number Cross Reference:
Issue Date: 5/18/94 Judith T. Terry
Southold Town Clerk
(TOWN SEALI
i --p as H ____ C�s,Spoo c: /
JUDITH T. TERRY 1+ Town Hall, 53095 Main Road
TOWN CLERK C=� T • P.O. Box 1179
to *.$ • Southold, New York 11971
REGISTRAR OF VITAL STATISTICS y • Fax (516) 765-1823
MARRIAGE OFFICER O� %' •
= ' 1 /111 ��� Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
I 1 1 i
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office o1 8 am ? '`
DATED: May 18, 1994
a i g
1
•
Transmitted herewith is a copy of application No. A1178 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Diane and Frank Ammirati ,
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 this office.
Thank you. `
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the followingwrecommendation:
APPROVE - I.
DISAPPROVE - EXCAMION INSPECTION
J 1
COMMENTS: ft. .,, i -, j , . '_,, _,4_ - _ i.. ,,_ _:.,,e__
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Signature
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Dat-
OFFICE OF THE TOWN CLERK ,,,'"" "'
Town of Southold �FF�(, r
Judith T. Terry, Town Clerk �� Application No.`/7O
'Town Hall, 53095 Main Road ' Construction
P. O. Box 1179
Southold, New York 11971 1:53 $ Alteration
Telephone =`'O �,� $10.00 - Residential
(516) 765-1801 _ Ol �, �' $25. 1 ; -Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 5/x197"
APPLICANT NAME: ,V �i(�IC,c�
APPLICANT ADDRESS: 'Id ,
)ry-
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
ade&te_26.,;(f Keidrece. — ,44(ge4c.co aiuryft,gei,e4t_61,-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIT -�
OWNER OF PROPERTY: q,�-,,�_
OWNER MAILING ADDRESS: 73c) Gz
OWNER PROPERTY ADDRESS: )
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /'/c' Block a Lot /CY
CROSS STREET: J ;44 ! � /64-
BUILDING PERMIT NUMBER CROSS REFERENCE:
,f���� -� Gtr
iS gnature o Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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