HomeMy WebLinkAboutACMT Equity Corp o�kStaFF0j/r
JUDITH T.TERRY =� G'y� Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Oy �� Southold, New York 11971
Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER �0.� �►�� Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1650 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : CARMINE ALIPERTI
Address 1 : P. 0. BOX 149
City St Zip SHIRLEY NY 11967
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #1110-97-0020
Name Of Owner ACMT EQUITY CORP.
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Mailing Address 1 1138 WILLIAM FLOWY PKY
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City
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City St Zip SH I RELY NY 11967
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Property Address 1 GABRIELLA COURT
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City St Zip MATTITUCK NY 11952
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Tax Map No. section 108.00 block 4 lot 7.051
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Cross Street TABOR ROAD
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Building Permit Number Cross Reference:
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Issue Date: 4/28/97 Judith T. Terry
-------- Southold Town Clerk
(TOWN SEAL)
p��s SCO
G
JUDITH T.TERRY �� y1 Town Hall, 53095 Main Road
TOWN CLERK y Z P.O. Box 1179
•
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER Oy� p� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER 1 � �► Telephone(516) 765-1800_
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TOWN,Cr ,
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 18, 1997
Transmitted herewith is a copy of application No. 1720 for a Cesspool/
Septic Tank Construction Permit submitted by:
Carmine Aliperti for ACMT Equity Corp.
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.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE !/
DISAPPROVE
Comments:
RECEIVED
APR 2 5 1997 Signature
3 , 3 ai X�e �,�
Southold Town C°%rk Dated
OFFICE OF THE TOWN CLERK QcFFOl,,�l'
Town of Southold
Judith T. Terry, Town Clerk Application No. ? ��
Town Hail, 53095 Main Road ;" Construction
P. 0. Box 1179
Southold, New York 11971 Alteration /
Telephone Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE L/ d
APPLICANT NAME: (Z"
APPLICANT ADDRESS: 113F rn n..,. ?1�-i — fir O13 1`�`I
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
O r� �►^vw•.��1 �t I Iw•�
LOCATION MAP: Must be attached hereto before permit may he issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: L
OWNER MAILING ADDRESS: 113 ►•-rteIo +-�
OWNER PROPERTY ADDRESS: ��6�t��• rr-��,� D:
113��..r�o �1L,•.���2.�`I r►'`1' 1 1 Jam_
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /0e_ Block Lot �• �� _
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: G" _
Town—Clerk's Office
. DATE:
PLOT AREA = 40,011 I ;i.1
FIRST FLOOR AREA = I- S.F.
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GMT TIRE WATER SUPILY AND SEWAGE DISPOSAL SYSTEMS FOR
AKS REWHCE WILL CONFORM TO TLE STANDAMS OF
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