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ELIZABETH A.NEVILLE yam►=` Town Hall, 53095 Main Road
TOWN CLERK ; p :'� P.O. Box 1179
y 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax Fax (516) 765-1823
MARRIAGE OFFICER ‘##*
y 0. Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER : '1 �01 �� ../
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1868 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RANDAZZO BUILDING CO. INC.
Address 1 : 127 SWAN LAKE DRIVE
City St Zip PATCHOGUE NY 11772
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. REF #R10-98-0043
Name Of Owner ALIO, AL AND JOSEPHINE
Mailing Address 1 34 WOODLAND ROAD
City St Zip MILLER PLACE NY 11768
Property Address 1 OLD FARM ROAD
City St Zip ORIENT NY 11957
Tax Map No. section 25.00 block 5 lot 10.000
Cross Street ORCHARD STREET
Building Permit Number Cross Reference:
Issue Date: 5/20/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE '�`Z CGt‘ Town Hall, 53095 Main Road
TOWN CLERK ; cp :',��� P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O � Fax (516) 765-1823
MARRIAGE OFFICER :- y
RECORDS MANAGEMENT OFFICER : �Ol �� e. Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER �i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 19, 1998
Transmitted herewith is a copy of application No. 1942 for a Cesspool/
Septic Tank Construction Permit submitted by:
Randazza Bldg. Co. , Inc. , for All and Josephine Alio
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.
i\1,l
K
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE ✓
DISAPPROVE
Comments:
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Dated
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OFFICE OF THE TOWN CLERK �j��F�L�' O //
Town of Southold
, . �: y Application No. / f
Judith T. Terry, Town Clerk - x 1
Town Hall, 53095 Main Road , Construction
P. O. Box 1179 uO Alteration
: "_
Southold, New York 11971 ._ nt al
Telephone alt , Reside
(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 5/t 2 q
APPLICANT NAME: RL,(0 Z2-v gL.G Co Tit. G.
APPLICANT ADDRESS: 12,7 . c,4)At'- Z-v1 ( /f
PA-Tr & Ce-c/(1 . I'`(.`.1 - i77z
SEPTIC k CESSPOOL )(
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
14 (A). CP-A-NA floc) S6,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Rly:LZ'5 f P`E /elf /1-1_14 0
OWNER MAILING ADDRESS: T CUO0J
P l/ -7e, a
OWNER PROPERTY ADDR'E S: S 00) 61-ept a‘
t i) 0 k e(14-t i) eg
TELEPHONE NUMBER OF CONTACT PERSON: /.-1-720r-6 /(4-
TAX
1-720-(pIL,G
TAX MAP NO. : Section aS Block 05--- Lot 10
CROSS STREET: b• s r--
BUILDING
BUILDING PERMIT NUMBER CROSS REFERENCE:.
Signature of Applicant
RECEIVED BY: g
Town I k's ffice
DATE: 5 i`�
MO o/1/010 00/o uaoWAcO//001°10W/S.
LOT ..'/ .
Yea,a.�t Received
SUROM County nty
LOT 2) a ��o� MAR 17 1998
..irrc 1 {
_/r,/ S. ^s Not.r,A Health:famines
6-°850•E LOT O :Alice Wastewater M0m/.,
A.A. /34?8
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MUM OE APPROVAL 01O0_QI�7CIIONl�A
e/n•g 1AKILYRi�ENCL ONLY
`l l01 OLD ROAD
DATES IY,� -9.--
FARM ArrRovao �_7. �"
r
yc a-n f E YMRS!molt DATE 01 APPROVAL
"` SURVEY OF
CP ,So= LOT 8
'74AP OF BAYVEW FARM"
a.e//,^y FED.AMR 1992 FILE NO 7046
I on,Iambic"rllh lh.STANDARDS FOR APPROVAL AT ORIENT
AND CONSTRUCTION OF SI,BSIMFACE SEWAGE TOWN OF SOUTHOLD
' DISPOSAL reWskr SYSTMot EMS FOR ro,conditions..f FAMILY
roar. and on RESIDENCES
SUFFOLK CO(IINTY,N.Y.
p.enW/to construct. 1000 - 25 - 05 - y,
SCALE r- SO'
AREA r 7 4894 ac. FES 2$1898
ELEVATIONS ARE REFERENCED
.* rd--'.'N *
ANY ALTDVAMON OR ADDITION o 7/K tLRYEr/S A VIOLATION �.,/•.q�
ASP SECT 3 LES C 1FICSt7IONS aL
ARE VALID FOR TMS MAP AND COPES THEREOF ONLY F / ! C� •. 496/8
SAD MAP OR COMES SEAR 77E RIMMED SEAL Or T,E SURVEYOR .e.
t .•. ,, • .
WORE Slrlla7UE APPEARS HEREON -
SMLLr 1O COMPLY P774 SAW LAW 77E TERM'ALTERED Br' N
ASO7X6/765-
MLET II IFEP sr ANY MD ALL SURVEYORS OXEN II A COPY P. O.BOX 909
Or ANO SLRYEYORW MAP. TERMS SRO,At•ACTED•AND /230 TRAVELER STREET
7Rot wT-TO-0ATE•ARE ROT N COss'LAMAF WITH 77,E LAW. SOUThOLD, NY. 1197/
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