HomeMy WebLinkAboutAnnunziata, Paul illg�FFOL,,CO
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JUDITH T.TERRY ���� y1 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER :.y* O��1' Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER : 491 * �►a,��°, 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. 1500 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : STONERIDGE CONTRACTING &
Address 1 : INTERIORS - EDWARD FAIVRE
City St Zip MILLER PLACE NY 11764
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR A NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-96-0006
Name Of Owner ANNUNZIATA, PAUL
Mailing Address 1 296 SUMMIT AVENUE
City St Zip MOUNT VERNON NY 0000
Property Address 1 OLE JULE LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 122.00 block 9 lot 7.014
Cross Street KRAUS ROAD
Building Permit Number Cross Reference:
Issue Date: 6/28/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY , : Town Hall, 53095 Main Road
������ 'yJ
TOWN CLERK ; y ,�Z P.O. Box 1179
W Pr i �t Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
,j, r Fax(516) 765-1823
MARRIAGE OFFICER ";�f�! �����oTelephone (516) 765-1800
RECORDS MANAGEMENT OFFICER J�[ 1 .1
FREEDOM OF INFORMATION OFFICER ,•1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD '' 2 4 ro.f , '
TO: Southold Town Building Department
. .i
GLvK, r.+_i'T.
TOWN OF SOUTHOLD___
FROM: Linda J. Cooper, Southold Town Clerk's Office ."--_
DATED: June 24, 1996
Transmitted herewith is a copy of application No. 1565 for a Cesspool/
Septic Tank Construction Permit submitted by:
Stoneridge Contracting for Paul Annunziata
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.
e.,_IL a e.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE e...
DISAPPROVE
Comments: ;�'.5'74.7,7 f „091i4-30
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Sig ature
Dated p
OFFICE OF THE TOWN CLERK too-
Town of Southold ��F0I'l(CS
Judith T. Terry, Town Clerk �' �� G Application No/3
Town Hall, 53 95 Main Road ��• t . •' y�G
Construction
P. O. Box 1179 ,:
Southold, New York 11971 : t.n « . yc ••' Alteration
Telephone ;w0��o ��Q�I'••� $10.00 - Residential f
(516) 765-1801
_ 1 1 ' $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE rvff o..11
APPLICANT NAME: wPR-b .=%/R.&' - Scot,/ex►1)6-e Pr Y,. 0
APPLICANT ADDRESS: eo. fox•
,*);`tom t.A !'✓F►./ y0KK I f7 (y
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
New S tr./ -ri:4-Y WFU,LA/6
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PRVOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : e L f}NNi,litP/141-14
OWNER MAILING ADDRESS: cRil3 aro) r,- A 'c .
mecwr VeVV'OA /JY iv ST
OWNER PROPERTY ADDRESS: - g.t./j3', � &t.trvj of KR.f3-Ks 114.
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TELEPHONE NUMBER OF CONTACT PERSON : (PO. . 31-1$'$S
TAX MAP NO. : Section Block 9 Lot 7, lc/
CROSS STREET: gie4uS Rb .
BUILDING PERMIT NUMBER CROSS REFERENCE:
fratAnx,1/4,Q..9a.A.Ar-\-e.,
Signature of Applicant
RECEIVED BY : V1
Town Jerk's Office
DATE:
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