HomeMy WebLinkAboutAntignana, Dominic ‘f*"
JUDITH T.TERRY �� yL�, Town Hall, 53095 Main Road
TOWN CLERK y = P.O. Box 1179
.a► �� Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ,-O#49n.
�' Fax(516) 765 1823
MARRIAGE OFFICER :;�Q 00��i� Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER 1 ]�[ �`
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. 1451 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner ANTIGNANA, DOMINIC
Mailing Address 1 5745 ALVAHS LANE
City St Zip CUTCHOGUE NY 11935
Property Address 1 5745 ALVAHS LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 101 .00 block 2 lot 15.000
Cross Street ROUTE 48
Building Permit Number Cross Reference:
Issue Date: 4/09/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY y1 Town Hall, 53095 Main Road
TOWN CLERK N Z ; P.O. Box 1179
^f $ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER :=yiIf O�e1Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER ! * �0Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ,•s'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: March 21 , 1996
Transmitted herewith is a copy of application No. 51 p for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Dominic Antigano
•
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 following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
RECEIVED ,,, , �e`c�
APR 9 1996 S'gn. ur
4/ ,6
Date
Town Clerk Soatho1d
OFFICE QF THE TOWN CLERK ,,,,'""" _
. Town of Southold .�' ���F(It <
Judith T. Terry, Town Clerk ;' O 4, Application No./ `.)--
o.
Town Hall, 53095 Main Road ;$
Construction
P. 0. Box 1179
Southold, New York 11971 ' Alteration
Telephone ij' V6i $10.00 - Residential
(516) 765-1801 ' l
'' $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
APPLICANT NAME: fie2P9fre-f...--
APPLICANT ADDRESS: /d /3134 972-
-2214. 4
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: /9,o / 61 ,4,//3A10
OWNER OF PROPERTY: ,Q,t�-�,��w� ✓ - __
OWNER MAILING ADDRESS: 57.9s Az v,94
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /0 / Block 3..1 Lot
CROSS STREET: I}.S/
BUILDING PERMIT NUMBER CROSS REFERENCE:
Si nature of .V.licant
RECEIVED BY:
' Town Clerk's Office
DATE: /d �l�
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