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HomeMy WebLinkAboutBadagliacca, John ` 1 0(1 OFO1,(c ELIZABETH A.NEVILLE 1,� `Z\. oGy�• Town Hall, 53095 Main Road TOWN CLERK % p .-' P.O. Box 1179 • • • rA Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS • PrI Fax (516) 765-1823 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER 01 A% Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER 1116 ;a " OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1882 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MORRIS CESSPOOL SERVICE Address 1 : 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION OF CESSPOOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner BADAGLIACCA, RALPH Mailing Address 1 P. O. BOX 1112 City St Zip MATTITUCK NY 11952 Property Address 1 3705 OREGON ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 100.00 block 2 lot 7.000 Cross Street ELIJAH'S LANE Building Permit Number Cross Reference: Issue Date: 6/16/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ' • ��, 0 of FOi,-co "h / ci_ Z ELIZABETH A.NEVILLE �t't�o *.A. N Town Hall, 53095 Main Road - TOWN CLERK , p - . P.O. Box 1179 c4 Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS " O ��� ` Fax (516) 765-1823 MARRIAGE OFFICER ` y RECORDS MANAGEMENT OFFICER -�V1 %�0 �I� Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER 866 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD o7/077r 0��Q TO: Southold Town Building Department / 61 FROM: Linda Cooper, Southold Town Clerk's Offick f3. l ,1 DATED: June 10, 1998 \, / Transmitted herewith is a copy of application No.1956 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morris Cesspool for Badagliacca • 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 a location map of the project listed above and make the followin commendation: APPROVE - -./ DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. c) ignatur Cp. i4L/qS/ Date • OFFICE OF THE TOWN CLERK , �`c f = ���j TOWN OF SOUTHOLD 7" Application No.( f' ELIZABETH A.NEVILLE,TOWN CLERK `4 P.O.BOX 1179 Construction SOUTHOLD,NEW YORK 11971 us Alteration �/ Telephone .��� $10.00 -Residential (516) 765-1801 ©1 J ,�+' $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 J6e -I /® /7 2V APPLICANT NAME: APPLICANT ADDRESS: s2,k SEPTIC CESSPOOL-4 DESCRIPTION OF PR SED CONSTRUCTION OR ALTERATION 0-7 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: kA51 g-,Asy, „4,10 <oc-,e4 OWNER MAILING ADDRESS: _.r%'a `�- " Us- 'DK /// OWNER PROPERTY ADDRESS: � 'l-�/ TELEPHONE NUMBER OF CONTACT PERSON: 26-'. 37 Z� TAX MAP NO. : Section / .-2) Block Lot CROSS STREET: L, (-,77 /=/ '-r A .-) BUILDING PERMIT NUMBER CROSS REFERENCE: 19c) Signature of Applicant RECEIVED BY: ' a Town 61W1-;-Office DATE: � ��f F t • 40 • 4