HomeMy WebLinkAboutBasilite, Vincent „•0,o\OSf�f F0(,��oG.
JUDITH T.TERRY I”_� y� Town Hall, 53095 Main Road
TOWN CLERK y •= P.O. Box 1179
v. T �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS : O Fax Fax (516) 765-1823
MARRIAGE OFFICER = 4?, �a���� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
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. 1482 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner BASILITE, VINCENT
Mailing Address 1 3255 BAYSHORE ROAD
City St Zip GREENPORT NY 11944
Property Address 1 3255 BAYSHORE ROAD
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block 6 lot 8.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 5/22/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
o,0��gOFFOO,'
JUDITH T.TERRY �� y1 Town Hall, 53095 Main Road
TOWN CLERK ; y ; P.O. Box 1179
v. ,� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER '-'491
?� +0.0�1�' Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER : 9lJig �di Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: May 22, 1996
Transmitted herewith is a copy of application No. A1550 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
,Morris Cesspool for Vincent Basilite
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.
/. +,
Signatu'
Date
OFFICE OF THE TOWN CLERK ,,,'"" ,
�,
Town of Southold "40 Application No. /5-3
Judith T. Terry, Town Clerk t:s
Town Hall, 53095 Main Road Construction
P. O. Box 1179 Alteration
Southold, New York 11971 /
Telephone ��' $10.00 - Residential ,/
(516) 765-1801 _ 0 `� r
,, ' $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 t( pt2 ( 7C
APPLICANT NAME: 44, 7/Lf-c 6e7C4elyed-e-r,
APPLICANT ADDRESS:
� / / /1 1
SEPTIC CESSPOOL'�J
DESCRIPTION F PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
-7�
OWNER OF PROPERTY: #J' /50-49A (
OWNER MAILING ADDRESS: 12_5:6-- 6/9?‹, /
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 5 3 Block Lot r
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
a9i-e7L
Signature of Applicant
RECEIVED BY: e
Tow�k's Office
DATE: Y1oZ,,,V96
i
____ /ley sltw