HomeMy WebLinkAboutCardinale, Alan ,„
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• JUDITH T.TERRY ,/o� y1�� Town Hall, 53095 Main Road
TOWN CLERK 2 P.O. Box 1179
v' Southold,New York 11971
REGISTRAR OF VITAL STATISTICS LOy ���I�, Fax (516) 765-1823
MARRIAGE OFFICER �J0 �O 01
RECORDS MANAGEMENT OFFICER - ' l L �d Fax
(516) 765-1800
FREEDOM OF INFORMATION OFFICER cos
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1748 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ALAN A. CARDINALE JR.
Address 1 : P. O. BOX 77
City St Zip MATTITUCK NY 11952
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 #R10-97-127
Name Of Owner CARDINALE, ALAN A. JR.
Mailing Address 1 P.O. BOX 77
City St Zip MATTITUCK NY 11952
Property Address 1 NASSAU POINT ROAD
City St Zip CUTHCOGUE NY 11935
Tax Map No. section 111 .00 block 9 lot 6.001
Cross Street CARPENTER ROAD
Building Permit Number Cross Reference:
Issue Date: 10/09/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY �I_t. y�c 1Town Hall, 53095 Main Road
TOWN CLERK ; y1
2 P.O. Box 1179
v Southold,New York 11971
REGISTRAR OF VITAL STATISTICS O
Fax(516) 765-1823
MARRIAGE OFFICER � 0 �I
RECORDS MANAGEMENT OFFICER -eV/ 3 i Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER Oar ,•��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 6, 1997
Transmitted herewith is a copy of application No. 1819 for a Cesspool/
Septic Tank Construction Permit submitted by:
Alan A. Cardinale Jr.
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.
4(- 1L6t-`4-"-
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE 7
DISAPPROVE
Comments:
RECEIVED
4 CT 81997
gnaturJ
Southold Town Clerk t o/d hi
i
Dated
• OFFICE OE .IIIE TOWN CLERK 04 .1j1:11/A-c
uthold . /e
App„,:at,,,. No.
Judi h . Terrsoy, Town Clerk
' * Town Liii 53095 Main Road 8
Ciisi (U (mu
tr)
P Box 1179 ••!'
SouthAlterationold, New York 11971 •
0.! * 1\ •
a f( • Residential
Telephone ....... .
4"):2,m,ft f'•r
(516) 765- 1001 Ni .Residential...
TOWN or sou-rnoLD
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SOUTHOLD WASTEWATER DISPOSAL DISTRICT
A 199.1 CAT ION
ho.
CONSTRUCT ION or ALT ER AT ION PERMIT
SEPT IC TANK or CESSPOOL
•
Permit No.
'•
Fee $
DATE ICI 311.7
APPLICANT NAME: po__ANI CAgD10
APPLICANT ADDRESS: NATSIt-A-17-1t51-71T-----laeN) Po 8
- • 477.
srivriC CESSPOOL
DESCR I PT ION OF PROPOSED CONST RUCT ION OR A LTERAT ION hiE_W._
C014STROGTIONI IN)GLE.
• . '
LOCAT ION MAP: Must be attached hereto before pe.nalt may be Issued.
LOCA] ION OF PROPOSED CONSTRUCTION OR ALT ERAT ION:
OWNER OF PROPERTY : AL–Mq 1..f,1tC.
OWNER MAILING ADDRESS: 17 "i3OX. fl
IkTX-7 true-Kt...0.f/ 1_115.2-
OWNER PROPERTY A DDR E.SS 'N.thS .ATV T0101- Izis,p
..... 111r3s . ..
TELEPHONE NUMBER CONTACT PIERSON
I AX MAI' NO. : Section 11 Mock Cl Lot (.0 .
. . . .
CROSS. STREET :
11011.1)1NC PERMIT NUMBER CROSS REFERENCE :
_ . . . .
•
Signature of AI
•
IM LIE IVED 11Y : RECEIVED
Town Clerk's Office.
DATE : 01T 5 1997
•
Southold Town Clerk
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SUFFOLK COUNTY DEFAR la OF HEALTH SERVICES
:ix
PERMIT FOR APPROVAL OF CONSSTRUCI'ION TCR A
SINGLE FAMILY ICES DYNCE OM.Y
DATE OCT 0 $ SR as 2ka— —1o2.7
APPROVED •
SHOWN THUS:mS ARE REFERENCED TO AN ASSUMED DATUM. WIRES TIMES VISO'SPRC11IZATZOPAPPROVAL '
-IE LEACHING POOL AREA IS FOUND, IT MUST BE
ICED WITH CLEAN SAND. •
'ANSION POOL
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IITARY LEACHING POOL •
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jO gal. SEPTIC TANK