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HomeMy WebLinkAboutDeGennaro John Z I,, ilii � �� o�oS�FFo��-0 JUDITH T.TERRY ��c� Gy1 Town Hall, 53095 Main Road TOWN CLERK y = , P.O. Box 1179 • $ Southold, New York 11971 REGISTRAR OF VITAL STATISTICS `Oy ����� Fax (516) 765-1823 MARRIAGE OFFICER *Q a��i�� Telephone (516) -1823765-1 00 RECORDS MANAGEMENT OFFICER 1 J [ �i 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. 1455 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : STANLEY SKREZEC Address 1 : 50 GULL POND LANE City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration ADDITION OF A 900 SEPTIC TANK AND 8' DRAINAGE RING TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner DEGENNARO, JOHN Mailing Address 1 2213 INDIAN NECK LANE City St Zip PECONIC NY 11958 Property Address 1 2213 INDIAN NECK LANE City St Zip PECONIC NY 11958 Tax Map No. section 86.00 block 5 lot 10.001 Cross Street ROUTE 25 Building Permit Number Cross Reference: Issue Date: 4/09195 Judith T. Terry Southold Town Clerk (TOWN SEAL) w"04,00. �•' UFFO( e�oO�pS COG. JUDITH T.TERRY ��_ y1 Town Hall, 53095 Main Road TOWN CLERK ; y = P.O. Box 1179 �s- "7 $ Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER :y� �� / Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER OliNg il* Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICERu,•,,����/ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department 6 FROM: Linda Cooper, Southold Town Clerk's Office DATED: March 26, 1996 Transmitted herewith is a copy of application No. A1514 for an ALTERATION PERMIT for a cesspool or septic system submitted by Stanley Skrezec for John DeGennaro 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 followin commendation: APPROVE - DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. RECEIVED APR 9 1996 Signat u Town Clerk Southold Dat OFFICE 0,F THE TOWN CLERK ,,'",,,,, .- Town of Southold .''1 �FF0LK Town Clerk �� �Otz-_stApplication No. 1 Ju Terry, 0 Town Hall, 53095 Main Road Z Construction P. 0. Box 1179rrt Southold, New York 11971 �� Alteration Telephone $10.00 - Residential �— (516) 765-1801 : �l 4 $b„..', $25.00 - Non-Residential ,.j/ll TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE MARCH 2.6 , Ili APPLICANT NAME: .STA LE \t S (CQ Z6 C- /r APPLICANT ADDRESS: -L2 13 >l qn1 Pecoivic Y, SEPTIC LVCESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR// ALTERATIONS1-1¢r1 CI00 G. L t , ,r �.., .` ©# Dii4; AH{i,P /Zi/1/Lr (�✓ t S L A B o P 14O04.14#4' {-o l S17-1 S cit-r-e LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: �014_4J bg Cr-etJ ity© OWNER MAILING ADDRESS: 'i-1 1 -5 voi iew ,Je ck_ PPG(frt jL f,, Y. OWNER PROPERTY ADDRESS: SJyit. frc 4p. TELEPHONE NUMBER OF CONTACT PERSON: Lf 7 7 - jerz. TAX MAP NO. : Section Zf ( Block 6— Lot / 0, CROSS STREET: /2:1t 25 BUILDING PERMIT NUMBER CROSS REFERENCE: 4( fiAl d ignature of Applicant RECEIVED BY: lam- Town Clerk's fice DATE: S/%49 (f,:e Ir tioQ t qi... 4, „ig• - / LJ p 060 43 17,;: Pc:0°6 Ct It#4 w* 1 i \Oa §-^ f --' 96469249 16 _.... Cr 144 111-4-3,-