HomeMy WebLinkAboutFilippetti, Ubalda ofFour
ELIZABETH A.NEYIILLE '�� � OGy1\` Town Hall, 53095 Main Road
TOWN CLERK % p P.O. Box 1179
y 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O 77�,� Fax (516) 765-1823
MARRIAGE OFFICER :=
RECORDS MANAGEMENT OFFICER 491 - �� Telephone (516) 765-1800
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. 1871 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GENDOT ASSOCIATES
Address 1 : P.O. BOX 847
City St Zip WADING RIVER NY 11792
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 #R10-98-0063
Name Of Owner FILIPPETTI, UBALDA/MARGUERITE
Mailing Address 1 C/O GENDOT
P. 0. BOX 847
City St Zip WADING RIVER NY 11792
Property Address 1 SKUNK LANE
City St Zip PECONIC NY 11958
Tax Map No. section 97.00 block 4 lot 7.004
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 6/03/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
Ø,„,,, / F 7/
�,,s0 oFFoor
ELIZABETH A.NEVILLE 1. o %% Town Hall, 53095 Main Road
TOWN CLERK ; p -4 P.O. Box 1179
it C4 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % O ��1 Fax (516) 765-1823
MARRIAGE OFFICER %,..: 451
RECORDS MANAGEMENT OFFICER : iol lige ��0 ��� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICERoil
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 27, 1998
Transmitted herewith is a copy of application No. 1945 for a Cesspool/
Septic Tank Construction Permit submitted by:
GenDot for Ubalda Filippetti
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.
46.../x f:;(ce.--
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following r'ecommendations:
APPROVE J
DISAPPROVE
Comments:
2
ignatur
,f , , ,L,
5 SJ
Dated [ l
TSWNLOF SIUTHOLD
t'1H`(' 11 • .71:-1 1 _r i!._ITH;:iL7.., 7,71t a d H L 1'T 1823 F.. 1
•% SdI -♦
OFFICE of 'MAN ciE .i . 'r feke, /1 yS_"
To NO $OUTHOLD ,�r�«�, t� - Application No.
!LSLl+13L'etc<<,)7m. us.TAWNCIA Y 2�}., ''' ~ Canifi�^�u-tinn
po.110x 1179 • • —"`
SOU flO1D,NwYotttcffri$114?: Alteration
� $10.00 - Residential
Telephone = •, � � f
(516) 765-1801 - 1 �� $25.00 -Non-Residential
TOWN OF SOUTI•iOLD
SOUTH-IOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee '$ /QQ
DATE_Lir lF„ 7
APPLICANT NAME: 'r'C
APPLICANT ADDRESS: /, A j7
.,446:7/
SEPTIC X CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
42 -11-41-eg _tt14.1 * ,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION
OWNER OF PROPERTY -- _ 11,
OWNER MAILING ADDRESS: ejO h
OWNER PROPERTY ADDRESS; ' - A .i '
TELEPHONE NUMBER OF CONTACT PERSON: .2.57;
TAX MAP NO. Section 4/7
CROSS STREET : %1 24 .0'� Ccc-a)
BUILDING PERMIT NUMBER CROSS REFERENCE: _ __..
)414-ppli - —
04e)
cure of Acant
RECEIVED BY: RECEIVED _ _ --
Town Clerks` Office
DATE: MAXI
Southold Town Clerk
•
•
SURVEY' C7F- PROPFk-i. *'
SITUATE: AT 'FC:OtiiG
TOWN OF SOUTHOLDSUFFOLK COUNTY,
IIC+ o r�r y DE'ARRZ�rIE2:T OF 1i,.A..CH SERVICES u.
SURv=YF� a4-0"7-,16 PERMIT R
Fo=tdornoV&I.OFCONS i:CTIO MORA.
SINGLE FAMIT,Y PEST'G ONLY !
V.,F OLK C.OUN'"Y TA›- ''
* 109C - G, { "� ..4,.T� 01- !I/6� �- It^ N�. Al; S, tid6 L ''
G£+�TI`iED TO: APPROVED.._._.. ,
URAL DO PI;,IPP£T I FOR MA}..�.IJM OF 1' )ROOMS .~; r
MARC�U£RITE FILIPI'ETTt EXPIRES THREE YEARS FROM DATE OF APPROVAL i
METRoPol.I TAN Ae5TV,,,4CT c,GPa I
K5531066
FIRST AMERICAN TIT1.f...--tN .P..4.NC.,c
COMPANY OF NEA Y. RK
G
ti`1` r
J. -6
V. .
&RADE
LOAM
LOAM
LOAM_ 417
/�� iiC&Yk ri.4P
`yr0.rC'w..+o"
4.
Ai.
0 y' Q '
L.4.44.1 Cr LLJ ,..4 �yJw-..r,-,wwCR_`'',4e' 374 St
,-1.0. Tg
i .0
TEST MOLD
z
LL R. {•t�LY CT. ...
> GQ .,w'-v;`-era. . - ._.
.est,•• ....:
. "'"' M
x
•
e•z . S
�, i • "y
--
1,•-• ' NI4 S1 Z ' '' ... _-,-
• N
.� _ I';ja ` ` .. a.
g I j
is • ,.y _
q •
^I - err ti2,,5
•
•
P .ear: .
`yam-----
C:.
— —