HomeMy WebLinkAboutLaRosa, Joseph ELIZABETH A. NEVILLE $�,� Town Hall, 53095 Main Road
TOWN CLERK ,� p - ; P.O. Box 1179
•
•• y 2 •
Southold, New York 11971
REGISTRAR OF VITAL STATISTICSDy 4'�� Fax (516) 765-1823
MARRIAGE OFFICER �L
,,
RECORDS MANAGEMENT OFFICER "v� � �I 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. 1794 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
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 LAROSA, JOSEPH
Mailing Address 1 51 RANDOLPH DRIVE
City St Zip DIX HILLS NY 0000
Property Address 1 475 INLET DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 2 lot 20.000
Cross Street EAST ROAD
Building Permit Number Cross Reference:
Issue Date: 1/12/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,/ S1 /
. ELIZABETH A.NEVIILLE �$,`yam G.y��` Town Hall, 53095 Main Road
TOWN CLERK ; p -4 P.O. Box 1179
C4 Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ` �1%
` Fax (516) 765-1823
MARRIAGE OFFICER ifi
��� .00 �1� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER is
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: January 7, 1998
Transmitted herewith is a copy of application No. 1868 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Joseph LaRosa
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.
RECEWED
JAN 1593 Signatur
Date
c
OFFICE QIE• THE TOWN• CLERK ,►►►►►"
- Town of Southold0'4fU[ke-
Application No.
Town Clerk
Judith T. Terry, '
Town Hall, 53095 Main Road ;1 � %:44,= Construction
P. O. Box 1179 *,
Southold, New York 11971 :
� -w
, k e‘v.'-iffill 69-4-9c-irvf
Lw ..dt.,,, ,/
J
, +,,,
L�-r /)-11,1-
T
' r