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HomeMy WebLinkAboutLombardi, Ralph ' /ii/SUFFOLK o JUDITH T.TERRY 1$14. y<‘ Town Hall, 53095 Main Road TOWN CLERK • c - ; P.O. Box 1179 ^x� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS O Fax Fax(516) 765-1823 MARRIAGE OFFICER L 4% `a� is Telephone(516) 765-1800 RECORDS MANAGEMENT OFFICER i 1 4, �` � 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. 1436 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MORRIS CESSPOOL SERVICE Address 1 : 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION OF A NEW SYSTEM FOR BATHROOM. EXISTING SYSTEM WILL REMAIN. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner LOMBARDI, RALPH Mailing Address 1 900 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 Property Address 1 900 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 55.00 block 6 lot 7.000 Cross Street TUTH I LL LANE Building Permit Number Cross Reference: Issue Date: 2/13/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) • Y ` ••SgFO(,rCpG- JUDITH T.TERRY ��� yt Town Hall, 53095 Main Road TOWN CLERK ` ti = P.O. Box 1179 ^y � Southold, New York 11971 ftEGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER if' O '1�� Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER Ol �a��� Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER ••""° OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLDW TO: Southold Town Building Department JAN 5 Ig° 6 FROM: Linda Cooper, Southold Town Clerk's Office BLDG.DEBT. DATED: January 25, 1996 TnWN OF SOD'i-n' r Transmitted herewith is a copy of application No. 1492 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morris Cesspool for Ralph Lombardi • 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. //' 74: Signat e �'` Date/0 • OFFICE OF THE TOWN CLERK "''- Town of Southold soil �FApplication No.fOIK Z �'J C� ' Judith T. Terry, Town Clerk ;� Gy /47/ Town Hall, 53095 Main Road Z Construction P. 0. Box 1179 ; © z Southold, New York 11971fr% � Alteration Telephone ,j� Ar $10.00 - Residential (516) 765-1801 =y�1 y;, � $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 7e �pW APPLICANT NAME: /rZp �'�tL /cam Cau VA/ga-t ' 14 APPLICANT ADDRESS: OG Q�f/��G ( //9 2i SEPTIC CESSPOOL DESCRIPTIONI_ OF PROPOSED CONSTRUCTION OR ALTERATION p (Ale-4J 4-00,14, LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: 7(,„ c - 3300 TAX MAP NO. : Section__ 5 5 Block Co Lot 7 CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: Iry Signature o Applicant RECEIVED BY: 4, , (-{y-c4___, TRwnoerk's Office DATE: J,M 2 ; 19 Tom '*k Souttitia I J 6. ,,., , 1- 1 i° );_. „....._________ __ A . QM MB. ---ottr, 4 L1707A.e- Ili 3<::-.) /4 ...cc) ist a) 0...VA , 1111 F er:-4 - , 1 4 A' 21-: (-) c