HomeMy WebLinkAboutMaffettone, William S,,
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JUDITH T.TERRY �• � 4Town Hall, 53095 Main Road
TOWN CLERK y 2 i P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
1
MARRIAGE OFFICER :yif' 0��•1 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER �! l �►����� Fax
(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. 1767 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARY TABOR
Address 1 : 680 NAVY STREET
City St Zip ORIENT NY 11957
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 MAFFETTONE, WILLIAM
Mailing Address 1 10020 MAIN ROAD
City St Zip EAST MARION NY 11939
Property Address 1 10020 MAIN ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 11 lot 2.000
Cross Street BAY AVENUE
Building Permit Number Cross Reference:
Issue Date: 11/14/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
17 ( 7
,000 FO�,�-COG.
JUDITH T.TERRY its_" yl�� Town Hall, 53095 Main Road
TOWN CLERK ; ti P.O. Box 1179
v. v' Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; Fax Fax (516) 765-1823
MARRIAGE OFFICER 4GEMENT OFFICER 4. 40. 765-1800
FREEDOM ORECORDS F INFORMATION OFFICER -1 ,s���' D �'i, O
OFFICE OF THE TOWN C "'ii �' `,� 2 1997 —)
TOWN OF SOUTHOLD
BLDG. DEPT
TO: Southold Town Building Department L TOWN OF sgtM;oLr)
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: November 10, 1997
Transmitted herewith is a copy of application No. 1841 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Gary Tabor for William Maffettone
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. 46'Xagee--
Linda
J. Cooper
* * * * * * * * * * * * *
I have reviewed the applicat n and location map of the project listed
above and make the follow' g recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Signatu e
tt � t `f (�1
Date
OF
_
OFFICE OF THE TOWN CLERK """"'-
Town of Southold ' c�uFFOtK�D Application No. /./- c//
Judith T. Terry, Town Clerk �' G
Town Hall, 53095 Main Road ; Z . - Construction
P. O. Box 1179 c
Southold, New York 11971 cls yc Alteration
Telephone ���' � $10.00 - Residential
(516) 765-1801 -�l �, 0'
$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 // //e2 /c1
APPLICANT NAME: f¢,h y
APPLICANT ADDRESS: cO S /
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION R ALTERATION
S 7J4/ I-e,tc4 'r-v
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: —10, '/J , 2411A- • /')//, C %7- D h/
OWNER MAILING ADDRESS: rf 00 � Q ,/ 7,4, 1`i/
J17
OWNER PROPERTY ADDRESS: 5 !,--E
TELEPHONE NUMBER OF CONTACT PERSON: 3 25 -2
'7
TAX MAP NO. : Section 3 l Block ) / Lot �•
CROSS STREET: � / /� ye vt/(J
BUILDING PERMIT NUMBER CROSS REFERENCE:
S' nature of Applicant
RECEIVED BY:
R •J,VQlerk's Office
DATE:
N Ov J 1997
Southold Town Clerk
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