HomeMy WebLinkAboutOrlando, Vincent Ole Of FOLA,
ELIZABETH A.NEVII.LE • Town Hall, 53095 Main Road
TOWN CLERK •
p 1 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ,� Southold, New York 11971
MARRIAGE OFFICER 4 Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER �� ���/ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER :�1' 00
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1861 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : VINCENT M. ORLANDO
Address 1 : 500 AZALEA ROAD
City St Zip MATTITUCK NY 11952
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 #R10-98-0029
Name Of Owner ORLANDO, VINCENT M.
Mailing Address 1 500 AZALEA ROAD
City St Zip MATTITUCK NY 11952
Property Address 1 305 BROOK LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 5 lot 16.003
Cross Street REYDON DRIVE
Building Permit Number Cross Reference:
Issue Date: 5/11/09 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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I,���c FFOL,j-c V
�O *414 Town Hall, 53095 Main Road
ELIZABETH A. NEVII.LE h 4 4
TOWN CLERK I CO -� , P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O ��� Fax (516) 765-1823
MARRIAGE OFFICER 0. � Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER Ol �a���
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OFFICE OF THE TOWN CLERK t�, C - --�~
TOWN OF SOUTHOLD u
TO: Southold Town Building Department T�\r,it DC, DE 0
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 11, 1998
Transmitted herewith is a copy of application No. 1935 for a Cesspool/
Septic Tank Construction Permit submitted by:
Vincent M. Orlando
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following reco mendations:
APPROVE
DISAPPROVE
Comments:
ignatu
(c
Dated
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OFFICE OF THE TOWN CLERK .311 (k
JudithTerry,of
SoutholdTown Clerk �O tp, )c,-(74 Application No/ jJ
Town Hall, 53095 Main Road 8Construction X
P. O. Box 1179
Southold, New York 11971 s ' Alteration
Telephone 1 a 0) Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE May 8, 1998
APPLICANT NAME: Vincent M. Utc,Eando
APPLICANT ADDRESS: 500 Azalea Rd.
Matti-tuck, NY 11952
SEPTIC X CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
In4ta i. one 4epti.c vault and one £eachLng pool.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Vincent M. OaLando
OWNER MAILING ADDRESS: 500 Azalea Rd.
Mat-tituch., NY 11952
OWNER PROPERTY ADDRESS: 305 Btcoofz Lane
Sou-thaLd, NY
TELEPHONE NUMBER OF CONTACT PERSON: 516-298-4334
TAX MAP NO. : Section 079 Block 5 Lot 16.3
CROSS STREET: Reydon Dtuve
BUILDING PERMIT NUMBER CROSS REFEREN ._.
Signatur of App scant
RECEIVED
RECEIVED BY:
i Giejfg, Office
DATE:
Southold Town Clerk
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