HomeMy WebLinkAboutPerretta, Chris p i.
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JUDITH T.TERRY � � ..!•,„�• Town Hall, 53095 Main Road
TOWN CLERK • y 2 i P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS "
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MARRIAGE OFFICER �=yijJ 0� �1o, Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER . .1 * '� 00$ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER a
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1726 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 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 PERRETTA, CHRIS
Mailing Address 1 495 JACKSON STREET
City St Zip NEW SUFFOLK NY 11956
Property Address 1 495 JACKSON STREET
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 9 lot 4.001
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/28/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
Anro /
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JUDITH T.TERRY 'yam `� Town Hall, 53095 Main Road
TOWN CLERK y '� �9 7 +_ P.O. Box 1179
Southold, New York 11971
REGISTRAR.OF VITAL STATISTICS %,:.16)
Fax(516) 765-1823
MARRIAGE OFFICER '
RECORDS MANAGEMENT OFFICER = .( 4 i:9.1°i Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ,• �,•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: August 27, 1997
Transmitted herewith is a copy of application No. 1797 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Chris Perretta
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.
b
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.
RECEIVED
gnatur
AUG 2 81997 1(i-< <°t^►
Date
Southold Town Clerk
OFFICE. OF THE TOWN CLERK ""
Town of Southold �0"e_ FOLLY-':
Judith T. Terry, Town Clerk ;`� %,.; Application No. /797
Town Hall, 53095 Main Road W " e: Construction
P. O. Box 1179
Southold, New York 11971 ;in *,� Alteration
Telephone 0 ����i1 $10.00 - Residential) __________.
(516) 765-1801 ` w=y�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 lai ,9K /;:y7
'
APPLICANT NAME: '
APPLICANT ADDRESS: ,776-d. ,- ` I ,,�
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,ter_ _,/ _
SEPTIC CESSPOOL "
DESCRIPTION OF PR POSED CONSTRUCTION OR ALTERATION
- — -- -- --
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRU TION OR A ERATION:
OWNER OF PROPERTY: �i/�2 _ -- ._ � ' 1 -
OWNER MAILING ADDRESS: V�.> -`C/.si4) sI7
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: , '5 ?
TAX MAP NO. : Section 7/7 Block - Lot V./
CROSS STREET: A ..--d--# 1,__
BUILDING PERMIT NUMBER CROSS REFERENCE:
/Signature of Applicant
RECEIVED BY : _jC_
own Clerk's Office
DATE: 7".?(i-
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