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HomeMy WebLinkAboutPisacano, Michael /IIDOSvrl'OCn'COG` JUDITH T.TERRY �� � y< Town Hall, 53095 Main Road TOWN CLERK No P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Oy %�, � Fax(516) 765-1823 MARRIAGE OFFICER t _%.! io RECORDS MANAGEMENT OFFICER �.� �►��d Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER ,••o' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1476 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MICHAEL PISACANO Address 1 : P. O. BOX 1931 City St Zip SOUTHOLD NY 11971 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. Name Of Owner PISACANO, MICHAEL Mailing Address 1 P. O. BOX 1931 City St Zip SOUTHOLD NY 11971 Property Address 1 SOUNDVIEW AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 59.00 block 6 lot 16.000 Cross Street KENNY'S ROAD Building Permit Number Cross Reference: Issue Date: 5/16/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) 10� o\,N) oG- JUDITH T.TERRY % Town Hall, 53095 Main Road TOWN CLERK % y Z P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER ,0 Fax(516)765-1823 RECORDS MANAGEMENT OFFICER '.01 �► Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER 1 -)OFFICE OF THE TOWN CLERK D 0 TOWN OF SOUTHOLD n _ MAY 61996 TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 3, 1996 Transmitted herewith is a copy of application No. 1537 for a Cesspool/ Septic Tank Construction Permit submitted by: Michael Pisacano • 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 recommendations: APPROVE DISAPPROVE Comments: ejj,• •(:) 1 cc4.7/VD u( /0 9t--o7 o "7":171:4--- S.•na bre // ? /9 C Dated ..y OFFICE OF THE TOWN CLERK , • t Town of Southold "Of O`xn Town Clerk �'� Ol/ Application No. /537 Judith T. Terry, � 0• .,;`" ,t. . � Town Hall, 53095 Main Road , • Construction • P. O. Box 1179 • • '� � Southold, New York 11971 : tots "� rn Alteration Telephone - .4', ��(Z:F $10.00 - Residential • (516) 765-1801 1 go $25.00 - Non-Residential •rt TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE /- APPLICANT NAME: 0649. ( P/Shten-kaa APPLICANT ADDRESS: ? ©. gcmc /9 3 / , `(J'/ _//y SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION /IO__R ALTERATION : OWNER OF PROPERTY : . ( 6 OWNER MAILING ADDRESS: \1 C . r ( j Sc rr L c� / ,,(f`-( OWNER PROPERTY ADDRESS: -c3csi'LUI€ttf F} UC . /C TELEPHONE NUMBER OF CONTACT PERSON : TAX MAP NO. : Section J Block 6 Lot // CROSS STREET : rg—,,c)/±1 BUILDING PERMIT NUMBER CROSS REFERENCE : Sjjiggnature of Applicant RECEIVED BY : Town Clerk's Office DATE: ` E. i .1 'L . Irl iLility' to ir..)).; __. ,.:t ;i._ ;'i Lance 'FEAT �aNO n ° I k 5 i")7 • �J� E of�i 6 MA�'w6 Zs' aIlegt '4'1 i ,\'Phi Q V w ii ,„ PR,ov-ems V,_1, `I fit'. r `v o \ � f SNI 10 N iv/ Ia,A Y% 1' g by /1- ). N \ nI 14/z•Ay,/D r✓ o, , /),) ,�pvn/O � View v ,tisk) � V i {ystilLO 'vc4c_ // \_________ 24.\ We'LL I \----;4,0g- \ I TEs7 Mud' ,aoaih,/9e7 NuNdo ?~ Cam 17Y LOAM Y•S' worse fN'r ✓ W..C44I,C • .. ..� . ..ti _ .., ;F iE (.'i :,F.PF,OVr`/. °o 4. -E w. sG1', I