HomeMy WebLinkAboutPosillico Construction so,0 cf, G ,
JUDITH T.TERRY ��0_ 4 1.
Town Hall, 53095 Main Road
TOWN CLERK % y = P.O. Box 1179
�s- �$ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O
MARRIAGE OFFICER ...t..4* _%.!•0
�I. Fax (516) ?65-1823
RECORDS MANAGEMENT OFFICER VI **;#11I
Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER '••••••. ,,0'.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1520 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : POSILLICO CONSTRUCTION CO. INC
Address 1 : 31 TENNYSON AVNEUE
City St Zip WESTBURY NY 11590
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-96-0044
Name Of Owner POSILLICO CONSTRUCTION CO. INC
Mailing Address 1 31 TENNYSON AVNEUE
City St Zip WESTBURY NY 11590
Property Address 1 2560 KERWIN BLVD.
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block 4 lot 44.009
Cross Street SAGE SPUR
Building Permit Number Cross Reference:
Issue Date: 8/06/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY � = y` Town Hall, 53095 Main Road
TOWN CLERK % y = •• P.O. Box 1179
�y. 47$ Southold,Southold,New York 11971
REGISTRAR OF VITAL STATISTICS "�y ����� Fax(516) 765-1823
MARRIAGE OFFICER 1. 000 Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER 1 J �`
FREEDOM OF INFORMATION OFFICER —••,..,,.01s
OFFICE OF THE TOWN CLERK IT r R , ;_..
TOWN OF SOUTHOLD ---~-
2 298
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
1
DATED: August 1 , 1996
Transmitted herewith is a copy of application No. 1586 for a Cesspool/
Septic Tank Construction Permit submitted by:
Posillico Construction Co. Inc.
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: f�/ P>,,DI `SL S, , .. .3- y-- c` i3'
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Sign/c-.7 i g nfW�
Dat
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OFFICE OF THE TOWN CLERK . �' "'••, •
Town of Southold X406 \001.xC•
Town Clerk • �l/ Application No.4b
Judith T. Terry, "t, yam
Town Hall, 53095 Main Road � G Construction
P. 0. Box 1179
• • e r^ = Alteration
Southold, New. York 11971
Telephone ��Q � ��', $10.00 - Residential
(516) 765-1801 _ fo $25.00 - Non-Residential
• . •li
TOWN OF SOUT)IOLD
SOUTIIOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /96,DATE / j
APPLICANT NAME; 7v5/L,4-/ cc, Cols 5r/eticr/o/V Gv, /4/c'.
APPLICANT ADDRESS: 3/ 7e?v/Ws6ly ,Q v4-;
WES-r(3�hy , NY /Is90
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION jl/
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LOCATION MAP; Must be attached hereto before permit may be issued.
LOCATION OF PRQPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : P2)5/64-16v CU14-57f -t•-7/ c -
OWNER MAILING ADDRESS: 3/ 7P�NYs AL
OWNER PROPERTY ADDRESS: 0566 k'vl.4L. 13/✓.(
6 r e ,, Ny.
TELEPHONE NUMBER OF CONTACT PERSON : 33 --0<- 6 G
TAX MAP NO. : Section 53 Block { Lot 7`t. 7
CROSS STREET : _5,46-6-2- .5(Pvre-
BUILDING PERMIT NUMBER CROSS REFERENCE :
• .e4 t/
S nat re of Applicar
RECEIVED BY :
jTown lerk's Office
DATE: 31/ ?C
•� SUFFOLK CO-HEALTH.DEPT.APPROVAL }
H.S. NO. al0-96-44 I
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