HomeMy WebLinkAboutVitolano, Steven 1 �o�
JUDITH T.TERRY � y� Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
•
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ��� Fax(516) 765-1823
MARRIAGE OFFICER �. t 1�
RECORDS MANAGEMENT OFFICER ���,( * **O���i Fax
(516) 765-1800
FREEDOM OF INFORMATION OFFICER ost
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1690 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : STEVEN VITOLANO
Address 1 : 68 FENIMORE STREET
City St Zip LYNBROOK NY 11563
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. SCHD REF. #R10-97-0087
Name Of Owner VITOLANO, STEVEN
Mailing Address 1 68 FENIMORE STREET
City St Zip LYNBROOK NY 11563
Property Address 1 MEADOW BEACH LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 17 lot 17.023
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 6/17/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
Ioi l" A1FFOL,r' ((/!— i�
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JUDITH T.TERRY ��4_� Town Hall, 53095 Main Road
TOWN CLERK ;y ;c P.O. Box 1179
• v. � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O •� Fax (516) 765-1823
MARRIAGE OFFICER y
RECORDS MANAGEMENT OFFICER =�*,( illi *0.6 � Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER •—..„/ °,.°1i
OFFICE OF THE TOWN CLERK w
TOWN OF SOUTHOLD
JUN 131997
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office r BLDG C?`EPT
n!imOFSC:'T 1r r*
--�._
DATED: June 13, 1997 �eu-
Transmitted herewith is a copy of application No. 1760 for a Cesspool/
Septic Tank Construction Permit submitted by:
Frederick Seifert for Steven Vitolano
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 recom endations:
APPROVE
DISAPPROVE
Comments:
RECEIVED `
ignatu
JUN 1 7 1997 c. 1, 1/444-1
Dated
Southold Town Clerk
jj jjul«Lccc1r
OFFICE O1= 111E TOWN CLERK OC��FFOOt-
Town of Southold � CSG
Judith T. Terry, Town Clerk Application No. ,76
Town Ifall, 53095 Main Road ` Construction
P. O. Box 1179
Southold, New York 11911 r O� Alteration ---
Telephone �l ��� Residential /
(516) 765-1801 • J"""T Non Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPI_ICA-T ION
for..
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Perini t No.
Fee $
DATE (ittif7
_,
APPLICANT NAME: C-7eveA) tirrti,,,frijo
APPLICANT ADDRESS: W et tick 4! ,..)122---"-T--77-
- ---- - --
SEPTIC V CESSPOOLV
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION J'
LOCA I ION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY : f;JCV V��L.fro)B , (1000-- a— �t
OWNER MAILING ADDRESS: ((Jf1 t�s'�[�,llc�� si
OWNER PROPERTY ADDRESS:
ofinirf gout- "t 111.172_,
TELEPHONE NUMBER OF CONTACT PERSON : 5'P 63-2-. d'1
TAX MAP NO. : Section //1--- Block / 7 Lot /7. Z S
-- -- - --- ----
CROSS STREET : /Lao - c____ 4re-
-T�Jrk,c_
BUILDING PERMIT NUMBER CROSS REFERENCE :
.," ,, de-62,,c„
Signature of Applicant
RECEIVED BY : j
Town, ' er 's Office
DATE: //3/Z•7
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