HomeMy WebLinkAboutVillano, William ...1 i
O�OStFFOU(�0 •
JUDITH T.TERRY +� _ Gyj Town Hall, 53095 Main Road
TOWN CLERKt P.O. Box 1179
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$ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
y ��1� Fax (516) 765-1823
MARRIAGE OFFICER \ 40 � ���� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER 1 l '1`
FREEDOM OF INFORMATION OFFICER ,�1 ma '
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1506 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : WILLIAM AND EILEEN VILLANO
Address 1 : 190 CENTRAL DRIVE
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR A NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-96-0054
Name Of Owner VILLANO, WILLIAM A. AND EILEEN
Mailing Address 1 190 CENTRAL DRIVE
City St Zip MATTITUCK NY 11952
Property Address 1 MILL ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 9 lot 8.003
Cross Street MILLER ROAD/BAYVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 7/15/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ��= r4% Town Hall, 53095 Main Road
TOWN CLERK ; y i % P.O. Box 1179
SII Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER :y; O�/,1�� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER : 0l slig 'j g Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ' ,•8"
OFFICE OF THE TOWN CLERK 1
TOWN OF SOUTHOLD
t
TO: Southold Town Building Department
Tytrw Cif SCUT HOLD
—
FROM: Linda J. Cooper, Southold Town Clerk's Office`
DATED: July 8, 1996
Transmitted herewith is a copy of application No. 1571 for a Cesspool/
Septic Tank Construction Permit submitted by:
William and Eileen Villano
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 L.—
DISAPPROVE 4/;
Comments: */----)f . ..?).-7/
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Signature ,
/ 7
Dated
OFFICE OF THE TOWN CLERK ,,s,
Town of Southold �$0° IfpU{i
Judith T. Terry, Town Clerk �� ��: P41.- Application No./37
/
Town Hall, 5305 Main Road •�, fl. .{ 4'�. ��
+.� = Construction
•P. 0. Box 1179
Southold, New York 11971 : t�J� �' i* • � Alteration
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Telephone .'4, ,''�� $10.00 - Residential V
•
(516) 765-1801 1 •0 $25.00 - Non--Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 10 .00
DATE
APPLICANT NAME: William A. and Eileen Villano
APPLICANT ADDRESS: 190 Central Dr.
Mattituck, NY. #11952
SEPTIC X CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
New Construction - Single family house - Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY : William A. Villano and Eileen Villano
OWNER MAILING ADDRESS: 190 Central Dr.
Mattituck, NY. #11952
OWNER PROPERTY ADDRESS est Mill Rd .
Mattituck, NY. #11952
Villano
TELEPHONE NUMBER OF CONTACT PERSON : ( 516 )n298-3209
TAX MAP NO. : Section 106 .00 Block 09.00 L_ot 008 .003
West
CROSS STREET : W.S. of Mill Rd . Between Miller Rd . & Bayview Ave.
BUILDING PERMIT NUMBER CROSS REFERENCE:
LdAee/Lvi- Vdedt44.4-'
Signature of Applicant
RECEIVED BY :
"1-7/ Clerk's Office
DATE: 7/0‘ •
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kS SUCZVEYED M AN' 15,1996 A. .,'" .. 'KA. •`\
RODERICK VAN TUYL. P.C.
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LICENSED LAND SURVEYORS - •
GREENPORT NEW YORK
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TILEDYNE POST NE.125 . -