HomeMy WebLinkAboutVardaro, Pasquale ,ie OFF04
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JUDITH T.TERRY � N Town Hall, 53095 Main Road
TOWN CLERK y i P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS •
MARRIAGE OFFICER ‘45IJ O-o Fax(516) 765-1823
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RECORDS MANAGEMENT OFFICER : .1 * 'j ,,,� Fax
(516) 765-1800
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1752 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : VAN HOUTEN CONSTRUCTION CO.
Address 1 : 61 SHORE ROAD
City St Zip SOUTHAMPTON NY 11968
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. REF #R10-97-0143
Name Of Owner VARDARO, PAWQUALE AND SANDRA
Mailing Address 1 58 CONKLIN AVENUE
City St Zip WOODMERE NY 11598
Property Address 1 365 MARINE PLACE
City St Zip GREENPORT NY 11944
Tax Map No. section 35.00 block 6 lot 10.000
Cross Street SNUG HARBOR ROAD
Building Permit Number Cross Reference:
Issue Date: 10/17/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ��_� B V' »'wn Hall, 53095 Main Road
TOWN CLERK ; y ; i P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS � O �:,��1 OCT nr•� I � r���So; ti Jd, New York 11971
MARRIAGE OFFICER O . s �� . (516) 765-1823
RECORDS MANAGEMENT OFFICER - £.( J `00TOWN •F � HOLD,0
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BLDG.DEPT. T lep ane (516) 765-1800
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 15, 1997
Transmitted herewith is a copy of application No. 1826 for a Cesspool/
Septic Tank Construction Permit submitted by:
Van Houten Construction Co., Inc. for Pasquale & Sandra Vardaro.
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:
ignatu
Dated
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~/'�|'|(�E �>F l |�E l00/N CLERK LA
`["wo ,`/ �ouU`o|'|
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h"]\�|` l� lTerry, Town Clerk /\N`|ica\i"/' No. // n ^n ~^
| ow/` ||^U 5xdS Main Road � (
' Construction c~�
|\ox 1179 � -' -
Southold, New York | |97| A|(urat|on
Telephone • Residential
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( ])6) 76S- |80\ �'''/'"''
Non Residential. .. . '-
'TOWN OF SOU II
S0UT||OLU YY8SlE /\TER DISPOSAL D\STRmT
AP\1]CAT |0N
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CUNSl.RU( TION or ALTERATION PERMIT
SEPT IC TANK ", CESSPOOL
Permit No.
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|',: $
Sept . 1997
UN�E ^
APPLICANT N/\KxE
:-_ya%l. Houten Construction Co. Inc.
______________ _.
N^|`i]C/\Nl` ADDRESS: 6lshore Road, Southampton; NY 11968
--_`---'-- _-_-- -' ---_' -
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SEPTIC CESSPOOL
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DESCRIPTION OF PROPOSED [0NST|WC1k)N OR /\|'TERK[ |ON
New Home Construction
_ -
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i0[NION MAP: Mos( he attached hereto he/ore permit way be Issued.
LOCATION OF PROPOSED CONS lFKU(]FION OR ALTERATION :
OWNER OF PROPERTY : Pa.sguale & Sandra \/azdaro� ____
OWNER MAILING /\N)|<ESS58 Conklin Ave, Woodmere 11598
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OWNER PROPERTY ADDRESS : 365 Marine Place, Greenport 11944
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---------'----- -----' ------------------- .....
TELEPHONE NUMBER OF CONTACT PERSON: WalterVan Houten 287 2138
TAX MAI'WA|' NO. : Section
_ _ 035 )Uodk 06 Loi_ 010
_____
CROSS STREET '
' SJlDgLHarborl8d . .
BUILDING PERMIT NUMBER CROSS REFERENCE :
.
1011k~ ^_ w�&�N�� 5
Signature of __-_-_-
RECEIVED U
(leri�/��i�/yi.�e
DATE :
- --------------------' -- ----'- - --
MCT u 5 1997
Southold Town Clerk •
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