HomeMy WebLinkAboutHand, Kenneth • �� ,,moi,,',.
•
OFFOLt
00
ELIZABETH A. NEVILLE d��� y� Town Hall, 53095 Main Road
TOWN CLERK ` y - P.O. Box 1179
v. i Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 4 .F �1
MARRIAGE OFFICER ‘‘`�f+� �`. ���Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 0,1 �a 61. Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,•��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3152 R Residential x Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1: PO BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTINO REQUIRED.
Name Of Owner HAND, KENNETH & A PRANZO
Mailing Address 1 215-35 38TH STREET
City St Zip BAYSIDE NY 11361
Property Address 1 100 WOODCLIFF DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 107.00 block 8 lot 17.000
Cross Street BROWER ROAD
Euilding Permit Number Cross Reference:
Issue Date: 4/15/04 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
itii
',I°,,o�OgUFFO',�00G`V
ELIZABETH A.NEVILLE 1��_� Town Hall, 53095 Main Road
TOWN CLERK i 3 z ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ` 1 Southold, New York 11971
MARRIAGE OFFICER �= y �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER _'"0IAli ib 0 Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ��,,��� southoldtown.northfork.net
EB 8 OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 18,2004
Transmitted herewith is a copy of application No. 3283 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Peconic Cesspool for Anthony Pranzo and Kenneth Hand
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.
* * * * * * * * * * * *
I have reviewed the application and loc ion map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain recfuired setbacks from adjacent wells, buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
War %-
Signature
` ��� .. i C
Dated
OFFICE OF THE TOWN CLERK ,4' 71
TOWN OFSOUTHOLD �tt'' 'r9�� oLK��G Application No 0�3
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 ,� Construction _ 7
SOUTHOLD,NEW YORK 11971 ; p rn ; Alteration L
Telephone `�e ' Q ',,, $10.00 - Residential
P `a �
(631) 765-1800 goal *�,�''� $25.00 -Non-Residential
...,,,,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee '$
DATE 7% i7/ ce
APPLICANT NAME: PECONIC CESSPOOL
APPLICANT ADDRESS: P. O. BOX 972
MATTITUCK, NEW YORK 11952 "
SEPTIC CESSPOOL ✓
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: #4-A)OWNER OF PROPERTY: 4,O4// i2�,V Z� J�e/j/4/e.y/h,
OWNER MAILING ADDRESS: /0 envie L. /i/� Jk
OWNER PROPERTY ADDRESS: _Zu2.1 -4._ a IS ..35 3$ ouc.
113G.
TELEPHONE NUMBER OF CONTACT PERSON: Ali- 94 Sir
TAX MAP NO. : Sectior/Q 7r UQ Block OA(}Q Lot 6/7,Aod
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
'27/ (,e
Signature o pplicant
RECEIVED BY:
Town Clerk's Office
DATE:
-,
Anthony Pranzo & Kenneth Hand
100 Woodcliff Drive
Mattituck
' - .... ....... , . .
LCODele-riFF 9k,
Oc'-'
., ,, . .....
coc,51''', ,,----
Sli
It; ,
i 6 iv tAlIc4ord"
:I1
i
Cv
-.,. i
it ; k
..,,
I
...... _ k‘
!b.._
Avu.,.......- ,
M Pit-rtt,f, k
Town Of Southold
{. ti P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 02/18/04 Receipt#: 7789
Transaction(s): Subtotal
1 Septic Permit- Construct- Resid. $10.00
Check#: 7789 Total Paid: $10.00
-"7
i
lc-
Name: Peconic, Cesspool
P O Box 972
Mattituck, NY 11952
Clerk ID: LINDAC Internal ID:89709