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Home My WebLink AboutTorelli, Joe (2) ,O�g�FFO�,�co, �+, ELIZABETH A.NEVILLE � _ � � Town Hall, 53095 Main Road TOWN CLERK ; co Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ; Pr, Southold, New York 11971 MARRIAGE OFFICER 0.�� Fax(631) 765-6145 FREEDOTelephone(631) 765-1800 RECOMDS OMANAGEMENT ORMATION OFFICER 'O! "� ,�a01,l southo dtown.northfork net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3161 R Residential x Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED TO: Name : MORRIS CESSPOOL Address 1: 2760 YENNECOTT DRIVE City St zip SOUTHOLD NY 11971 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 TORELLI, JOE Mailing Address 1 1385 OLD SHIPYARD LANE City St Zip SOUTHOLD NY 11971 Property Address 1 1385 OLD SHIPYARD LANE city St zip SOUTHOLD NY 11971 Tax Map No. section 64.00 block 5 lot 27.000 Cross Street FOUNDERS PATH Building Permit Number Cross Reference: Issue Date: 4/15/04 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) , FOUr 31 � ELIZABETH A. NEVILLE tit ' Gy Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 v New York 11971 REGISTRAR.OF VITAL STATISTICS Southold, MARRIAGE OFFICER ` Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER `%y7Ql �atl� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ��'� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department 2 0 ill FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 30, 2004 Transmitted herewith is a copy of application No. 3298 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Morris Cesspool for Joe Torelli 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 location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Maintain required setbacks from adjacent wells, buildings, property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. Signature ‘44. 30, ?—ee'S/ Dated Will ,,-• ► 4 /o,iN,g11FF04co; ELIZABETH A.NEVILLE 0 # 4\; Town Hall, 53095 Main Road TOWN CLERK t P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Z Southold, New York 11971 MARRIAGE OFFICER ��O �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER =y 0��0 Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER _ O'�' ��`a," southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 or Non-Residential @ $25 Application No. 3 aye Permit No. Applicant Name 7126 it 12r S Cixsp0i .5 21 Applicant Mailing Address 1‘:t74-4/11/12c&r r e Septic Tank or Cesspool- /' Brief Descriptio Proposed Construction or Alteration Location of Proposed Construction/Alteration: Owner of Property: ___Td-e, (0 QC f Owner Mailing Address: /51,3— O 4 S/pyr9z.1 htk Owner Property Address: Name and phone number of contact person fl/ 2761 7/c ;Ye-6 Tax Map No: Section t y Block ..r Lot 2 7 Cross Street f0-1.--,e)e-7- ,to NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL 60,074,-, 1"i" ,fri(7-4„.: 3/30/0 et/ ignature of Applicant Date Received by: JAW C / 7LY 109‘.7-oi_ /), y 20 t y_ #`'Gnn d0/f J� 30