HomeMy WebLinkAboutStrazza, Al (2) pfSOOryo
ELIZABETH A.NEVILLE $11°$44 4 `� Town Hall, 53095 Main Road
TOWN CLERK 1 1 ; P.O. Box 1179
vs Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS Q ,�
MARRIAGE OFFICER '�► �O •� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER l �i� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER `=�C�U ,', . southoldtown.northfork.net
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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. 3351 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1: P 0 BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADD TO EXISTING SYSTEM, & ADDITIONAL OVERFLOW POOL
MAINTAIN REQUIRED SETBACKS FRCM ADJACENT WELLS, BUILDINGS, PROPERTY
LINES, & WATER BODIES. EXCAVATION INSPECTION REQUIRED.
Name Of Owner AL & MARILYN STRAZZA
Mailing Address 1 P 0 BOX
City St Zip NEW SUFFOLK NY 11956
Property Address 1 1180 GRATHWOHL ROAD
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 1 lot 1.600
Cross Street FANNING ROAD
Building Permit Number Cross Reference:
Issue Date: 8/30/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE �O lQ Town Hall, 53095 Main Road
TOWN CLERK 4 +; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N Southold, New York 11971
MARRIAGE OFFICER • �pQ Fax (631) 765-6145
RECORDS MANAGEMENT Q ' R 4' ‘ot Telephone (631) 765-1800
FR ON,FOIMt,,'I,'I( .N QF+' CER = CQU ,� ,��� southoldtown.northfork.net_, _
'ui i 2 6 ZOOS ,.;,.; OFFICE OF THE TOWN CLERK
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TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 26, 2005
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3503 for a Cesspool/Septic Tank
Construction Permit submitted by:
Peconic Cesspool for Al and Marilyn Strazza
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: 71/1'." -4- 6(.4-...:& �•
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Signature
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Dated
OFFOf TUB TOWN CLIWK ,
TOWNOF 90U111OLU �e' c ? ¢ �= Application Nu.
EUZABBfH A NBVW.e,TOWN C1L'RK I� IL
P.O.BOX 1179 Construction
SOUTHOLD,NBW YORK 11971 p ; Alteration
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Telephone �Q /, smut) - Residential V
(63t) 765-1800 = "�' "Ir �;,�'�� $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 $
DATE
APPLICANT NAME: PEGONIC CESSPOOL J?
APPLICANT ADDRESS: P. 0. 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 ALTI.:RATION:
. OWNER OF PROPERTY: i A( 1/Z../I ZZ-
OWNER MAILING ADDRESS: / ?i, f3,,,� ,� 5-
/1/.6f42 S w4' //1'5H
OWNER PROPERTY ADDRESS: // DXaA„s, Z
O� C3/ �9S-- 9G$ '
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section // Block / Lot /
CROSS STREET: �4,, i 7 - ---
BUILDING PERMIT NUMBER CROSS REFERS ICi::
ff:;/-1.f .g -°-
Sigriature of pplicant
RECEIVED BY:
Town C erk's Office
DATE: .
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AL & MARILYN STRAZZA
1180 GRATHWOHL ROAD
NEW SUFFOLK
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 08/26/05 Receipt#: 8977
Transaction(s): Reference Subtotal
1 1 Septic Permit- Construct- Resid. 3503 $10.00
Check#: 8977 Total Paid: $10.00
Name: Peconic, Cesspool
P 0 Box 972
Mattituck, NY 11952
Clerk ID: LINDAC
Internal ID:3503