HomeMy WebLinkAboutMarco, Patricia %pf SOutz,-
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ELIZABETH A. NEVILLE e '`� l4 Town Hall, 53095 Main Road
TOWN CLERK 4 P.O. Box 1179
cn �e • Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G
MARRIAGE OFFICER �` �0 �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �_'?f , 'mI i��, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER OUry"+ 0 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. 3402 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CARL ARGALIA
Address 1: 8 MT. WILSON AVE
City St Zip FARMINGVILLE NY 11738
Descripton of Proposed Construction or Alteration
-NEW SINGLE FAMILY DWELLING
Name Of Owner PATRICIA MARCO
Mailing Address 1 P 0 BOX 383
City St Zip PECONIC NY 11958
Property Address 1 2680 LESLIES ROAD
City St Zip PECONIC NY 11958
Tax Map No. section 98.00 block 1 lot 2.600
Cross Street INDIAN NECK LANE
Building Permit Number Cross Reference:
Issue Date: 2/01/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
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ELIZABETH A.NEVILLE 1�� /1 ° 4 : Town Hall,53095 Main Road
TOWN CLERK * * , P.O. Box 1179
c�+ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; G Q ,1
MARRIAGE OFFICER �O �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICERl ��ei Telephone(631) 765-1800
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FREEDOM-9F INFORMA1IQ OFFICER =yC�UN �,���61southoldtown.northfork.net
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pN - 5 Y 't OFFICE OF THE TOWN CLERK
v t TOWN OF SOUTHOLD
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TO: Southold Town Building Department
FROM: Michelle L. Martocchia, Southold Town Clerk's Office
DATED: January 4, 2006
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3555 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Carl Art ila
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:
6 —
Signature
Da d'
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ELIZABETH A.NEVILLE ��� l ''y\Town Hall, 53095 Main Road
TOWN CLERK p % P.O. Box 1179
Southold New York 11971
REGISTRAR OF VITAL STATISTICS v ';,r-71
����� '
• MARRIAGE OFFICER : G • Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �`y� ' i
Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER '_O'� 4 southoldtown.northfork.net
OFFICE OF THE ' ;: , C i AK
TOWN OF So )1.D
SOUTHOLD WASTE' ::It DIS ritICT
APPLIC.'.
CONSTRUCTION or Al. 'l'ION PERMIT
CESSPOOL or � '' TA f'
Residential @$10 Xr Non-Residential @ Application No — `,,S
. Permit No. _,
I
Applicant Name i
Applicant Mailin: ,.A dress i F. 11/ _ ' 411--z.:
1110 ZLG'/ 4 1'/r %i '��0
Septic Tank or Cesspool Tr'
Brief Description of Proposed Construction or A! :is.i Ji/ - , #•
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Location of Proposed Construction/Alte ation:
Owner of Property: --/-- 6149 1-':e._i , • -e7
Owner Mailing Address: i•----2Z'Z- -)-it P. 0 . y3
Owner Property Address: 2 C ' )
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Name and phone number of contact person G '/ ( (7 — 7 Va---/5 d 7
Tax Map No: Section qCI Lot ' (o
Cross Street I‘li)C Iry A z - -
NOTE: LOCATION MAP MUST BE SU. ,'H APPLICATIO . NEW
CONSTRUCTION REQUIRES SUR y 1'--W1 ::PARTMENT ' .'PR 5 VAL
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Si: D.o' , � D. e
Received by I >I 4• _ \`
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NOTES Young & Young
400 Ostrander Avenue, Riverhead, New York 11901
N AREA = 42[T66 SQ. FT. 631-727-2303
�,� • SUBDIVISION MAP 'EAST HILL SECTION I" FILED IN THE Howard W. Young, Land Surveyor ?,
rs�` ,' OFFICE OF THE CLERK OF SUFFOLK COUNTY ON Thomas C. Wolpert, Professional Engineer
,�`"�' NOV. 2Q, I9'13 AS FILE NO. 6044. Robert C. Tast, Architect
�e�' Ronald E. Pfuhl, Landscape Architect
fit', 4)7P. • VERTICAL DATUM = N.G.V. DATUM (M.S.L. I92ci) Douglas E. Adams, Professional Engineer
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