HomeMy WebLinkAboutCardinale, Alan (2) `,,,,,,/,iii,,i
to 1 Town Hall, 53095 Main Road
040 ' sr
se' P.O. Box 1179
���I Southold, New York 11971
•JUDITH T.TERRY FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 622 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ALAN A. CARDINALE
Address 1 : P. O. BOX 77
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH SANITARY SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 5/31/90.
Name Of Owner CARDINALE, ALAN A.
Mailing Address 1 P. O. BOX 77
City St Zip MATTITUCK NY 11952
Property Address 1 ROW OFF MAIN ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 122.00 block 3 lot 1 .004
Cross Street BAY AVENUE
Building Permit Number Cross Reference:
Issue Date: 7/11/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
• - laelE-410
91.,
al 2 6 i > �
BLDG. DEPT. = `
TOWN OF SOUTHOLD___ Town Hall, 53095 Main Road
P.O. Box 1179
" -7/1' h- Southold, New York 11971
IA JUDITH T.TERRY ��� ' TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: June 26, 1990
Transmitted herewith is a copy of application No. 637 for a Cesspool/
Septic Tank Construction Permit submitted by:
Alan Cardinale
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 D`
DISAPPROVE
•
Comments: ,ccwek-eSt Q .. _ •
C2.4 4cGC ca. 1 4Q- . vim, 4-\I .\9
Signature
qu
Dated
OFFICE OF THE TOWN CLERK
ToWn 4,0 Southold Application No.74.S.
Judith T. Terry, Town Clerk
Town Hall, ' M5 Main Road f Construction
P. O. sox 11 '9t
4,4 e Alteration
Southold, New York 11971 s`
' °* $10.00 -Residential
Telephone eprhone $
(516) 765-1801 F _ > =`'' $25.00 -Non-Residential
sedtdr
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE fp tae
APPLICANT NAME: )q. OoFdvflo e
APPLICANT ADDRESS: P 0 oox `1 {/� ,((,%�, N //G52
y
SEPTIC_,_ ,,,,CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
S9q/c 7Orrjr(J dtvdit✓�
LOCATION MAP: Must be attached hereto before permit may be issued.
' LOCATION OF PROPOSED CONSTRUCT IO OR ALTERATION:
OWNER OF PROPERTY: Y�lan 0 C ruet
OWNER MAILING ADDRESS:PO O 13DA -7 7 OaHrktc-6, 11y / l qa z-
OWNER PROPERTY ADDRESS: y3(,cmtS Cr�e� CYwI-h oidn pTf
fl7cu rr) CI-- 23- //oil ± c /J y
TELEPHONE NUMBER OF CONTACT PERSON: 6 —h1Zz.3
TAX MAP NO. : Section 1 Z z, Block c3 Lot /4
CROSS STREET: 61- Z5
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signature of Applicant
el RECEIVED BY: (J)2L
Torr Clerk's Office
DATE: ^ (((90
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TOTAL MAP AREA :: 15.73 acres.4",c9,41.3
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JOB NO. 89 - 272 SOUTHOLD, N.Y. 11971
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