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HomeMy WebLinkAboutCipullo, Victor coF Wire" c. JUDITH T. TERRY .G ; Town Hall, 53095 Main Road TOWN CLERK : =v T : P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ‘VA, ��` Fax (516) 765-1823 MARRIAGE OFFICER . ,�� ,�� Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER rl FREEDOM OF INFORMATION OFFICER ��� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1178 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MORRIS CESSPOOL SERVICE Address 1 : 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS BUILDINGS, PROPERTY LINES, AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner C I PU LLO, VICTOR Mailing Address 1 8300 HORTON LANE City St Zip SOUTHOLD NY 11971 Property Address 1 SAME City St Zip 0000 Tax Map No. section 54.00 block 4 lot 29.001 Cross Street NORTH SEA DRIVE Building Permit Number Cross Reference: Issue Date: 8/05/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) (7/ • ,,,.......,, -(:\/-\ / ,,,..icoF011rco JUDITH T. (7/ • % 'Town Hall, 53095 Main Road TOWN CLERK ` o T P.O. Box 1179 Southold, New York 11971 REGIS'T'RAR OF VITAL STATISTICS ‘‘V � �' Fax (516) 765-1823 MARRIAGE OFFICER _ ,,��jj�� 0 r� Fax (516) 765-1801 RECORDS MANAGEMENT OFFICER ' "R/` 0° FREEDOM OF INFORMATION OFFICER '�..„„,ii,, P6) OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department oc �g9 s5</) 17 FROM: Linda Cooper, Southold Town Clerk's Office `S'oG<(,o> DATED: August 1, 1994 '50lo - Transmitted herewith is a copy of application No. A1223 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morirs Cesspool for Victor Cipullo 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 this office. Thank you. l -/ J v— Linda J. Cooper * * * * * * * * * * * * * I have reviewed the application and location map of the project listed above and make the following recommendation: APPROVE - ',. DISAPPROVE - COMMENTS: / ‘,(..{.49,nl � ` � / iie_4' /1d.. ./ . cf - 211 4050."'' 4% Ar Signature Date . '91111Pr , • OFFICE OF THE TOWN CLERK ,,,'""" Town of Southold �'° c,\\FFOlio% Application No. /c9,9 Judith T. Terry, Town Clerk °' G Town Hall, 5305 Main Road � +' s' G Construction P. 0. Box 1179 Southold, New York 11971 cn �� Alteration Telephone ‘‘`G.' $10.00$10.00 - Residential (516) 765-1801 = 1 ' $25.00 - Non-Residential • ,, , • ,,,1, TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE 96,,/ / /;./P APPLICANT NAME: 4,-0 /1-16?,ei 5 APPLICANT ADDRESS: 7/,60 /�//1/IJFr `( cath/& ', /( 7 7 SEPTIC CESSPOOLY DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION moi, _ •_'.:/! LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: C f�2 OWNER MAILING ADDRESS: ' oU /400.7)ti L- — So 07-#0cjo • OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON : AGcc , es TAX MAP NO. : Section ' Block 44. Lot —tar / CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: gnature of Applicant RECEIVED BY: itiown Clerk's Office DATE: Cd( l I • 266/445Y64 40-4(h`'5,0177/10 k jr ` � s7# ,y/1o4d A