HomeMy WebLinkAboutCipullo, Victor coF Wire"
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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)
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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,,
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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 � ` �
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Signature
Date .
'91111Pr
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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
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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 96,,/ / /;./P
APPLICANT NAME: 4,-0 /1-16?,ei 5
APPLICANT ADDRESS: 7/,60 /�//1/IJFr `(
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SEPTIC CESSPOOLY
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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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
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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
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