HomeMy WebLinkAboutClancey, Paul ,
JUDITH T. TERRY ; : Town Hall, 53095 Main Road
TOWN CLERK .2C
• P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER O� Fax (516) 765-1823
',I N� Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1007 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RON MORIZZO BUILDER, INC.
Address 1 : P. O. BOX 789
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES.
Name Of Owner CLANCEY, PAUL M. & MAUREEN
Mailing Address 1 11 TIP TOP LANE
City St Zip HICKSVILLE NY 11801
Property Address 1 BURGUNDY COURT
(CHARDONNAY WOODS)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 51 .00 block 3 lot 3.012
Cross Street CHABLIS PATH
Building Permit Number Cross Reference:
Issue Date: 6/03/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
CrA /6
JUDITH T. TERRY .4 : Town Hall, 53095 Main Road
0 T � P.O. Box 1179
TOWN CLERK Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • .
=
MARRIAGE OFFICER • V � �c't�•� Fax (516) 765-1823
_ • ' Telephone (516) 765-1801
,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 28, 1993
Transmitted herewith is a copy of application No. 1036 for a Cesspool/
Septic Tank Construction Permit submitted by:
Ron Morizzo Buildier, Inc. for Paul M. & Maureen Clancey ,
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 recom ndations:
APPROVE
DISAPPROVE
Comments: 0. 'I'eg-,4
o
Rem _ . , ,
Signature
JUN 2 1993te9/"-' /91'f
•
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OFFICE OF THE oTOWN CLERK thold �S�FFCOQ, _Ton of _
Judith TW Terry,uTown Clerk � 1 Application No./D 3q
Town Hall, 53095 Main Road Construction l/
P. O. Box 1179
Southold, New York 11971 ��a Alteration
Telephone 40 [ � o � Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee $ (C
DATE May 14 , 1993
APPLICANT NAME: Ron Morizzo Builder , Inc.
APPLICANT ADDRESS: P .O . Box 789
Southold , N .Y . 11971
SEPTIC V/ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Paul M . 6 Maureen clancey
OWNER MAILING ADDRESS: 11 Tip Top Lane
Hicksville , N .Y . 11801
OWNER PROPERTY ADDRESS: Burgundy Court (Chardonnay Woods)
Southold , N .Y . 11971
TELEPHONE NUMBER OF CONTACT PERSON: 765-5772
TAX MAP NO. : Section 51 Block 3 Lot 3 . 12
CROSS STREET: Chablis Path
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signaturejcant
RECEIVED BY 41k ,_►W +'
Tovfts Office
DATE:
MAY 2 81993
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