HomeMy WebLinkAboutColagiuri, Patrick , o��tFo�K�oGy_`
• CP * �• Town Hall, 53095 Main Road
`�Q ��-���� P.O. Box 1179
=�'y�l `�`a�,�' Southold, New York 11971
JUDITH T.TERRY ..,,,,i70'�� 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. 641 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECON I C CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
REPLACEMENT OF OLD CESSPOOL WITH NEW TYPE (EXISTING SYSTEM).
APPROVED AS SUBMITTED. DO NOT EXCEED 14'0" BETWEEN POOLS. EXCAVATION
INSPECTION REQUIRED. CALL BUILDING DEPARTMENT (765-1802) FOR AN
APPOINTMENT TO INSPECT PRIOR TO COVERING.
Name Of Owner COLAGIURI, PATRICK
Mailing Address 1 20 ELSTON ROAD
City St Zip MONTCLA I R NJ 07043
Property Address 1 PARK AVENUE/MARRATOOKA ROAD
City St Zip MATTTIUCK NY 11952
Tax Map No. section 123.00 block 8 lot 13.000
Cross Street BUNGALOW LANE
Building Permit Number Cross Reference:
Issue Date: 9/13/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
ECEDVE '
se 1 11990 ,,
,•` " 0, Town Hall, 53095 Main Road
BLDG. DEPT. `
TOWN OF SOUTHOt I'° ". -.46, Q
P.O. Box 1179
. ''--..:.14// wi N • .
Southold, New York 11971
JUDITH T. TERRY "������s° TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 11, 1990
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A656 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Patrick Colagiuri ,
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.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE - 11 n nn
COMMENTS: Cis 1,,..,�...P..tL a kaeic}g . o AJ tAr tax-42-
,S \(A.'etA, 4,,p, I
Q.tio r4 Signature
ct .
I\ 1$ 1 0
oolieVI.
Date 1
•
•
OFFICE'OF THE TOWN CLERK Curl,"
Town of Southold Application No. '`
Judith T. Terry, Town Clerk .G
Town Hall, 53095 Main Road U Construction 1.
P. 0. Box 1179
Southold, New York 11971 O,y� �0��`J Alteration
Telephone �l *t ,, " Residential G
(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 $
DATE
APPLICANT NAME: /42. --ivvL.
APPLICANT ADDRESS:
SEPTIC 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: ,,ti,e_;e„/_.
OWNER MAILING ADDRESS: 7o
-1, o 7c3
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSONoW9C 5-7
TAX MAP NO. : Section /23 Block e Lot /3
CROSS STREET: ��-.� r
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applic t
RECEIVED BY:
efrelyeep sRCamp
DATE:
SEP11 1990
Town Clerk UAW Term Clack swum
. .
..,.._:.
NI1
•— .
b•
A • •
//1E--- 4
:
...
. .
\ ,
,...„,....,
.... .
_......, ...._. ,,, \
et...( .
, .
.‘
'`...,,......
',..,
kJ
/
•I:\ .
Iljte;:i y I,).4frivie,0,4S .
4qt'
,.
. ,
1, iito-
,..
',.
..
. .
•
..... ••••••••'
I )