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HomeMy WebLinkAboutAnnunziata, Paul (2) ,,, %44 JUDITH T. TERRY yL: Town Hall, 53095 Main Road TOWN CLERK T ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ` `• Southold, New York 11971 �Vvs,0 Fax (516) 765-1823 MARRIAGE OFFICER ��Q 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. 798 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : PAUL ANNUAZIATA Address 1 : 296 SUMMIT AVENUE City St Zip MT. VERNON NY 10552 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 8/5/91 . Name Of Owner ANNUNZIATA, PAUL Mailing Address 1 296 SUMMIT AVENUE City St Zip MT. VERNON NY 10552 Property Address 1 OLE JULE LANE City St Zip MATTITUCK NY 11952 Tax Map No. section 122.00 block 9 lot 7.011 Cross Street CAMP MINEOLA ROAD Building Permit Number Cross Reference: Issue Date: 1/17/92 Judith T. Terry Southold Town Clerk 'MUM CP AI 1 ,,o��FFOLKc�Gy JUDITH T. TERRY ; iG ` Town Hall, 53095 Main Road TOWN CLERK G • P.O. Box 1179 , REGISTRAR OF VITAL STATISTICS : Southold, New York 11971 MARRIAGE OFFICER VO „ �� Fax (516) 765-1823 ��� Telephone (516) 765-1801 '= ( 4' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office Dated: January 9, 1992 Transmitted herewith is a copy of application No. 819 for a Cesspool/ Septic Tank Construction Permit submitted by: Paul Annunziata 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. Ramo JAN 171gg? Linda J. Cooper * %i ft I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE X DISAPPROVE Comments: q,o � v, , G T.\ reN.41%).xl \AA./ .1.,14.1f •-ts.a.AA"\ ONN A.41k \CP:c9V0-4.• Ct"1""aal'Al Signature lit\eva_. Dated rs 4 " 'S. OFFICE OF THE TOWN CLERK v, • UFFJ(,�`� Town of SoutholdT. Terry, Town Clerk � -a; ` Application No.• �l9 Judith Town Hall, 53095 Main Road o .. 1. 41.4. cx�` Construction '� cry ' P. 0. Box 1179 f+ " -- Southold, New York 11971 O. ch �' Alteration Telephone 1°1 * 1r [ � 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. $ JOFee DATE u,5-k .1(P , /'l APPLICANT NAME: oset, / r1[.? h z ,' , . APPLICANT ADDRESS: o2n. 4/ei4 /7121 �� r7 o it/y /o s S SEPTIC CESSPOOL ( DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION See Q{4it 4-ec/ LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CON RUCTION OR ALTERATION: OWNER OF PROPERTY: hu / n OWNER MAILING ADDRESS: .29 .5/...-1,11 jam ;y„'7 Meri OWNER PROPERTY ADDRESS: oke jute • /a/ f K, Al e J y� riC TELEPHONE NUMBER OF CONTACT PERSON: 9//.77— 46�..- TAX MAP NO. : Section /0208 Block 1 Lot 7. v // _ CROSS STREET: � p 1/Le©/ - BUILDING PERMIT NUMBER CROSS REFERENCE:_. Signature J♦ 'Applicant RECEIVED BY: /, Tow ' Clerk's Office DATE: JAN 09199? town QM Wliold t 12.0,t .HY f• VF •1 K Cp..HAAL T palm ... .OVAL •1! ft ,� :, `ATS:1 FLWISHQD HIR#O1i 3{ COL,LAf2 OP CLGAht 'SAND`;943gVE1.':. ii.':f." W' 4 C+Ole µ 1•s eat{ 1"'+7 v:i, !co 3' .; >. Ay 9.3 BA.CIGFILL AL2000CJ C:CSSPOOL6 {1Q'D 1AM4 i ;• c. x7 18 TANK `• rTA ;{B P60L �'� ���P c. PRC�PERT '� .5c20, c v."..-r&-n-• -y,.. .� 3[/R vEYEO AlJR 40 AUL A/V/1/(J,�/�/�1TA STATEMENT"of iNTi'NT. . y 6 r-AC _ o _``�` PL A'I A7— ir TUE YJATLR SUPPLY ANP SEWAC,E DISPOSAL ry -�w �` \ SYSTEMS FOR. THIS RESIDeNCE WILL z; !,:///t::z7 OvT• 1, � MAT• The .1 p '`n/c 5U _O. E OF HEALTH-°- ICES. ''' i4:7447(.)---- ------- --7 � �� . APPLICANT $ \ . ' = ' . �\Q ``� S .e2I ' Fan fI SUFroL K COUNTY DEFT. OF 14EALTH L� t9 �' 0 . P'l1J17Lfr'Yic 6I1 - 5ERVICEa -' FOR APPROVAL . OF • �' !roH pi lc CONSTQUCTIQNONLY. ; �•, s 4 1+61 ;' 00 H.S. 12EF, NO., 89- SD'- Q2 `' , ..z."--- `t- Area -f f,,`9.9 ,-7e i re le i APalzoVec: .__—____C-.1'.. _C.,-� ' . ' O `�% >v �L 1uc-- i b: :G. 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