HomeMy WebLinkAboutBarbaro, Joseph •, ..
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JUDITH T.TERRY
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yet Town Hall, 53095 Main Road
TOWN CLERK y Z ; P.O.Box 1179
ivy'l Southold,New York 11971
REGISTRAR OF VITAL STATISTICS V4O1 Fax(516)765-1823
MARRIAGE OFFICER y�If a��ll/
RECORDS MANAGEMENT OFFICER Ol * 0��01 Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER -'�_� ••O'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1369 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARY TABOR
Address 1 : 680 NAVY STREET
City St Zip ORIENT NY 11957
Descripton of Proposed Construction or Alteration
ADDITON OF AN 8 X 8 LEACHING POOL 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 BARBARO, JOSEPH
Mailing Address 1 61 CASTLETON CT.
City St Zip OCEANSIDE NY 11572
Property Address 1 1675 SIGSBEE ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 144.00 block 2 lot 12.000
Cross Street PECONIC BAY BLVD.
Building Permit Number Cross Reference:
Issue Date: 8/14/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
FFOIK
3 6 FP
•
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK : o T : P.O. Box 1179
CP � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS "21:04‘,.
VO ��� Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER ' .,`_ ��� �� Telephone (516) 765-1801
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FREEDOM OF INFORMATION OFFICER � ��i�to�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
AUG - 7Pa
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: August 7, 1995
Transmitted herewith is a copy of application No. 1420 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Gary Tabor for Joseph Barbaro
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. ,gyp
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
417,Pr) (2.1.-y/
Signature
Date
3////1
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OFFICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk Application No. )�l� 0
Town Hall, 53095 Main Road .= Construction
P. O. Box 1179 •/
Alteration
Southold, New York 11971 , iiiia ✓�
Telephone + ' .„,,, ,', $10.00 - Residential
(516) 765-1801 _ "' * ,,,' $25.00 -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: VdIS I 7;040 ,
APPLICANT ADDRESS:
rO . 'kir° S,
7
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
TAVS Is,/J gi 1 to,trVA , 11.1/7poc )
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: _
OWNER OF PROPERTY: _ r ' „_ I
OWNER MAILING ADDRESS: GI � .7;
ae---ger-3-17e-00 ) k I //5- 7./,
OWNER PROPERTY ADDRESS: ) 4 7 5 t► /6 r c
TELEPHONE NUMBER OF CONTACT PERSON: 3 ? 3 - 6 6 7
TAX MAP NO. : Section /4/ 7 Block Lot 1 --
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
gnature of Applicant
RECEIVED BY: f‘0114----___,
n clerk's Office
DATE: ( `
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