HomeMy WebLinkAboutBennardo, Michael cls
Town Hall, 53095 Main Road
P.O. Box 1179
l� 10"ri` Southold, New York 11971
JUDITH T.TERRY 'a��w �� TELEPHONE
TOWN CLERK (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. 320 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : BENNARDO, MICHAEL
Address 1: 1 GILBERT LANE
City St Zip PLAINVIEW NY 11803-0000
Descripton of Proposed Construction or Alteration
NEW SINGEL FAMILY DWELLING WITH CESSPOOL SYSTEM
APPROVED AS PER SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL
Name Of Owner BENNARDO, MICHAEL
Mailing Address 1 1 GILBERT LANE
City St Zip PLAINVIEW NY 11803-0000
Property Address 1 510 CRESCENT
City St Zip EAST MARION NY 11939-0000
Tax Map No. section 30. 00 block 2 lot 31. 000
Cross Street THE GREENWAY
Building Permit Number Cross Reference:
Issue Date: 4/08/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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TOWN OF SO$I-��..,1 �� .�" - Town Hall, 53095 Main Road
!'�• "s �r P.O. Box 728
Southold, New York 11971
ow
JUDITH T.TERRY TELEPHONE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 4, 1988
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 324 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Michael Bennardo ,
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
e'r •
ed
Judith T. Terry
Southold Town Clerk
* * * * * * * * *
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE - X
DISAPPROVE -
COMMENTS: q„ Yv1 c_L4, ]v, Ga m[ k e_ka.
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Signature
Date
OFFICE OF THE TOWN CLERK
JudithTT. Terryown of ouTown Clerk thold ��_ Application No. 3.2y
Town Hall, 53095 Main Road Construction
P. O. Box 1179 *. J Alteration
Southold, New York 11971
! [ ��O Residential
Telephone
(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 ?/l l Fr
APPLICANT NAME: tY1 c NA CI. 1 >•11,11P10L.Au
APPLICANT ADDRESS: ..S'//v C'2ese ;
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
-7/0,32.0
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 4/1 ►C. tr-' 44/147D
OWNER MAILING ADDRESS: t 0 i t,g. r- Ltt-.
OWNER PROPERTY ADDRESS: c7
6A-37 r -i, .✓
TELEPHONE NUMBER OF CONTACT PERSON: r,' Ff ick 131
TAX MAP NO. : Section 3 0 Block (4- Lot 3 j
CROSS STREET: --(0. Cp s79ti A-«tt.)
BUILDING PERMIT NUMBER CROSS REFERENCE:
Y �
S tune of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
I am familiar with the Standards for Approval and Con-
structIon of Subsurface Sewage Disposal Systems for
Single family Residences and will abide by the condi -
tions set forth therein and n the permit to construct .
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