HomeMy WebLinkAboutBertani, John 0
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JUDITH T.TERRY
�'.,,,,vo//0' 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. 446 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JOHN BERTANI BUILDER INC.
Address 1 : 1380 OAKWOOD DRIVE
City St Zip SOUTHOLD NY 11971
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.
Name Of Owner BERTANI, JOHN
Mailing Address 1 1380 OAKWOOD DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 BROOK LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 5 lot 2.000
Cross Street REYDON DRIVE
Building Permit Number Cross Reference:
Issue Date: 1/05/89 Judith T. Terry
Southold Town Clerk
(TOWN _SEAL)
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TOWN OF SOUTHOLD ;v' = •• Town Hall, 53095 Main Road
t.%0 # ' ®NN'•i P.O. Box 1179
_ f01 �11 ���� Southold, New York 11971
JUDITH T.TERRY ....,,,,„„� TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: December 19, 1988
Transmitted herewith is a copy of application No. 453 for a Cesspool/
Septic Tank Construction Permit submitted by:
John Bertani
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 recommendations:
APPROVE X
DISAPPROVE •
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Signature
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Dated
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OFFICE OF THE TOWN CLERK `S�FFU(,(CO
Town of Southold 'N� �► Application No. y5-3
Judith T. Terry, Town Clerk • .•C
Town Hall, 53095 Main Road PR Construction
P. O. Box 1179 0
Alteration
Southold, New York 11971 ,yam �O :J�lt 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 $/O _-
DATE 2 19'L S�
APPLICANT NAME: Tet) &CFO U ( (-6U 2 4-4.--)C
APPLICANT ADDRESS: `3gtf) 0-tY0 -2 1 Vcd-
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: a N 1 -) YL(•AN
OWNER MAILING ADDRESS: ) 84n. QAV4JJo ( '0 12 i �F
OWNER PROPERTY ADDRESS: f2X3-ceK 1,100E
TELEPHONE NUMBER OF CONTACT PERSON: q(0%c" E(5't
TAX MAP NO. : Section I q Block pg Lot 2..
CROSS STREET: /dok9 'Da? J6
BUILDING PERMIT NUMBER CROSS REFERENCE:
D P),17-644,0
Signature of Applicant
RECEIVEDY: -
E� own erk's OfrF ice
DATE: UEC19 1988
Town Clerk Southold
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"MAP OF REYDON COURT"
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