HomeMy WebLinkAboutBoccio, Michael •
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J �, L Town Hall, 53095 Main Road
JUDITH T. TERRY ►►
P.O. Box 1179
TOWN CLERK 1/1 � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = VO Fax (516) 765-1823
MARRIAGE OFFICER % ,•' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER - "K/ �/,��1
FREEDOM OF INFORMATION OFFICER � ,/
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1113 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MICHAEL AND KATHLEEN BOCCIO
Address 1 : P. O. BOX 7
City St Zip ORIENT NY 11957
Descripton of Proposed Construction or Alteration
SEPTIC SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF #93-SO-76
Name Of Owner BOCCIO, MICHAEL AND KATHLEEN
Mailing Address 1 P. O. BOX 7
City St Zip ORIENT NY 11957
Property Address 1 159 U H L LANE
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 5 lot 24.009
Cross Street RYDER FARM LANE
Building Permit Number Cross Reference:
Issue Date: 4/19/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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1 y Town Hall, 53095 Main Road
JUDITH T. TERRY '
TOWN CLERK : v P.O. Box 1179
to � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ‘VA. Fax Fax (516) 765-1823
MARRIAGE OFFICER _./� �0�.1' Fax
(516) 765-1801
RECORDS MANAGEMENT OFFICER = �I 4•
FREEDOM OF INFORMATION OFFICER ',�...,,,,,,,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office Ili ;
DATED: April 7, 1994 A R
Y
Li
Transmitted herewith is a copy of application No. 1151 for a Cesspool/
Septic Tank Construction Permit submitted by:
Michael and Kathleen Boccio
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 e../—
DISAPPROVE
Comments: sc,/D � 9 3 G
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APR 1 8 1994 Signature
T perk /
Dated
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OFFICE OF THE TOWN CLERK ;f--, -;." -
Town of Southold Qc'`'rr3 �' �' •
Judith T. TeY'ry, Town Clerk , • ,- 7',-"--- /
• rr.... " y Application No/1s
Town Hall, 53095 Main Road • ~ ",_
P. O. Box 1179 c :."i�: 7-4,t,;..-
u' '� i;fi Constructions
Southold, New York 1 1971 ` r
p`` 4."4 ~ Alteration
Telephone '�l x yb �C4 Residential
(516) 765- 1301 - part°
•
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION
• for •
•
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee .$ a . .
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DATE `7 /17 /
APPLICANT NAME: rn dile-l 1- k a. I.Ger1 bocCt o
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APPLICANT ADDRESS: 07495 Oreti 0,-07( &fr.
PO leo X 7-
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SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED D CONSTRUCTION OR ALTERATION
V 071 • . ' OMY)rC 0,.• e ♦ .
LOCATION MAP: • Must be attached hereto before
permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION. OR ALTERATION:
• OWNER OF PROPERTY: '
• OWNER MAILING ADDRESS:
OWNER, PROPERTY ADDRESS: /5 g (j
5
TELEPHONE NUMBER OF CONTACT, PERSON: �a3 _
TAX MAP NO. : Section Block
Lotc_____W:). 0 .
CROSS STREET:
IllBUILDING PERMIT NUMBER CROSS REFERENCE:..
_________________________ ..
• i A_",/ _I _ . '/
Signa , ,/ of
Applicant •
RECEIVED BYiK a.,9_,-9/c _
TownCleric's Office
DATE:
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