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HomeMy WebLinkAboutBusso, T JUDITH T. TERRY z ` . Town Hall, 53095 Main Road TOWN CLERK : P.O.nZ+ P.O. Box 1179 to � Southold, New York 11971 REGISTRAR OF VITAL STATISTICS = Fax (516) 765-1823 MARRIAGE OFFICER '`^ b ,, Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER •� FREEDOM OF INFORMATION OFFICER �i� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1122 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool 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 SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SCHD REF. #R10-94-0016 Name Of Owner BUSSO, MR. AND MRS. T. Mailing Address 1 YOUNGS AVENUE City St Zip SOUTHOLD NY 11971 Property Address 1 497 PRIVATE ROAD #25 City St Zip SOUTHOLD NY 11971 Tax Map No. section 59.00 block 9 lot 21.000 Cross Street SOUNDVIEW AVENUE Building Permit Number Cross Reference: Issue Date: 5/02/94 Judith T. Terry Southold Town Clerk 'TOWN SEAL) V . // a ,,,,,,,, APR 2 5 1994 .�' c�31F Ir p„ O Gy JUDITH T. : BLDG.DEFT. , !� ; Town Hall, 53095 Main Road TOWN CL K TOWN OF SOUTHOLD ; c ,Z : P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ��� Fax (516) 765-1823 MARRIAGE OFFICER .�' 0 � Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER 1 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: April 25, 1994 Transmitted herewith is a copy of application No. 1161 for a Cesspool/ Septic Tank Construction Permit submitted by: JOhn Bertani Builder Inc. for Mr. and Mrs. T. Busso 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. 4. I Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: c)c//V � �s 7 T d • 4 i1 Signature / Dated OFFICE OF THE TOWN CLERK cl\FFGUr _ Town of Southold p�� - CSG Judith T. Terry, Town Clerk • < Application No.// Town Hall, 53095 Main Road - Construction P. O. Box 1179 *-$ Alteration Southold, New York 11971 ��- '/ `�� ' Residential Telephone _ , (516) 765-1801 "' Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION RECEIVED for APR 25 1994 CONSTRUCTION or ALTERATION PERMIT Sou: Town Clerk SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE 05A17/ APPLICANT NAME: jig,/ 8,707--,,z,„„ ,8ir,U/e5,72 „c APPLICANT ADDRESS: /3cp © 0v-q pg 6. S� //97/ SEPTIC ✓ CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 367V7 c-�i X` / eag-t Syc—eritt LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: /-f2 ,F- 425 -7-, /au,fro OWNER MAILING ADDRESS: V6UMil 4,J f/5'7( OWNER PROPERTY ADDRESS: Li 9' 7 A vc.-L_ Si TELEPHONE NUMBER OF CONTACT PERSON: ?&c_tS ',1- TAX MAP NO. : Section 6 5--r Block 4 ? Lot 7–/ CROSS STREET: K/>CheuJ 4,0S BUILDING PERMIT NUMBER CROSS REFERENCE: A J Signature o Applicant / - y C-7 RECEIVED BY: ---- 14-1 Towns Clerk's Office DATE: 1' c2 .T - g7 , A R. ti . HEALTH SEav �'AHTI�S;�t?OF H 6 .r ft 3.I07 �`TRUCTIOH OF .. 6y/ /OY/L` ' / '1/e;veJ ► 1 i,'.�, -.: :,--�:,,.F ONLY / a.u., / ! ) 1r ..kga U..I Ce) e�V1� i gz..: 1-. ,,, IAL I V . ,. I 1\ taJN W/,cN4'6"4/eo•E-/-- /o/74/ 4 I\, IA 7: 1 tk ` -1 kl /.. . / \ .9* lit\ N k) k . t ) - IP h tOo � I d k.1'. Z oov a 111 ./.,-,, , -: aeo y v/o/peri--•vo 4. Z '' --- _55.3*"1//'T/vN`v iaiie' . crani v /irr 1.r s/O L/L Ca kG�iP�Eil-SENT w/14v4 e�/A-ifY/G, ✓4=< /. i4 04976.e 7! rd lG9E�f4 64""7 04 4116 G'Uq�/EL'a r�N7��ibYK!•LG�J'v� GV��/ G��Lg v uE Q SG, LANo 5vev ae .` 0. ►vq 1, oZG 5o,5� e b ivr. /v. y. ,54VrT,ic��, /v. �% cc' o �� O,PTy/CGtiP.t'BAN.r d dd,sihie Vr VI. 9 29.40 vp T/>GE/,v .,,e4iC,4-Leo. ' Or.- .,,(5,-;s-;siz- r 4 -- /- -... ..--,-. --:./ %:- 99974/ A + • 3696 'No./ood-059-09-2/ OF NEW V° P