HomeMy WebLinkAboutDeGennaro, John •
JUDITH T.TERRY C Town Hall,53095 Main Road
TOWN CLERK t CA Z P.O.Box 1179
REGISTRAR OF VITAL STATISTICS In0 O1�,/I Southold,New York 11971
MARRIAGE OFFICER Fax(516)765-1823
411 RECORDS MANAGEMENT OFFICER : �.( ese. Telephone(516)765-1800
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. 1256 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : STANLEY F. SKREZEC
Address 1 : 50 GULL POND LANE
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
ADDITON OF TWO CESSPOOLS TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED. ,DeehR cc.ce-!7
Name Of Owner DEENNAO, JOHN
Mailing Address 1 22 BRIDGE LANE
City St Zip PORT JEFFERSON NY 11777
Property Address 1 2213 PRIVATE ROAD
(KIELBASA ALLEY)
City St Zip PECONIC NY 11958
Tax Map No. section 86.00 block 5 lot 10.001
Cross Street INDIAN NECK LANE
Building Permit Number Cross Reference:
Issue Date: 12/12/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY Z L .. Town Hall, 53095 Main Road
TOWN CLERK : =v T : P.O. Box 1179
tri Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = VO �. °1 Fax (516) 765-1823
MARRIAGE OFFICER '_.,a _`�) ,$' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER _ 1 + T ��
FREEDOM OF INFORMATION OFFICER %��,,/i///r'�
OFFICE OF THE TOWN CLERK -------.............._.L;�
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TOWN OF SOUTHOLD j' \7r
TO: Southold Town Building Department
A[-'' 0 1994
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: November 28, 1994
Transmitted herewith is a copy of application No. A1302 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Stanley Skrezec for John DeGennato
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.
X--<_z-X-Etc-e--
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed `'''`
above and make the followinginrecommendation:
APPROVE - L/ EXCAVATIO H INU�r
�
DISAPPROVE - SQUIRED
COMMENTS: Maintain required setbacks from adjacent wells, buildings,
property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
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Signature '
Date
O.FICE.OF THE TOWN CLERK ,,,'"""
Town of Southold .�'��c4�FFOLKc� ..
Judith T. Terry, Town Clerk �l/y=_ Application No. o
Town Hall, 53095 Main Road : ek = Construction
P. O. Box 1179 ' � _
Southold, New York 11971 t� T Alteration ✓�
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Telephone �,� ����� $10.00 - Residential
(516) 765-1801 -w.4 'I
,,,� ' $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 ka\i-s4-cr 2 8i t `c, LI
APPLICANT NAME: S Le y . S ,.Z„ c
APPLICANT ADDRESS: �O 6-u LL ��,,, 1'Pv-Uc-
Gfe ems-()o rt 7 w , f, LA 9V (-4
SEPTIC CESSPOOL L/'
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION j iPpi
Ovi)p i k.s- ,� Two G scroLs U..-e f. ),-: d,`--` 6, z 5, n t
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY: ,-., N)Qt .E 6-69'3"-) ,\---c
OWNER MAILING ADDRESS: .22- V;2-Z06--- L QS—
parc..f-re--rsc.",-._ , N\1. (11 -.1
OWNER PROPERTY ADDRESS: ZZ 1 3 RZ\v . avy-tp F1-1 o-j-
Cke;i bAs,� BILI)- C)-iOIN) /v12 c..[_ 1,4n,< i PeC is fA<„l
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 6" Block Lot /0 -
CROSS STREET: 7; Ne,l‘_ Lam.,-e._
BUILDING PERMIT NUMBER CROSS REFERENCE:
. PILX2Sig attire of`Ap cant
RECEIVED BY: r LO/( e.%-------,
Town Clerk's Office
DATE: // ? l , y
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