HomeMy WebLinkAboutDiSalvo, Salvatore „,,,,,,,iii,.i
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�.� Town Hall, 53095 Main Road
P.O. Box 1179
-76( * .0 Southold, New York 11971
JUDITH T.TERRY ��...�.i�'' 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. 595 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SALVATORE J. DISALVA
Address 1 : (CONTRACT VENDEE)
City St Zip FLUSHING NY 11358
Descripton of Proposed Construction or Alteration
NEW SINGLE DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES.
Name Of Owner DISALVO, SAL. (CONTRACT VENDEE
Mailing Address 1 SCHREMMER - OWNER
City St Zip 0000
Property Address 1 1380 OAK DRIVE
REYDON SHORES
City St Zip SOUTHOLD NY 11971
Tax Map No. section 80.00 block 2 lot 1 .000
Cross Street WEST SHORE DRIVE
Building Permit Number Cross Reference:
Issue Date: 4/16/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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"`' Town Hall, 53095 Main Road
0 �- ��f P.O. Box 1179
--1410/ `0' Southold,New York 11971
JUDITH T.TERRY •
0'1 TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
•
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: April 4, 1990
Transmitted herewith is a copy of application No. 610 for a Cesspool/
Septic Tank Construction Permit submitted by:
Salvatore J. DiSalvo for Schremmer
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 7C •
DISAPPROVE
• Comments: 54,it y ZLucL, ")) Oaick&Lek t1�a�I
o- L S .C,► 44
RIMED •
Signature
APR 1. 6199u 4-1%-
Dated
-1 Dated
- . �,
OFFICE OF THE TOWN CLERK -_
Town of Southoldtf ak
Judith T. Terry,
Town Clerk �� Cil/ Application No. 6;,/d
Town Hall, 53095 Main Road ;a Construction
P. 0. Box 1179 Alteration
Southold, New York 11971 s $
Telephone ‘000.,�y �.0� ' $10.00 Residential-
(516) 765-1801 _ 1 �,..' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /D -c'o
DATE 30' `t o
APPLICANT NAME: .5/4-1141-7-0,--e `1 f/°S,¢JI/.C) (t TVpe'e)
APPLICANT ADDRESS: 1/? -3 , /62- S (
oc,s4/^1 Y 1 6-e
SEPTIC /CESSPOOL
DESCRIPTION F PROPOSED CONSTRUCTION OR ALTERATION
etAi
LOCATION MAP: Must be attached hereto before permit may be issued. 'f
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 6clq/ePnuirrPlZ —
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: 44-f< O/e/✓ Wei 1514E z),eVP
, eYood 544S, Jo07)1040, L_
TELEPHONE NUMBER OF CONTACT PERSON: 701- 76' 2 -6 "2'
TAX MAP NO. : Section 49?'-.9 Block O )- Lot o o /
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
/i/-D /19/tir oti 6 / L.07-0 S.
Sign? re of Applicant
RECEIVED BY:
Town Clerk's Office
DATE: Q
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sra3Jards lar lift•surveys as astahltahod •Zluaa far Mil residence will conform
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SURVEY OF
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CERTIFIED TO
• MAP OF
T1COR TITLE GUARANTEE COMPANY
REYDON SHO►RESANK
SAL VATORE J.V DISA LVO
" _ ! ALYS, 13$1 FRE NO. S$1 ARLINE M. DISAL.VO
- -, AT BA YVIEW
5� TOWN OF SOUTHOLD LA"os
SUFFOLK COUNTY, N.Y. ,,�`' •14, 4'9
wY O 1000 - 80 - 02 - 01 ��� se. L.�A\
Scale 1" = 20'
LOAM ._r + .. r,4 t. �',
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COMM WON COM S"'iD 'MAIN ROAD
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