HomeMy WebLinkAboutDiVello, Anthony ,
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JUDITH T. TERRY : ` ; Town Hall, 53095 Main Road
TOWN CLERK : =v nZ+ : P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ‘y Southold, New York 11971
O, '�� Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER =�'�p * _`►`e•I'I�� Telephone (516) 765-1801
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. 1161 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : LISO CONSTRUCTION CORP.
Address 1 : P. O. BOX 439
City St Zip JAMESPORT NY 11947
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 #93-50-48
Name Of Owner DIVELLO, ANTHONY
Mailing Address 1 800 WICKHAM AVENUE
City St Zip MATTITUCK NY 11952
Property Address 1 BAYVIEW AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 10 lot 1 .001
Cross Street MILL ROAD
Building Permit Number Cross Reference:
Issue Date: 7/07/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY % L ; Town Hall, 53095 Main Road
• TOWN CLERK t o r= P.O. Box 1179
Vs w Southold, New York 11971
REGISTRAR OF VITAL STATISTICS .. y
MARRIAGE OFFICER ao
O 0-�I Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER 7- '�1 4. y►�••i. Fax
(516) 765 1801
FREEDOM OF INFORMATION OFFICER �
�� ,�...i..'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: 6/29/94
Transmitted herewith is a copy of application No. 1205 for a Cesspool/
Septic Tank Construction Permit submitted by:
Liso Const. Corp. for Anthony DiVello .
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. ry�
Thank you. —111 U �a
t ° JUN 2uI9
k
Linda J. Cooper TOWBLDG.DEPT.
P N OF SOUTHOLD
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: .-_ ,_ ,, .-*fi
-amu- j- - SC' f'1 75- (o- 'g
Signature/
Dated
29/}
OFFICE OF THE TOWN CLERK ,,,•"""
Town of Southold .0"C, FU�Ir`+�
Judith T. Terry, Town Clerk ��' % / : Application No./ 5j
Town Hall, 53095 Main Road Construction
P. 0. Box 1179 `
Southold, New York 11971 Alteration
Tele hone -, 0 Q��•� $10.00 - Residential
(516) 765-1801
p
�;, � $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 �/� 999 `,x•
APPLICANT NAME: LI ,S o Cont (, GG/�1°-
APPLICANT ADDRESS:PO i3 vy L( 3 Gj
SEPTIC /CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: f c'i . �y / LL
OWNER MAILING ADDRESS: OO (A--G e- t--6 p. ,c(v<
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OWNER PROPERTY ADDRESS:
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TELEPHONE NUMBER OF CONTACT PERSON: ,446.z,L-/��1�
TAX MAP NO. : Section /Gdc Block /.6 Lot f..
CROSS STREET: / V
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of A an
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RECEIVED BY: 44_/lj, ice,
own Clerk's O fice
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