HomeMy WebLinkAboutEsposito, Felice ..._3 (
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APR - 1988 sl �. ' �
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�' Town Hall, 53095 Main Road
P.O. Box 728
BLDG. DENT. '.( ._ 4 1 I •
TOWN OF SOUTHOLD -- 45,01t0Southold, New York 11971
JUD • •Y TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 323 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Warren A. Sa m bach .
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
er •
eoea
Judith T. Terry
Southold Town Clerk
* * * * * * * * *
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE - )(
DISAPPROVE - n n
COMMENTS: mo .....A.44.....A.4.....A.4414,c l t.c9- (N., .44.44,40.41 oti o,.e_YvP.L
. C.:e..140-1... OEDQA411,--
Signature
dih'i `g 3
Date
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B ' Town Hall, 53095 Main Road
‘11,k. �`� P.O. Box 1179
ilt ��•••` Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERK (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. 319 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SAMBACH, WARREN A.
Address 1: P.O. BOX 1033
COX LANE
City St Zip CUTCHOGUE NY 11935-0000
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM
APPROVED AS PER SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL
Name Of Owner ESPOSITO, FELICE
Mailing Address 1 C/O SAMBACH
P.O. BOX 1033
City St Zip CUTCHOGUE NY 11935-0000
Property Address 1 TOPSAIL LANE
City St Zip SOUTHOLD NY 11971-0000
Tax Map No. section 79. 00 block 7 lot 14. 000
Cross Street NORTH BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 4/08/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
r
OFFICE OF THE TOWN CLERK c.OFO(k O
Town of Southold sF ' C� ppNoAlication N
Judith T. Terry, Town Clerk v j .L
Town Hail, 53095 Main Road is j� Construction
P. O. Box 1179 �" J Alteration
Southold, New York 11971
Telephone .401 * NON '. Residential
•
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /O.. £9�
DATE P'/Pi IL f1 I fee
APPLICANT NAME: UU/ E, 'V, ,4 . i
APPLICANT ADDRESS: 17(' J.73 Cy 1033 ZCV ZAhl
SEPTIC l../CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
01)1F FI92M%1 1243 i 001)4'F-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: eZ/e &�Spt9417->
OWNER MAILING ADDRESS: % ..54127l312671
e0 _enc 1 '33 ('L97?1-1 , .)'1 111i35—
OWNER PROPERTY ADDRESS: %pp3/ll..- Z44./&'
C07)k Ln, h/y
TELEPHONE NUMBER OF CONTACT PERSON: 5/1- --2 31-7 q4ZTAX MAP NO. : Section `7 / Block 7 Lot 14-.
CROSS STREET: /y' z7j gn Mod ,/�e,,9
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
i&kAaH94-49---
Signature of Applicant
RECEIVED BY: ,
ow rk's Office
DATE:
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100C30100.00
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