HomeMy WebLinkAboutPiraino, Anthony 'e„
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ELIZABETH A. NEVILLE ; G'yd;
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ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
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TOWN CLERK , �c P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER 1*, � Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER I't'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1936 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ANTONIO PIRAINO
Address 1 : PO BOX 1290
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-97-98
Name Of Owner ANTONIO & GILDA PIRAINO
Mailing Address 1 PO BOX 1290
City St Zip MATTITUCK NY 11952
Property Address 1 3637 COX NECK ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 3 lot 2.003
Cross Street LUTHER ROAD
Building Permit Number Cross Reference:
Issue Date: 9/28/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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- OFFICEEF THE TOWN CLERK c FO (
TOWN OFSOUPHOLD �� ��OG Application No./ O
FLIZABITH A.NEVILLE,TOWN CLERK � $10.00 - Residential
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 �„+ $25.00 - Non-Residential
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Telephone 70 41Y►� �'a
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE ?/30 /00
OWNER NAME: oo>vto P, c'o_; rio
OWNER MAILING ADDRESS: 3037 Cox Neck 2.0 .8_
tr61.4#I4LLc,k ry_y.
OWNER PROPERTY ADDRESS: 3C37 COX KI«k eoc-&
MR44-rIGtc 4 Ai y• • /`9SZ
OWNER TELEPHONE NUMBER: ( 31) 29 -4-52-3
TAX MAP NO. : Section /13. 00 Block 3 Lot 2 • 00 3
CROSS STREET: L14-Acr Ko4-c
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool >C New Existing
Residential !` Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
Signature of Applicant
RECEIVED BY: 1-
Town er 's Office
DATE: 4 - //-OU
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SURVEY OF PROPERTY
` °°` SIT SDA TED A T
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YOR
S.C. TAX No. 1000- 113-03-2.
SCALE 1" =30'
FEBRUARY 10, 1998
AREA = 87,1 15.73 sq. ft.
2.000 ac.
`P w CERTIFIED TO:
ANTHONY PIRAINO
GILDA PIRAINO
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