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Home My WebLink AboutZizzi Family LLC 70' 00 ELIZABETH A.NEVILLE / e� y Town Hall, 53095 Main Road TOWN CLERK . P.O.Box 1179 REGISTRAR OF VITAL STATISTICS 'Pr Southold,New York 11971 MARRIAGE OFFICER �/�, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �_ iNg . )pit Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER _ r�'� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4252-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner ZIZZI FAMILY LLC Mailing Address 1 PO BOX 1551 Mailing Address 2 City St Zip QUOGUE NY 11959-0000 Property Address 1 3170 NASSAU POINT ROAD Property Address 2 City St zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 631-653-9676 Tax Map No. section 104.00 block 12 lot 18.005 Cross Street VANSTON ROAD Issue Date: 6/24/04 Elizabeth A. Neville Southold Town clerk (TOWN SEAL) / O�OSUFTO�� CO ELIZABETH A. NEVILLE ��i`1` 4\ Town Hall, 53095 Main Road TOWN CLERK ; p , P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �t. j, Southold, New York 11971 ' �• • MARRIAGE OFFICER • ' '��1� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER `.04 NY Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = '� g�� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 / or Non-Residential @ $25 Application No. U125 Z-- Permit Permit No;O"?/ Owner Name 2/ 2.1—/ f/.4)4/ //? L Owner Mailing Address 0 , )o .k `f I i 7s5' Owner Property Address /70 �fCt il, p Y 1.1.1 y .4, f✓y /r fr)- Owner Telephone No. f 3/ - G 5-3 1r6 7 Tax Map No: Section /dei,Ou Block / 2 Lot /1. oo Cross Street 0/14 S tela 4 Please check each that applies: New Construction Alteration to Existing System Residential j/ Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give=north arrow and approximate distance in feet from system to building and closest road. New construction may submit cop %f survey with SCHD approval.) // Signa i ; of 61Cant Da e Receive, I ' r ° ,,,,,,,,,,,, 0,40F o ELIZABETH A.NEVILLE ++h * Town Hall,53095 Main Road TOWN CLERK + o - 1 P.O. Box 1179 z ; Southold New York 11971 REGISTRAR OF VITAL STATISTICS , MARRIAGE OFFICER ` �i ��/, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER =_Wei ao � Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER 9� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 11, 2003 James Zizzi PO Box 1551 Quogue,NY 11959 RE: SCTM# 104-12-18.5 Dear Sir: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. • AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non- residential system. Your check should be made payable to the "Southold Town Clerk". An application form is enclosed. Please complete the requested information and return the application, proper fee, and LOCATION MAP (map must indicate the location of the cesspool(s)/septic tank(s), giving approximate distances in feet from any buildings to the pools and distances between the pools. Should you have any questions concerning this matter, please do not hesitate to contact this office. =Very truly yours, Lynda M Bohn Account Clerk Enclosures io 1 ,I�,�o0OFF0(4:41 ELIZABETH A.NEVILLE /a# 4 Town Hall, 53095 Main Road TOWN CLERK a - P.O. Box 1179 h REGISTRAR OF VITAL STATISTICS �'� Southold,New York 11971 MARRIAGE OFFICER �i Fax Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER --- (11 *aS iii Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ��6 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3049 R Residential X Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED TO: Name : JAMES ZIZZI Address 1: PO BOX 1551 City St Zip QUOGUE NY 11959 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 #R10-03-0029 Name of Owner ZIZZI FAMILY LLC Mailing Address 1 OP BOX 1551 City St Zip QUOGUE NY 11959 Property Address 1 3170 NASSAU POINT ROAD City St Zip CUTCHOGUE _.NY 11935 Tax Map No. section 104.00 block 12 lot 18.005 Cross Street VANSTON ROAD Building Permit Number Cross Reference: . Issue Date: 6/11/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL)