HomeMy WebLinkAboutMartinez-Fontz, Alfonso •
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ELIZABETH A. NEVILLE ,�� 4
= ; Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS rfti Southold, New York 11971
ARRIAGE OFFICER l ���, Fax (631) 765-6145
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RECORDS MANAGEMENT OFFICER "SRI # iii Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER �,��
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2344 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : PO BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW TO EXISTING SYSTEM.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner MARTINEZ-FONTS, ALFONSO
Mailing Address 1 55 WATER STREET
City St Zip NEW YORK NY 0000
Property Address 1 440 HAYWATERS ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 111 .00 block 2 lot 3.001
Cross Street BROADWATERS ROAD
Building Permit Number Cross Reference:
Issue Date: 6/14/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ��l'_: GZ� Town Hall, 53095 Main Road
• TOWN CLERK - t P.O. Box 1179
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% ` Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G
MARRIAGE OFFICER /ji .�!!� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �__-'/Q1 Ai ia"!!! Telephone (631) 765 1$00
FREEDOM OF INFORMATION OFFICER _ ����
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: June 14, 2000
Transmitted herewith is a copy of application No. 2432 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Alfonso & Christine Martinez-Fonts ,
Please review the application and location map and advise if this office may
issue the permit.
Please complete the form below and return it to this office.
Thank you.
-
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following re mmendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
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Date
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FICE OF THE TOWNuthold
Town of SoCLERK
y Judith T. Terr U�F0fr
Mown Y, Town Clerk ; % �'�,�
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Hall, 53095 Main Road '�
P. O. Box Application No.�
1179 _ •� •
Southold, New Yor Construction ,
k 11971 = in r= ` __—
Telephone _` ;F$ Alteration
(516) 765- 18O1 t-_*0Aro/• $10.00 Residential1/
$25. 00 - Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT a t r ! 1 V !e
APPLICATION JUN 1 3 2.
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for
CONSTRUCTION or ALTERATION 'ERMIT
SEPTIC TANK or CESSPOOL
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IPermit No.ii::Fee $
DATE 6�� 7/ _..
APPLICANT NAME: ,/L7,..2ti2 =-
APPLICANT ADDRESS: �� 772-
E P T:C '- CPO O 11/
DESCRIPTION OF PROPOSED CONSTRUC1 ION OR ALTERATION _
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LOCATION MAP: Must be attached hereto beforf :emit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR AL1 EI AT ION :
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OWNER OF PROPERTY : — ' l1/ �i✓%_,, r 572;1/6,-, / z 72.tlr"Z _7k)-4/_7s
OWNER MAILING ADDRESS: S-1' 4/ +1 .
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OWNER PROPERTY ADDRESS '
: TELEPHONE NUMBER OF CONTACT PERSON :
' TAX MAP NO. : Section ///,— Block 2 Lot _ ___�_ __________ _
CROSS STREET : '�"G
;, BUILDING PERMIT NUMBER CROSS REFERENCE : 4 ---)__/, /5-J3_____-_______.
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