HomeMy WebLinkAboutQuentieri, Ed • ,�%g�FFOL,�►,-
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ELIZABETH A. NEVILLE t�4 4N Town Hall, 53095 Main Road
TOWN CLERK i P.O. Box 1179
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'Pt t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O
MARRIAGE OFFICER : 1i � � Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �Ql a0riie� Telephone (631) 765-1800
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. 2372 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
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 QUENTIERI, ED
Mailing Address 1 15775 NEW SUFFOLK AVENUE
City St Zip NEW SUFFOLK NY 11956
Property Address 1 15775 NEW SUFFOLK AVENUE
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 6 lot 22.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 7/18/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ��� 'f'� Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Q yC � Fax (631) 765-6145
MARRIAGE OFFICER ,L
RECORDS MANAGEMENT OFFICER y'/�l Jgg ��p�i��, Telephone (631) 765 1800
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: July 18, 2000
Transmitted herewith is a copy of application No. 2460 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Ed Quintieri
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 recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Signature
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Date
,�1• ///IIIA._
' OFFICE OF THE TOWN CLERK ,,''CAVOUr - `//
TOWN OF SOUTHOLD � � COG Application No. 7[�
ELIZABETH A.NEVILLE,TOWN CLERK Q
P.O.BOX 1179 :}� Construction
SOUTHOLD,NEW YORK 11971 Alteration
Tele hone O,j► Q�J, $10.00 -Residential
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(631) 765-1800 �- �' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE • 7/'› )
APPLICANT NAME:
APPLICANT ADDRESS: /D /307/ 977-
SEPTIC
'7ZSEPTIC CESSPOOL t�
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
' -a _waL�.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: A-4e)s. QL41/ L.G,L.C.
OWNER MAILING ADDRESS: /5775 4/466,)
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OWNER PROPERTY ADDRESS: r---�
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 1/1 Block C Lot Zti
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of A cant
RECEIVED BY:
Town Clerk's Office
DATE:
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