HomeMy WebLinkAboutBellomo, Doug ��S�FFOL4-co
ELIZABETH A.NEVILLE �� � G1 Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS , Southold, New York 11971
MARRIAGE OFFICER : 1i 1
1�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER L-�Qljilt a ''1� Telephone (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. 2280 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
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 BELLOMO, DOUG
Mailing Address 1 7459 SOUNDVIEW AVENUE
City St Zip PECONIC NY 11958
Property Address 1 7459 SOUNDVIEW AVENUE
City St Zip PECONIC NY 11958
Tax Map No. section 59.00 block 6 lot 8.000
Cross Street MILL ROAD
Building Permit Number Cross Reference:
Issue Date: 3/27/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLEG'ld Town Hall, 53095 Main Road
TOWN CLERK C • P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER ,L Fax (631) 765 6145
RECORDS MANAGEMENT OFFICER y_�*OI *
�a��i��, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: March 24, 2000
Transmitted herewith is a copy of application No. 2368 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Doug Bellomo
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.
A ur
Signatur
s zY/ov
Date
OFFICE OF THE TOWN CLERK 1'� �FFOtK/�►
TOWN OF SOUTHOLD ,'. `Q Application No.c 36e--
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
Alteration
$10.00 - Residential
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(5 6) 765-1801 - 1 4 ,,, '� $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 7
DATE ;'`11/C oC Y
APPLICANT NAME: ,71 , ($ 62-ieveye
APPLICANT ADDRESS: 2 6 `. /�/lJ,4/.eo
cJ
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: p 19,(/7 4 a ,
OWNER MAILING ADDRESS: ' y5 � � t,0v�,4,
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: /Zs' -I.Yc76
TAX MAP NO. : Section Cf Block 6 Lot
CROSS STREET: /i7/l/
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: 47XL-A---
Town lerk's 0 ' e
DATE: � OCA/
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