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HomeMy WebLinkAboutRizzo-Santora, Joann •,iii.. JFFO� ,���QS �f'CoG ELIZABETH A.NEVILLE �� Town Hall, 53095 Main Road TOWN CLERK ; co, Z P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS V' 11 Gy `� 1 Fax (631) 765-6145 MARRIAGE OFFICER ` Qv lee Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER , 1'1 Ili 1.`;,§0 FREEDOM OF INFORMATION OFFICER .•1�� —... OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL { Permit No. 2299 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JOHN R DEMPSEY Address 1 : PO BOX 5 City St Zip CUTCHOGUE NY 11935 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 #R10-99-0253 Name Of Owner RIZZO-SANTORA, JOANN Mailing Address 1 675 MULFORD COURT $' City St Zip ORIENT NY 11957 Property Address 1 250 MAPLE ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 54.00 block 9 lot 20.000 Cross Street PINE ROAD Building Permit Number Cross Reference: Issue Date: 4/21/00 Elizabeth A. Neville Southold Town Clerk TOWN SEAL)L ci ��riirri _ a 9 9'''''' ••11 0 ....4 . ELIZABETH A.NEVILLE = G'a Town Hall, 53095 Main Road TOWN CLERK y- % P.O. Box 1179 v, i Southold, New York 11971 REGISTRAR OF VITAL STATISTICS O Fax (631) 765-6145 MARRIAGE OFFICER ' �� RECORDS MANAGEMENT OFFICER =__ (41 �,,10. Telephone (631) 765 1800 FREEDOM OF INFORMATION OFFICER "'-.•,... _ ' -III St OFFICE OF THE TOWN CLERK i TOWN OF SOUTHOLD s`; }.APR TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office "� ` DATED: April 18, 2000 Transmitted herewith is a copy of application No. 2387 for a Cesspool/ Septic Tank Construction Permit submitted by: John R. Dempsey for Joann Rizzo Santora Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Thank you. Linda J. Cooper I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE 17 DISAPPROVE Comments: 4natui)rti f/z`` 60 Dated ''A OFFICE OF THE TOWN CLERK :11E�OUr/���" TOWNOFSOUTHOLD � �� `OG Application No. Z3 '1"- � ELIZABETH A.NEVILLE,TOWN CLERK P.O.BOX 1179 z, Construction SOUTHOLD,NEW YORK 11971 o *' ; Alteration Telephone Qr'i' $10.00 - Residential (516) 765-1801 Olagg $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION E' for is CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE ( CC (I) i! is APPLICANT NAME: &\- \.P � APPLICANT ADDRESS: 9J -----1,0N2 SEPT I C V CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATN N ©Li_ -I2 - v --fr fin, , LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIO : }_ OWNER OF PROPERTY: oL,_1.31 \ { OWNER MAILING ADDRESS: '} "VAL)L-Ipr OWNER PROPERTY ADDRESS: © fri GL Pi- f ;n 1, )L 4 AI /19 TELEPHONE NUMBER OF CONTACT PERSON: ! ,yN TAX MAP NO. : Section L5 Block V g Lot .2(7 CROSS STREET: 1V0 / c/o /1017'' BUILDING PERMIT NUMBER CROSS REFERENCE: raid �� Signa re • App i 1,nt RECEIVED BY : Town Clerk's Office DATE: I''. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL OF CONSTRUCTION FOR A SINGLE FAMILY RESIDENCE ONLY � �-'y RE DATE 2_2, • O,r.1C5 R.-053 Ai. I APPROVED I �l�..I., ......dA FOR MAXIMUM OF _B MS 11 ' EXPIRES THREE YEARS FROM DATE OF APPROVAL . EL , CAVATION INSPECTION REQUIRED ' FOR SANITARY SYSTEM 14/6 .70.4 -BY.I4EAI,.TH DEEARTMEN .. .. .. . . :--, _.-. 1 Ween. „(/ ldEcc. pp O -• I L, CEJ D Hi N N �� Lr W l�'d /'- /.._33,eD ' y39 4 ,y EAe7z,9 , Air," h EP�/c S,VfTF•"/ V } 9/'.4oLa ,2147' , 4--i\- yo,,,ta Pil . . ‘/ 0 L‘1 `k q �l1 i( 7ZtT/7 i& - gd EL.14.O E/. 17I T�9iP.r 'oWN; ..V .8 „5/7'4'9'..14"4::,-.;'/ /A:5,430 • we.N.9 a�vvy i as _i', -.446;VEIL. Otemovierswy-4.440 ,-j:w 1-1//1-e)a. s. 1 /e/z.:.,--e„) „we awydove, --- /0. s�sg.D L A ryo-G y.YGYAI'Ey OG vG 4j. Lt.{v9,, ilk. deo --z O. . ��. ,G o v�lsieaDy i[ i i.-.,4:::..,Jj 4. 1''°56, 0 ,, ,it - W,��.v v�.040/ as 0,4 Op N s w V Off`' - 9"/ Norte;C.' r3fboLtflY,•Sz'GZoe. your /04%99 -5 'Vfy,.c e• .�i�t�.'��%tr'J'�i�.�VT©fly AAP120rw?'yC/•LEi�f�•s+AZW11 s ri' . . L.940.0ae✓eNge Re-451:34 iwe .e6W$co A-As icon/5;24,,,p zo7�9.F'd q=/3 O c 2 '77`•4/bite/402;e zrj/9/9 1 , .'7/k A04:0-,75e-4.1,9-t A/NE:1c%see 41*alvclae.#p"9' /,vnGV Z of---4.'041 A/0,4 J• •