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HomeMy WebLinkAboutRaicovich, Remigio 011,'.', F0���0. ELIZABETH A.NEVILLE '41,�� Gyd • Town Hall, 53095 Main Road TOWN CLERK h - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS � , Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ;y'jlpl � � 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. 2312 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SCHEMBRI HOMES INC Address 1 : PO BOX 728 City St Zip AQUEBOGUE NY 11931 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 #R10-00-0022 Name Of Owner RAICOVICH, REMIGIO Mailing Address 1 188 EAST 64TH STREET APT 1201 City St Zip NEW YORK NY 10021 Property Address 1 THE STRAND City St Zip EAST MARION NY 11939 Tax Map No. section 30.00 block 2 lot 89.000 Cross Street THE LONG WAY Building Permit Number Cross Reference: Issue Date: 5/08/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) D-3 ' i • /4,0° eve ELIZABETH A. NEVILLE ,*; TpWn Hall, 53095 Main Road TOWN CLERK ^ AY _ 4 2000P.O. Box 1179 REGISTRAR OF VITAL STATISTICS v' it Southold, New York 11971 MARRIAGE OFFICER `��ifiL ! f' Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ?_-'/Q/ jg, $ ��� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,,�•9 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 3, 2000 Transmitted herewith is a copy of application No. 2400 for a Cesspool/ Septic Tank Construction Permit submitted by: Schrembri Homes for Raicovich 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 reco endations: APPROVE DISAPPROVE • Comments: Signature 406 4 Dated 44 ! , OFFICE OF THE TOWN CLERK ', Ff[Ur/► TOWN OF SOUTHOLD � 0�� CSG Application No. Y�� ELIZABETH A.NEVILLE,TOWN CLERK Q 'IJ► P.O.BOX 1179 ;L Construction SOUTHOLD,NEW YORK 11971 o ^_' Alteration Tele hone ,l' Q ' $10.00 - Residential P (516) 765-1801 '-01 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 $ DATE 6"/aP�0� APPLICANT NAME: se 2 .6gt, �,* /ers C . APPLICANT ADDRESS: '•64%911 7d0 ll[373-t) aUur" legit?? SEPTIC /ESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 12,* Jo o a (n41 4 A 1e14-[C,o,llGt� OWNER MAILING ADDRESS: if ST 4 ? Sr- Air /d)- / ''V . " Y . ,00a/ OWNER PROPERTY ADDRESS: ✓ / 444 TELEPHONE NUMBER OF CONTACT PERSON: 63/-. TAX MAP NO. : Section /000 Block 3'0 Lot O.> -S9 CROSS STREET: pi-6'. �04.i& a/4)i BUILDING PERMIT NUMBER CROSS REFEREN E: Signature of Applicant RECEIVED BY: AO Town Clerk's ffice DATE: r --,f 1 7 Y I 'V fi ' 2°'0n /67.417' ,e=zo f X P ,/10'• N\ Z:--?/•4/Z' 1 ..., Uv ,,� 7 \-\;.\....‘ fj 6,0 v V\ zif-16\ - dliCs qf.61. \) \ ______:\•‘'' _ , .-.•rp.; Jo,,-..•.- --.'— • y �\ k ,,,,) e5 . 7.,..,.,,,,: ,. .--',',..---;','''.---,_,' P.eo�' ^' _ _ _ ��.'�, lad c/6- .\ 1---7‘' Z Z 1 >, IXJlt,' orf,,/, ...4.. _ _ N o 31 Ne ,-u 1.11,..1 575.7. fY;,�. 1 1 —.C. !� DAME . -- 1M . .. -,�. _ R 1c�--cx�--�:,c),-;� ,ck Tk APPROVED . ,,__C.- C-*-1.A-P" ' -.'t s. tc, f EXPIRES T:-TREE -Iii, .`S ;,,.:;:-.}' ;. .- a .,. 7:'t:';'V AL .s:( tib:..; i�. "lS�>' SI 1 EXCAV.Ariti_:N ;,;"•� I m FOP a�,fe.1 C'C.' '' i e 0 II) or D LA At 1N 1 s° y �.1. LEkq Gsa b) o� °o rd. 9 r :lig p 07 .-' . - itt*#0.4 Z 61' JCVIk, 4O \ 1 1 33698 / \q►EW Y--- i • .>.-*P1/4.Y :I e•,Fi17/G/O 5'/e9,e//? ,G,9;t:;),% /; L,avo. ✓ •e ,CoT' 7 7 /1,i,9,,e a o/oe13114`0 eei7,//F/Tir/ . 1aaT/SdLo.(/ V Ger /# •L%--,>/�/Ree/o -o y�v o/r!or-2 w /17,I ' di/n4.4 ll'eg/j 7-/rx X77/Glo//eil'Aebi/0/9/cO '/c r/: f:- /i G s TiT<E/,v'ia l•- -E da/i17/24i/ ,/l4-vYo.et /0611/ •ev/- e..wI4y 9;zaeo p,,,74---A414s-A-feroz. 2©// 9 , 4.,foer:-/0y`-, 5C.7�x,30/oae-3'o-oz -ey 6 eo,vc,Mew.FNa,