HomeMy WebLinkAboutPomcet, Renee iii_
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ELIZABETH A. NEVILLE �� �� yd Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
�` Southold, New York 11971
REGISTRAR OF VITAL STATISTICSFax (631) 765-6145
MARRIAGE OFFICER �� 4, ���',
RECORDS MANAGEMENT OFFICER �__"q01Jig
�a���� Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER �s��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2326 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN BERTANI BUILDERS
Address 1 : 1380 OAKWOOD DRIVE
City St Zip SOUTHOLD NY 11971
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 #R10-98-0096
Name Of Owner PONCET, RENEE & FITZPATRICK, S
Mailing Address 1 17 DOSORIS LANE
City St Zip GLEN COVE NY 11592
Property Address 1 702 WIGGINS LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 35.00 block 4 lot 20.000
Cross Street WIGGINS LANE
Building Permit Number Cross Reference:
Issue Date: 5/22/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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G'y Town Hall, 53095 Main Road
ELIZABETH A. NEVILLE � d .
TOWN CLERK o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v Southold, New York 11971
MARRIAGE OFFICER :�4 1.,1�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =__7491 �a���l� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ �°�
°,i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 19, 2000
Transmitted herewith is a copy of application No. 2414 for a Cesspool/Septic Tank Construction
Permit submitted by:
Bertani Builders for Renee Poncet& Stephen Fitzpatrcik
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
gnature
SJtiz( 0 Q
Dated
.- '
OFFICE OF THE TOWN CLERK ,COM/re 1/ /
TOWN OF SOUTHOLD �� Ql/ Application No. "1
ELIZABETH A.NEVI LE,TOWN CLERK 0°-
�1
P.O.BOX 1179 Z; Construction
SOUTHOLD,NEW YORK 11971
^' ; Alteration
Telephone $10.00 - Residential
(631) 765-1800 - - al'' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
RECEIVED
for
CONSTRUCTION or ALTERATION PERMIT MAY 1 9 2000
SEPTIC TANK or CESSPOOL
Southhold Town Clerk
Permit No.
Fee .$
DATE X464-1/
/ 76-1/1-3
APPLICANT NAME: J Oh C,L44/N,k
APPLICANT ADDRESS: Iyr() n424
So v isQJ Q`f k .
SEPTIC ✓ CESSPOOL
DES'C/�RIIPTION 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: �.-( e �o�Pc�T/ r /G, 7?- k
OWNER MAILING ADDRESS: /7 9O5'0,2,( 4e4/t-PE-
GSE CSE-- .' y /i -
OWNER PROPERTY ADDRESS: 76a (,c.)/yl rx.PS Esq� - po7Lr
TELEPHONE NUMBER OF CONTACT PERSON: I(.05- -
TAX MAP NO. : Section 3 Block Lot
CROSS STREET: 15 J . 'M_• "
BUILDING PERMIT NUMBER CROSS REFERENCE:
,jAtC(`&70,
Signature of Applicant
RECEIVED BY:
wn Clerk's Office
DATE: \ ) \\s.\O( n
SURVEY OF PROPERTY
SITUATE= EAST OF THE
VILLAGE OF 6RPENPORT
s \-!-"" \ TONN OF SOUTHOLD
"
SUFFOLK COUNTY,NY
\ --ip, SURVEYF_D 03-16-98,
1 \
------\
AMENDED 06-30-98
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01-28-9S
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„---- SUFFOLK COUNTY TAX 1$
' / 1000-35-4-20
„.„-- „,----
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0 - CERTIFIED TO:
/ „A /I,
N N .------ / 'I”, STEPHEN J.FITZPATRICK
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'' ' RENEE PONGET FITZPATRIGK
• COMMONWEALTH LAND TITLE
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INSURANNGE GOMAPNY
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REFERENCE DEED:L 11833 CP 540
AREA=13,109(032 AG)TO TIE LINE
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