HomeMy WebLinkAboutComellas, Ricardo ELIZABETH A. NEVILLE `si a� O* ; Town Hall, 53095 Main Road
TOWN CLERK c , P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
� Southold, New York 11971
MARRIAGE OFFICER ":.444 '•
� �1', Fax (631) 765 6145
RECORDS MANAGEMENT OFFICER �_�Q! *a�'I• 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. 2329 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RICARDO COMELLAS
Address 1 : 5 STACY COURT
City St Zip SHIRLEY NY 11967
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 #R10-00-0127
Name Of Owner COMELLAS, RICHARDO
Mailing Address 1 5 STACY COURT
City St Zip SHIRLEY NY 11967
Property Address 1 SOUNDVIEW AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 99.00 block 3 lot 4.016
Cross Street BAILEY ROAD
Building Permit Number Cross Reference:
Issue Date: 5/31/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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S Town Hall, 53095 Main Road
ELIZABETH A. NEVILLE �� a
TOWN CLERK o P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS �' T i Southold, New York 11971
Fax(631) 765-6145
MARRIAGE OFFICER ,L ��
/
RECORDS MANAGEMENT OFFICER
__we./ jig �a�00
Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 111
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 23, 2000
Transmitted herewith is a copy of application No. 2417 for a Cesspool/
Septic Tank Construction Permit submitted by:
Ricardo Comellas
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
DISAPPROVE
Comments: -
Signae
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Dated
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OFFICE OF THE TOWN CLERK ,'',CJCl 1 ak
TOWN OF SOUTHOLD •%4�' �Q Application No. )V/7
[LILABETH A.NEv1LLE,TOWN CLERK
PO.BOX 1174 ; a c
L Construction vSOUCHO O BNEWOX YORK 11471 .. Alteration
-yO airi $10.00 - Residential L/
Telephone
(516) 765-1801 Ml 1 �,��'� $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 2 3 z
APPLICANT NAME: 1C)Cf1,6b° eon&64-&
APPLICANT ADDRESS: ,-Srly Cj_
,sAk'Le ry V, //%. -7--.
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
1vg& eov 1777 C2 //V-QS= M-.41/2y
/1-0/-7 (/Z/A1/9" /al'/{)t7116 - .
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : ,e1Cft2a)O 670/--le/14-
OWNER MAILING ADDRESS: •5 - L-'/- / `7/&'t , 71/y//9
OWNER PROPERTY ADDRE S: `� ,= AO'
N. Ai coef ek Sacs / `rr.. /ft 4 ' • f-, , /977/7-tic./977/7-tic.
fioArE 6,57- 2--'/-4.1:3 z v
TELEPHONE NUMBER OF CONTACT PERSON: E/fte Sze -- 925----. 7 .
TAX MAP NO. : Section qg Block C 3 Lot 17 • It
CROSS STREET : ) 3/1-7,1_6y 6.
BUILDING PERMIT NUMBER CROSS REF- ' • CE: 40
/
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Sig'r:ture of Applicant
RECEIVED BY : l
Z/e.A.4 40
Town Clerk'-
Office
DATE: 6-7, ./c
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