HomeMy WebLinkAboutAbbate, Peter •1 fFOL4-c
ELIZABETH A.NEVILLE � Town Hall, 53095 Main Road
TOWN CLERK o - , P.O. Box 1179
C/3 = Southold, New York 11971
REGISTRAR OF VITAL STATISTICS , Fax (516) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER WIP a��l��� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER W ����
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2139 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERT AND DIANE SCHROEDER
Address 1 : 122 NORTH STREET
City St Zip GREENPORT NY 11944
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 #R10-99-0066
Name Of Owner ABBATE, PETER AND AGATHA
Mailing Address 1 C/O PAUL CAMINITI ESQ.
MAIN ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 RENEE'S DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 6 lot 4.003
Cross Street SOUNDVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/25/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
N..r, „ L5 -E V
,�oS�FFoL4.;- / y
ELIZABETH A.NEVILLE h`t� * `� I 9 !Tfl Tgwn Hall, 53095 Main Road
TOWN CLERK o % P.O. Box 1179
2 outhold, New York 11971
REGISTRAR OF VITAL STATISTICS ` ' DEPT•
MARRIAGE OFFICER £ ►, t,',"s O SOUTHOLD Fax (516) 765-6145
Y-
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/ � Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER �f0 a� � P
FREEDOM OF INFORMATION OFFICER l 00
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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: August 18, 1999
Transmitted herewith is a copy of application No. 2225 for a Cesspool/
Septic Tank Construction Permit submitted by:
Robert and Diane Schroeder (Contract Vendee) •
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 re mmendations:
APPROVE
DISAPPROVE
Comments:
9-
/ gnatur
Dated
•
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OFFICE OF THE TOWN CLERK
TOWN OFSOUTHOLD .4' CQO )
Application No. c9c95
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 _ Construction !/
SOUTHOLD,NEW YORK 11971
Alterationtri
j
Telephone 44
(516)
�Q�i' $10.00 - Residential l/
(516) 765-1801 : 01 �;,,-' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. AUG 1 ö 1999
Fee $ Town CIerK Southold
DATE
APPLICANT NAME: 1`" Pca sCfffdElp-
APPLICANT ADDRESS: 122 W211T1 S.T
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SEPTIC /CESSPOOL
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: ' TER`V A6A-rift F
OWNER MAILING ADDRESS:
C f a ffwL csq
swl7tttp AN. rn I kt -ciL
OWNER PROPERTY ADDRESS: t---Q21^&e' j Pe_
TELEPHONE NUMBER OF CONTACT PERSON: 7CS- (41 73
TAX MAP NO. : Section "� Block Lot Try
CROSS STREET: S01)11/WI kt/E
BUILDING PERMIT NUMBER CROSS REFERENCE:
40(6444,0
Signature of Applicant
RECEIVED BY:
dc9aA--vy Clerk's Office
DATE:
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