HomeMy WebLinkAboutSuffolk Hostels Inc ' OOFFO(, co
ELIZABETH A. NEVILLE 0=�0 Gyp ‘t
Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
REGISTRAR OF VITAL STATISTICS y• Z Southold, New York 11971
MARRIAGE OFFICER
O Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER %. 0.1 f0 aTelephone (516) 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. 2180 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ANTHONY ABRUZZO
Address 1 : 775 MILL CREEK 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 #R10-99-0164
Name Of Owner SUFFOLK HOSTELS INC.
Mailing Address 1 2900 VETERANS MEMORIAL HIGHWAY
City St Zip BOHEMIA NY 11716
Property Address 1 HORTON'S LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 63.00 block 1 lot 13.000
Cross Street NORTH ROAD
Building Permit Number Cross Reference:
Issue Date: 10/25/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE to h-0 GyJ►
Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ', Southold, New York 11971
MARRIAGE OFFICER •
Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER
: 24 0 1' 11 Telephone(516) 765-1800
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FREEDOM OF INFORMATION OFFICER = �•� �a..,1
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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: October 22, 1999
Transmitted herewith is a copy of application No. 2269 for a Cesspool/
Septic Tank Construction Permit submitted by:
Anthony Abruzzo •
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:
ignature
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Dated S
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OFFICE OF THE TOWN CLERK ���,,/••/•••••••,,�
TOWN OF SOUTHOLD %1���FFo�K�oGy Application No. 22h9
ELIZABETH A.NEVILI F,TOWN CLERKX
P.O.BOX 1179 � F� Z Construction
SOUTHOLD,NEW YORK 11971
^' Alteration
Telephone �VO,j�O �- �,' $10.00 - Residential
(516) 765-1801 _ 1 ,��'� $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERAT ION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE bGT 22, H99
APPLICANT NAME: ")-T IA 0 ).)/ , E (- -U ZZO
APPLICANT ADDRESS: 7:15 V'A i L C �Z-E��- D l2 I e
50 JT \0L-0 -71
SEPTIC ✓ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
I-Act VVI
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 0 FF o c_1L- C--
OWNER
OWNER MAILING ADDRESS: 2'(do VETE „ENS M1:M02JAL 14(&)-IwA /
( A , N-)/ l 171
OWNER PROPERTY ADDRESS: (ACDF—T-015
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TELEPHONE NUMBER OF CONTACT PERSON: 7G0� CoZcA� 2vzzo
TAX MAP NO. : Section Co-5 Block ( Lot I -5
CROSS STREET: 0 Ia-T \--\ 0-0/ Q
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sign. ure .f Applic. t
RECEIVED BY: "IP
Town Clerk's Office
DATE: /012 2-//7-
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45APJOY
SUFFOLK COUNTY .A . oW�.raSERs
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PEXPIRES THREE YEARS FROM DATE OF APPROVAL
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Situated at Southold
S : Town of Southold, Suffolk Co. New Yorkh
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N P RaP.w E u. U ANTHONY ABRUZZO R.L.S.
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a REGISTERED LAND SURVEYOR
Res "�• e • 10 KREAMER STREET
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s zc�� ° „ {v ;;��'��,°NY As9G o SURVEYED: July 20, 1999
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1. Elevations are in assumed datum. r i..'s .• .S-4--' jr , OF ,
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: o Scale. 1" = 1 File • .. 2271
2. There is electric in the street. LAND s...