HomeMy WebLinkAboutCastellano, Frank "ow
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ELIZABETH A. NEVILLEti`�� OG�fi `� Town Hall, 53095 Main Road
TOWN CLERK p
� - P.O. Box 1179
y Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v. Pr? t Fax(516) 765-6145
MARRIAGE OFFICER L` ifi �� Telephone (516) 765 1800
RECORDS MANAGEMENT OFFICER V eQ % .I
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. 2187 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P.O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MUST MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED
Name Of Owner CASTELLANO, FRANK AND ARLENE
Mailing Address 1 P. O. BOX 304
City St Zip NEW SUFFOLK NY 11956
Property Address 1 1275 FIRST STREET
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 7 lot 28.000
Cross Street ORCHARD STREET
Building Permit Number Cross Reference:
Issue Date: 11/10/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE I ; Town Hall,53095 Main Road
TOWN CLERK p 1 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ry ,� Southold, New York 11971
MARRIAGE OFFICER O Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER0�
`va1�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 4 '1 l
v...• _i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: Novemer 5, 1999
Transmitted herewith is a copy of application No. 2276 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Costellano, Frank & Arlene
Please review the application and location map and advise if this office may
issue the permit.
Please complete the form below and return it to this office.
Thank you.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
ignature
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Date
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OFFICE OF THE TOWN CLERK i i { OC f�
TOWN OF SOUTHOLD �•' l�F A Application No.CR p� 6
ELIZABETH A.NEVILLE,TOWN CLERK "QG
i
P.O.BOX 1179 !�
Construction
SOUTHOLD,NEW YORK 11971 G
: Alteration
Telephone ‘..000
�t.�00Q .�,'� $10.00 - Residential v"
(516) 765-1801 ' '�
- ����� $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
APPLICANT NAME: ,��„,lyl,e_,,r --�
APPLICANT ADDRESS: //) /' 7j7i
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR/fALTERAT ON:
OWNER OF PROPERTY:
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OWNER MAILING ADDRESS: 1, / Jp �C
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OWNER PROPERTY ADDRESS: 7 ... 7r*
TELEPHONE NUMBER OF CONTACT PERSON: ,6Zy' 9G,5-r
TAX MAP NO. : Section //7 Block 7 Lot C-8
CROSS STREET: ó' C/M. 2./ cr
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of "•ppli ant
1' RECEIVED BY:
wn Jerk's Office
DATE: �' S
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