HomeMy WebLinkAboutColumbo, Salvatore FOL
ELIZABETH A.NEVILLE .Z�� ��Gy Town Hall, 53095 Main Road
TOWN CLERK 4) 1 " P.O. Box 1179
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i� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS i j Fax (516) 765-1823
MARRIAGE OFFICER 4' ��{�� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER 4f , �.�
FREEDOM OF INFORMATION OFFICER * ({l
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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. 2198 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : PO BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
REPLACE EXISTING POOL.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner COLUMBO, SALVATORE
Mailing Address 1 15 UNQUA PLACE
City St Zip AMITYVILLE NY 0000
Property Address 1 350 OAK STREET
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 136.00 block 1 lot 48.000
Cross Street HARBOR LANE
Building Permit Number Cross Reference:
Issue Date: 12/21/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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*/ N Town Hall, 53095 Main Road
ELIZABETH A.NEVILLE • • 'y
1 P.O. Box 1179
TOWN CLERK o
C4 Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS , T
MARRIAGE OFFICER
1 Fax (516) 765-6145
RECORDS MANAGEMENT OFFICERy�fo Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER : '' * �.'
s
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: 12/1 /99
Transmitted herewith is a copy of application No. 2287 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Salvatore Colombo
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 folioing recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
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12- to fg
Date
• ISFFICE OF THE TOWN CLERK I"°C1 [lik
-.... TOWN OFSOUTHOLD w`..s% C4 ` Application No.
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 _ _ Construction
SOUTHOLD,NEW YORK 11971 0 tT ;
Alteration
Telephone -see Q�l $10.00 - Residential
(516) 765-1801 = :l $ o'. $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 /3/4,..c,/?/
APPLICANT NAME: / 91e't..
Alf-fir,-
APPLICANT ADDRESS: A® • ,7Z
Arid / d
SEPTIC CESSPOOL v
DESCRIPTION OF PROPOSED
f,CONSTRUCTION OR ALTERATION "
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: /5 ��t #7,eL A' 5'
OWNER PROPERTY ADDRESS: 350 aZA twY'
TELEPHONE NUMBER OF CONTACT PERSON: c9/S-- sr
TAX MAP NO. : Section /,3G Block / Lot 441
CROSS STREET: Fil...4-10'1- ,02c,,,,.,-
BUILDING PERMIT NUMBER CROSS REFERENCE:
MICarnej
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Signatu of Applicant
1 1999
RECEIVED BY:
TwrClerk's Office
DATE:
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