HomeMy WebLinkAboutPonzio, Harold ,�� FO(A- o r,
ELIZABETH A.NEVILLE � .Z� l/y Town Hall, 53095 Main Road
TOWN CLERK c < P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICSFax (516) 765-1823
MARRIAGE OFFICER
�;oy�o Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER z �' ��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2221 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
ADDITION OF OVERFLOW TO EXISTING SYSTEM.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner PONZIO, HAROLD
Mailing Address 1 PO BOX 174
City St Zip MATTITUCK NY 11952
Property Address 1 840 ROSEWOOD DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 113.00 block 2 lot 20.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 12/28/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE �l 1...7 �y�,; Town Hall, 53095 Main Road
TOWN CLERK _ _-� P.O. Box 1179
REGISTRAR OF VITAlS- I'1�T .. •
t 47:� Southold, New York 11971
MARRIAGE OF �� Fax(516) 765-6145
C SOUTHOLD t.:#
RECORDS MANAGErME • + •ur • aO� ll, Telephone (516) 765 1800
FREEDOM OF INFORMATION OFFICER -‘191 igl
sty
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: December 27, 1999
Transmitted herewith is a copy of application No. 2309 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Harold Ponzio
•
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.
Sign re
I1_ j2 / ' t
Date
OFFICE OF THE TOWN CLERK ."'Of
TOWN OF SOUTHOLD � •1 CQG Application No. oZ 30.Y
ELIZABETH A.NEVII J F,TOWN CLERK P.O. '
BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 rrn ; Alteration 1/
Telephone O1�Q��•' $10.00 - Residential A✓
(516) 765-1801 1 �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 $ / 1
DATE ✓ 1n/f,
/ J
APPLICANT NAME: /
r
APPLICANT ADDRESS: /4svc. 977—
SEPTIC
7 --
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION ORLTERATION:
OWNER OF PROPERTY: / p�Q/f/Z/�(�
OWNER MAILING ADDRESS: io v,> /7v
/w5t-tz'ro
OWNER PROPERTY ADDRESS: :('i Q —Vrtr-,60.,,u,mod L
TELEPHONE NUMBER OF CONTACT PERSON: �� fG
TAX MAP NO. : Section 1/3 Block 7j Lot 2- !7
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature o p licant
RECEIVED Bibicarf6041
own Clerk's Office
DATE: r�EC 2 7 1589
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