HomeMy WebLinkAboutDiBartolo, Nicolo ELIZABETH A. NEVILLE ���_� G'yd\ Town Hall, 53095 Main Road
TOWN CLERK `
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P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (631) 765-6145
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MARRIAGE OFFICER O,ji l��1�
RECORDS MANAGEMENT OFFICER '/Q! 0/ieTelephone (631) 765-1800
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. 2255 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : NICOLO & CAROLINE DIBARTOLO
Address 1 : 475 CONDOR COURT
City St Zip LAUREL NY 11948
Descripton of Proposed Construction or Alteration
REPLACE EXISTING SEPTIC TANK.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner DIBARTOLO, NICOLO & CAROLINE
Mailing Address 1 475 CONDOR COURT
City St Zip LAUREL NY 11948
Property Address 1 475 CONDOR COURT
City St Zip LAUREL NY 11948
Tax Map No. section 127.00 block 3 lot 6.002
Cross Street WHITE EAGLE DRIVE
Building Permit Number Cross Reference:
Issue Date: 3/01/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE t���`1$ w% ; Town Hall, 53095 Main Road
TOWN CLERK % o :4 P.O. Box 1179
C4 2 4 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
O �� Fax (516) 765-6145
MARRIAGE OFFICER ` 0.1 Tele hone (516) 765-1800
RECORDS MANAGEMENT OFFICER '
FREEDOM OF INFORMATION OFFICER :.1 * "*"
�.. Or
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: February 29, 2000
Transmitted herewith is a copy of application No. 2348 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Nicolo & Caroline DiBartolo (by Ray Nine) .
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.
f
Signaturerill
SIi /
Date
OFFICE OF THE TOWN CLERK ",��`I olK4 - 3
TOWN OF SOUTHOLD %"s V Application No.
ELIZABETH A.NEVILLE,TOWN CLERK 0 ;
P.O.BOX 1179 z Construction
SOUTHOLD,NEW YORK 11971 Zrri
teration�
Telephone jQ��•' c $10 X00)- Residential
(516) 765-1801 ----.74:01 l 1%%; $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 4..t6 Z , dam"
APPLICANT NAME: /i' . to *(,4Qd/,i' 5. p ( 02-rp
APPLICANT ADDRESS: epi1/'hrQ C
#1).K/10 ,�_ . ,/911-r
SEPTIC ✓ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /0,1 /✓A Lj'1C/Sl/Ar--
sSRTPc r4,V,C +- // r4(// 4/64/ (6s504./ (XO) T SE 4v/viv,c rE,
-to X is rii✓a-- (5cAto/-
LOCATION
LOCATION MAP: Must be attached hereto before permit may be issued. `SEE
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION : .0fr /¢'rr4'
OWNER OF PROPERTY: 49b09,1-1-
OWNER
9b09,vjOWNER MAILING ADDRESS: S4!`10 14.9, ,4-6/r'L
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OWNER PROPERTY ADDRESS:b je
TELEPHONE NUMBER OF CONTACT PERSON: c.???.-- 53$1 , ,o/oi9;L,wr)
TAX MAP NO. : Section /00 Block /4? 7 "' 3 Lot 6 •,,
CROSS STREET:k4r5 de 't
BUILDING PERMIT NUMBER CROSS REFERENCE: A/it/et ���(/t1'Y,✓#. �fxac74st�
Signature of Applicant
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RECEIVED BY:
Tovraft9c' ffice
DATE:
'o moMl town Clerk
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