HomeMy WebLinkAboutDiLorenzo, Dominick /,,,iii,. -
' SUFFOUrcOG
ELIZABETH A.NEVILLE 01_0 y� • Town Hall, 53095 Main Road
TOWN CLERKcol a o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
Southold, New York 11971
MARRIAGE OFFICER :�?,i/� ��o1�, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =_"'�QlAlg �a�,1� Telephone (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. 2259 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DOMINICK & LAURA DILORENZO
Address 1 : C/O MESIANO
City St Zip EAST MORICHES NY 00000
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 #R10-99-0146
Name Of Owner DILORENZO, DOMINICK & LAURA
Mailing Address 1 129 WEAVER ROAD
City St Zip WEST SAYVILLE NY 11796
Property Address 1 1340 PLATT ROAD
City St Zip ORIENT NY 11957
Tax Map No. section 27.00 block 1 lot 10.002
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 3/01/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
a55N.
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ELIZABETH A.NEVILLE �����=0 OG'y
TOWN CLERK ; y ; Town Hall, 53095 Main Road
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 1+' Pr, Southold, New York 11971
MARRIAGE OFFICER : ?,iL � ��411
1, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER % "'/Q! �a '� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,•iii���
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 25, 2000
Transmitted herewith is a copy of application No. 2345 for a Cesspool/
Septic Tank Construction Permit submitted by:
Dominick & Laura DiLorenzo by Cathy Mesiano
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 recomme tions:
APPROVE
DISAPPROVE
Comments:
ignature
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Dated t
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OFFICE OF THE TOWN CLERK , "c0FOL ' ,
'
TOWN OF SOUTHOLD
, COG= Application No. `-J J
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
= Alteration
Telephone �Q�i� $10.00 - Residential
(516) 765-1801 _ "l oo $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 91 \
APPLICANT NAME: �O rY1 ► P1 ►c.�C '" Lcw 2 A DI L0(
APPLICANT ADDRESS: CA° MESIANd
12.. M 11..t. Po IJb LA. E.Ho R.1 c.H E5 to
SEPTIC 1 CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
t3Zr n � � .1J1 ' Z4' % 2 •
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: benr\► n 'Lk * L .✓ - 61 i,of e rti o
OWNER MAILING ADDRESS: C .. 1�0 /.-9 WeAve.✓
I W•5Avv ,lvy
11194 • late
OWNER PROPERTY ADDRESS: 1340 PLAIT ROM3
pr.1a 'of
TELEPHONE NUMBER OF CONTACT PERSON: � 1 ' � } 5/
TAX MAP NO. : Section 1 Block / Lot /0.j_
CROSS STREET: 0- 70 ' s/ in R r l�Qo/4b
BUILDING PERMIT NUMBER CROSS REFERENCE:
r `
Signature of Applicant
RECEIVED BY: 5
To n Clerk's Office
DATE: _J OO
MAIN ROAD (S.R. 25)
SURVEY OF PROPER1 Y Y' --
SITUATtL) AT r.
0 TOWN OF SOUTNOI:B: r
\ SUFFOLK COUNTY, MEW YORK
TEST HOLE DATA S.C. TAX No.jutet 000-27los-01-10.2
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