HomeMy WebLinkAboutMartino, Richard iii
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ELIZABETH A. NEVILLE ��`1` G. . `�, Town Hall, 53095 Main Road
TOWN CLERK tp !4 P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; �'� Tele Fax (516) 765-6145
(516) 765-1800
MARRIAGE OFFICER `
RECORDS MANAGEMENT OFFICER `�y�Io a�',�� P
FREEDOM OF INFORMATION OFFICER : 1 jig i•'.
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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. 2060 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MARTINO, RICHARD
Address 1 : STONE GATE LANE
City St Zip OLD BROOKVILLE NY 11545
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 #R10-99-0045
Name Of Owner MARTINO, RICHARD
Mailing Address 1 STONE GATE LANE
City St Zip OLD BROOKVILLE NY 11545
Property Address 1 ALDRICH LANE EXTENSTION
City St Zip MATTITUCK NY 11952
Tax Map No. section 112.00 block 1 lot 8.004
Cross Street SOUND AVENUE
Building Permit Number Cross Reference:
Issue Date: 4/29/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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StFFO(FI
ELIZABETH A.NEVILLE l/y� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
iN Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER �t'91
ail Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER - 1 4, -„•�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 23, 1999
Transmitted herewith is a copy of application No. 2141 for a Cesspool/
Septic Tank Construction Permit submitted by:
Richard Martino •
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 followingrec mendations:
APPROVE
1
DISAPPROVE
Comments:
ignature /
Dated
.
OFFICE OF THE TOWN CLERK s'''C`` 1 Ut''i,i:--.. IITOWN OFSOUTHOLD `i� 7i�1 G Application No. ai`t l
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179
Z Construction
SOUTHOLD,NEW YORK 11971 A l to ra t i o n
Telephone ` y�iy 0" $10.00 -Residential �O
P I
(516) 765-1801 -=-11 44$ $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT R 'M"'s11/It•n
SEPTIC TANK or CESSPOOL APR 2 , 1999
I own CIerK Southold
Permit No.
Fee $
DATE iql
APPLICANT NAME:
f/ f*-U C+ IA`e ►
APPLICANT ADDRESS: 'e't) 1 ►' apirt- ilm- "
F-711,Arfy--vti,x. ) ruil 11,\--y -
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
cof6-7°twor Pi4eigli,- plAigimr-
1/1 42git, 01 ,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTR CTI�O�N/�OR ALT RAATTjION:
OWNER OF PROPERTY: 1K IC� IVB`
OWNER MAILING ADDRESS: cflPVCv
OWNER PROPERTY ADDRESS: P4dc,4A / 1 arq.1114,7J
pi 4 Thri/g
TELEPHONE NUMBER OF CONTACT PERSON: cC —CTV/`-' 71 1/(1
TAX MAP NO. : Section /1 Block 0/ Lot �b
CROSS STREET: �' ' 'ill
'PJ
BUILDING PERMIT NUMBER CROSS REFERENCE:
�� 1.
ignature of Applica t ` dp-9
RECEIVED BY: (- C-IL--
Town Clerk's Office
DATE: L'Ila '3Icjci
G� S
y'\'‘9) 0P APPLICANT
5C Cy , TOWN OF SOU THOL D
FAL EROSION
••\' PR . ,
ARO LINE �� �� z0 PROP. FOR AP OVAL OF CONSTRUCTION ONLY f
ati �0 CESSPOOL DATE :
a'�, ,,0 /-' APPROVAL :
37 " P _ _ " PROP.
0.. 1/0 , � SEPTIC' ...T./.1 '1P0-1 SUFFOLK CO. TAX MAP DESIGINA TION
�• 09 •�' �� DIST. SECT. •BLOCK PCL.
/ Q �0 �..� 1000 112 01 08.4
cmii8TE \ OWNERHOLE At
\ RICHARD MARTINO & ELISE MARTINO/ Z ' ," \
`1. PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
v., _
sidlitp pc:' .��<:,L,�.;FEL�i•lf Rr.SrT1S'.?��' ONLY
N/F HARBES 0.:, \ r' X16 ,k DATE, :� 51:-.9. (-�S REF.NC R 0-7, v- '-QS"
PROP. 10 APPROVED _. . _..rde i
WELL
• \1�� , (i! FOI,c ,V'A�) lMLi Iia =''r BELY •MS
Q R �1 I
EXPIRES THREE YEARS FROM DATE OF APPROVAL
VACANT ,�o yob1
LAND 0..,, • `to4 ,\o�
. ... f , 0 no N/F NICHOLAS --
,` •• DRAIN
Pi EASE NOTE
'L>! between well
�,�.� Minimum distance
�P �4 ' VACANT and cess ooOl is to be 150 feet.
`'' LAND
+`p0-,
AV
ENVE
SOUNID
LOCATION 5 APRIL 1999
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