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Home My WebLink AboutGeokgieff, AngeloX ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-6145 Telephone (516) 765-1800 Permit No. 2096 R Residential X Non -Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MICHAEL PISACANO Address 1: PO BOX 1931 City St Zip SOUTHOLD NY 11971 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 #1110-99-0097 Name Of Owner GEOKGIEFF, ANGELO -- --------------------------- Mailing Address 1 110-20 71ST AVENUE ------------------------------ ----- ------------------------ City St Zip FROEST HILLS NY 11375 -------------------- -- ---------- Property Address 1 CEDAR DRIVE ------------------------------ - ---------------------------- city St Zip SOUTHOLD NY 11971 -------------------- ------------ Tax Map No. section 78.00 block 8 lot 17.002 Cross Street NORTH BAYVIEW ROAD ------------------------------ Building Permit Number Cross Reference: Issue Date: 6/18/99 ---------------------------------- Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 16, 1999 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 aocic, Transmitted herewith is a copy of application No. 2184 for a Cesspool/ Septic Tank Construction Permit submitted by: Michael Pisacano for Angelo Geokgieff and wife 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. "tom Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following reco endations: APPROVE DISAPPROVE Comments: ELIZABETH A. NEVILLE i��0 Gym TOWN CLERK .� O " REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICERRECORDS Pr? O • AGEMENT OFFICER ✓ y��l FREEDOM OF INFORMATION OFFICER ��0� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 16, 1999 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 aocic, Transmitted herewith is a copy of application No. 2184 for a Cesspool/ Septic Tank Construction Permit submitted by: Michael Pisacano for Angelo Geokgieff and wife 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. "tom Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following reco endations: APPROVE DISAPPROVE Comments: OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ELIZABETH A. NEVRI E, TOWN CLERK P.O. BOX 1179 SOUTHOLD, NEW YORK 11971 Telephone (516) 765-1801 Permit No. Fee $ TOWN TOWN OF SOUTHOLD Application No. a� �77 Construction -— Alteration $10.00 -Residential $25.00 -Non-Residential SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL JUN 1 G 1999 (own Giem wwola DATE APPLICANT NAME: J' APPLICANT ADDRESS: �%�- 0- S,0 v -avc7 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTR OWNER OF PROPERTY:r OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: LTERAT ION: TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO.: Section d' Block CROSS STREET: g1q_t,1 1/(,Cj BUILDING PERMIT NUMBER CROSS REFERENCE: of /%. 72 - Signature of Applicant RECEIVED BY: �_ j ow Clerk's Office DATE: 'A a � ��ECEI IIEQ DEPT �rE� 'rrfi�E�tVI VICES • asp Mr Unauthorized all anon or addition to this survey is a niton L& Seeof Edu tion ttie Yoric state \ �1 oatlort Law,. � Copies \ ` the not r mg c VW &W � t�96 G ony�p�pRip Wh011b1 hoop JIM we NO , LE►�q 'QG Iii cam 'maan th y benad �O 04 tending Inatkuttoo Rated heron ands to the Us igneea of tl» Guarantees are t1 { ", Guantees are not transferable '� to additionalinsr.' .•, ns or subsequent Q n x� N a6s� � ti �.- • t!Ny •»7 Z Ocer��aac- tii 4 i NN Ji <w �.t't�Ey.�ae • /i'�C �y��z,. �'/�.�"�it/G) �4NTfi(�•YY�y�LFl�/i9�NGbf�.e'i G�/v.��eyEyoe .CoCrt��/c+�/ • ✓��'Y�T� ,�VF�.� (,urruuTY �t/. Y. ,00. � �fllfB D.�T�%/Ylyy. icy iyp�