HomeMy WebLinkAboutImbriano, Anthony •
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ELIZABETH A.NEVILLE .Z. t% • Town Hall, 53095 Main Road
TOWN CLERK �� c -4 P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER. Fax (516) 765-1823
RECORDS MANAGEMENT OFFICERti �� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER •��1 * '
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1993 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : FRANK IMBRIANO
Address 1 : 3414 SOUNDVIEW AVENUE
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner IMBRIANO, ANTHONY
Mailing Address 1
City St Zip 0000
Property Address 1 32145 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 5 lot 7.000
Cross Street HARBOR LANE
Building Permit Number Cross Reference:
Issue Date: 1/22/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,o��S�FFO(,��oG,
ELIZABETH A.NEVILLE h.Z. yam► Town Hall, 53095 Main Road
TOWN CLERK ; o < P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
Fax (516) 765-1823
MARRIAGE OFFICER `O
RECORDS MANAGEMENT OFFICER #41 a0.�'�, Telephone (516) 765-1800
:_— II
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: January 20, 1999
Transmitted herewith is a copy of application No. 2073 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Artie Foster for Frank Imbriano
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.
ignatu
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Date
OFFICE OF THE TOWN CLERK ,,, �`F ourc. '
TOWN OF SOUTHOLD ��s��J 4 = Application No. o 7 3
ELIZABETH A.NEVILLE,TOWN CLERK ,,��� ,,
P.O.BOX 1179Construction
SOUTHOLD,NEW YORK 11971 p •r=r+ , A l to ra t i o n
trs
Telephone ,�y� �� •' $10.00 - Residential \//
(516) 765-1801 1 l' ,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 $
ie'77g FOS rE4 F6fc, DATE /
APPLICANT NAME: /9&-'& `/3 i0 _7/9/7_/0
APPLICANT ADDRESS: 3 (71-1 c( Q ._c_L �—
.h-2x- otit 1 ( � �Z
SEPTIC CESSPOOL V
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /6440jj/Q) 7�
Cti7rt)y VS7 �I
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: f 04) y ;7l44il6,6/77 (--
OWNER MAILING ADDRESS: 7CJ c2 uf?? //C/ 1/35
OWNER PROPERTY ADDRESS: /�,7f',&1
7--d 0
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 92 00 Block 03 Q O Lot 00-7 000
CROSS STREET: - O ,Q
BUILDING PERMIT NUMBER CROSS REFERENCE:
Azt% fiiafit-4/4-`4j‘
Signature of Applicant
tan r . os
RECEIVED BY:
661r02911/5,s Office
DATE: SAN 20 1999
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