HomeMy WebLinkAboutRerisi, Victor I '
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ELIZABETH A.NEVILLE I,. t‘'$ Town Hall, 53095 Main Road
TOWN CLERK a o -4 r P.O. Box 1179
iiEGISTRAR OF VITAL STATISTICS Z Southold, New York 11971
MARRIAGE OFFICER. %` 1 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER Vi% , # Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER • ei/
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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. 1992 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : VICTOR RERISI
Address 1 : 9 CAT HOLLOW ROAD
City St Zip BAYVILLE NY 11709
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 #R10-98-0171
Name Of Owner RERISI, VICTOR
Mailing Address 1 9 CAT HOLLOW ROAD
City St Zip BAYVILLE NY 11709
Property Address 1 800 SNUG HARBOR ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 35.00 block 5 lot 37.000
Cross Street MARINE PLACE
Building Permit Number Cross Reference:
Issue Date: 1/22/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE •ma Town Hall, 53095 Main Road
y. y�►�
TOWN CLERK �� c -� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N , Southold, New York 11971
MARRIAGE OFFICER • Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER =.y Q� 11� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ��l 7' "
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 20, 1999
Transmitted herewith is a copy of application No. 2072 for a Cesspool/
Septic Tank Construction Permit submitted by:
Victor Rerisi
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/recommendations:
APPROVE ✓
DISAPPROVE
Comments: baae4 cn-• appra✓61-1,1
ignatur
/7..0 / / /
Dated
OFFICE OF THE TOWN CLERK , ell.
W . fljK�G
TON OFSOUTHOLD ��' Q ' Application No. �d 7�
ELIZABETH A.NEVILLE,TOWN CLERK i t
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
c=6 ; Alteration
Telephone � ��Qr�� $10.00 -Residential
(516) 765-1801 =_Ql ' so'I' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE / / 995
APPLICANT NAME: v t( Kr-- l�E.2is i
APPLICANT ADDRESS: CST /74e6., ?b
.g7ya Gee i.y //rad.
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/e.e.A.) Se,Pc_ A ND ('es5,00 L- Co 2- Nebo ?,poseb
e S'De,u c e-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: OIC-�2-
OWNER MAILING ADDRESS: 9A7 Aeax,0 ,4.
6eiyav/IT y. //762
OWNER PROPERTY ADDRESS: &Gb 67t1 i4 o,e /e0
TELEPHONE NUMBER OF CONTACT PERSON: 5/
TAX MAP NO. : Section 03.6— Block 5-- Lot 3 7
CROSS STREET: // ,4,CptAf rare
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY3Aa 20 X999
Town Clerk's Office
DATE: `$
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