HomeMy WebLinkAboutAnerella, Mike c ,0 N# �—
l"OFF°
Off' �G
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
may. yam►_`
TOWN CLERK1� c -� P.O. Box 1179
•
REGISTRAR OF VITAL STATISTICS y •
• Southold,New York 11971
MARRIAGE OFFICER �,0 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER 'y% ,O'I1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER l '�a"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1976 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P.O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
INSTALL NEW TYPE CESSPOOL AND MOVE AWAY FROM HOUSE
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner ANERELLA, MIKE
Mailing Address 1 184-38 ABERDEEN ROAD
City St Zip JAMAICA ESTATES NY 0000
Property Address 1 855 PINE NECK ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 5 lot 93.000
Cross Street MAIN BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 12/15/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
• FOFFO4CoG, 7.1c2)
ELIZABETH A.NEVILLE may. Town Hall, 53095 Main Road
TOWN CLERK Z� c - . „ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS . Southold, New York 11971
MARRIAGE OFFICER 1 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER `;G2, � Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER I
* sr
.'
•- •ir• dr—IP
OFFICE
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: December 4, 1998
Transmitted herewith is a copy of application No. 2057 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Mike Anerella
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. ,Q
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.
Signatu
Date
OFFICE OF1I'HE TOWN CLERK
TO%% OFSOUTHOLD ,;Q� n CQ Application No. a C S7
FI.I7ABETH A.NEVILLE,TOWN CLERK •
P.O.BOX 1179 !G Construction
SOUTHOLD,NEW YORK 11971 a =
r Alteration
•,
���� $10.00 - Residential
Telephone O � •••
(516) 765-1801 : 1 ,,''� $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 ///I2_/91V
APPLICANT NAME: ffee-077
APPLICANT ADDRESS: /5"Y. 9 7 L
1 I /t1 /1 St-
SEPTIC CESSPOOL"
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Gcni i / -4e-e4
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OyR�/ALTERATION:
OWNER OF PROPERTY: Mae, n44--, t/fir¢
OWNER MAILING ADDRESS: /9"54 -,3 & /h6e-7,, meq/
A-i'c.,9 es 770-21"2?-s-
OWNER PROPERTY ADDRESS: $'55' 1G,t.e
TELEPHONE NUMBER OF CONTACT PERSON: n
TAX MAP NO. : Section 70 Block CJS Lot 93
CROSS STREET: /IV/L-(4%. 4 A /1-4
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sign jure of Applicant
RECEIVED BY: �m ,
Town erk's Office
DATE: DEC 3 1C98
ir
II,
1
I
..."5-
1'
kfrciL. .4- 111
-------v '1
. lb
1
•1 1
i
) I
_1
1 /
\ /
id \I\
r ‘ ,
IV t i ' ' \
, / - , V \
' \, \ 1 ,
, 1„ i
1 i I I \
‘ \ 1
...... ......„„,..Ns..s.s,
‘rj6 If ve ,
II orf'"
,141 PI
50" ,
old P°'1"
.65
\ f
1
1