HomeMy WebLinkAboutViola, Edward � FF04,
ELIZABETH A. NEVILLE .ZO l/y< Town Hall, 53095 Main Road
TOWN CLERK P ?` P.O. Box 1179
ti 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICSrrt
r Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER
MARRIAGE OFFICER Z #41� ! Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1963 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : EDWARD & CHRISTINE VIOLA
Address 1 : P. O. BOX 430
City St Zip MATTITUCK NY 11952
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 #R10-98-0114
Name Of Owner VIOLA, EDWARD AND CHRISTINE
Mailing Address 1 P. O. BOX 430
City St Zip MATTITUCK NY 11952
Property Address 1 WILLIS CREEK DRIVE
HARBOR FARMS LOT 19
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 17 lot 17.016
Cross Street MEADOW BEACH LANE
Building Permit Number Cross Reference:
Issue Date: 11/02/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
_of ir
ELIZABETH A.NEVILLE , .ZO ‘K* Town Hall, 53095 Main Road
TOWN CLERK t' 1 >. P.O. Box 1179
vp _ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • � Fax (516) 765-1823
MARRIAGE OFFICER Z y O� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER N.
FREEDOM OF INFORMATION OFFICER -0O
OFFICE OF THE TOWN CLERK 37
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 29, 1998
Transmitted herewith is a copy of application No. 2040 for a Cesspool/
Septic Tank Construction Permit submitted by:
Edward and Christine Viola
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 c/
DISAPPROVE
Comments:
gnatu
( 0130lq �
Dated
OFFICE OF THE TOWN CLERKOL L�
TOWN OF SOUTHOLD 'Q �l fi�Q = Application No. 42 0 40
ELIZABETH A.NEVILLE,TOWN CLERK ;�r
P.O.BOX 1179 Construction Li
SOUTHOLD,NEW YORK 11971 •
Alteration
Telephone �Q�;�, $10.00 - Residential
(516) 765-1801 "=y01 41,‘� �<' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /5-
mge
DATE
&/(/f}/J G �/�1�77�(J. -s� V/0X
APPLICANT NAME:APPLICANT ADDRESS: p0 gn(. -1;0
/Vy'. �i v-
SEPT I C 'CESSPOOL ✓ �tiE �/L y
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Ai�� K c/ iN1'
ht/ #79/Z-250G PA-RA/-5 OF --
LOCATION MAP: Must be attached hereto before permit may be issued.C4774-Gfj�G�j,>
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /1*� v` C(//2 7-71V�`S- I/M47}
OWNER MAILING ADDRESS: /0,6ox
/'t/Z2 /7/r/(CtL ( /(SZ.
OWNER PROPERTY ADDRESS: 1f7- 7? /4741 0A
5(1F )4� i���///it S 4e, °/e
TELEPHONE NUMBER OF CONTACT PERSON: z9i3g3Ou - 4.777 Gly
TAX MAP NO. : Section /6)1:70 Block //J` Lot /7
CROSS STREET: 4ZT,�Hy -
BUILDING PERMIT NUMBER CROSS REFERENCE: A1677-- )/ ---7"-
Signat of Applicant
RECEIVED BY:
Tow_Clerk's Office
DATE: / �V f Y
/J� 1jO13 :l9;8ok
; u"RLunv/< 90 / Dept. f HealtServicesv .ffice Of Wastewater Mgmt.
0
'4e1F SURVEY OF-9c� y LOT 19st.;00_�- 4q� ,�F MAP
OF1
HARBOR VIEW AT MA T TI TUCK
3 20 !t 0FILED AUGUST 2Z 1987 RLE NO. 8977
, N dwell�y �� AT MA T TI TUCK
.dub/,6- frac)---le i-
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
mo, I N88° 15' 10" E 150..00'
el 14 e" se,- ■ 1000 — 115 - 17 - 1716
e1i3A-
e!131 5 s�t Sic8i 1" = 40'
j (-5April 18, 1988
JUNE IA N98r .-> . --, .4 ..Q
S11
119 I V 4
W
�' y
..,-
el 21 I
W AREA = 4 X 500agft. ,' f — __
P' p X I
a � , N �' COUNTY DEPARTMENT OF HEALTH M.�+r i'"'.
--� '► e
MEM 8 wllRdYALr Or
�r s
C C`�c C ti� FAMILY ONLY
d O et --,
v W �
sT "� q, DATE c \`1 cN% HS t.NO,.., ,l 0 -�1 g • .2.0
......
oiu APPROVED \cam._. %,,t,,
v �" •
1
Jxasvic a►�BEDROOM;
.
z o`ve log FOR
Z { uo e3 EXPIRES THREE YEARS FROM DATE OF APPROVAL '
3 wis
c) 30'
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