HomeMy WebLinkAboutFaletti, Joseph $Q D`:
L 1 Town Hall, 53095 Main Road
P.O. Box 1179
--..70/ ��•0�. Southold, New York 11971
JUDITH T.TERRY -= ;/,i��� TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 389 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : FALLETI, JOSEPH C.
Address 1: 762 NAUGLES DRIVE
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AS AS APPROVED BY THE SUFFOLK COUNTY HEALTH
DEPARTMENT 6/10/88.
Name Of Owner FALLETI , JOSEPH C.
Mailing Address 1 762 NAUGLES DRIVE
City St Zip MATTITUCK NY 11952
Property Address 1 762 NAUGLES DRIVE
City St Zip MATTTIUCK NY 11952
Tax Map No. section 99. 00 block 5 lot 12 .000
Cross Street LUTHERS ROAD
Building Permit Number Cross Reference:
Issue Date: 8/22/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
31' f
'1 _
Town Hall, 53095 Main Road
AUG 2 218 IA
y
o = ��-�.4 P.O. Box 1179
__4,l ��/,. Southold, New York 11971
JUDITH T.TERRY BLDG. DEPT.
TOWN OF SOUTHOLD �10'..,,,,Isa°/ TELEPHONE
TOWN C ,; (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: August 22, 1988
Transmitted herewith is a copy of application No. 395 for a Cesspool/
Septic Tank Construction Permit submitted by:
Joseph C. Falleti
•
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.
44V?:-C
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE nn
Comments: ck., :c..,..1 c_ LCQ w. ►..C,C a 0.cJ . 1E
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Signature
Dated V`1..1.- ii
/ ".'
OFFICE OF THE TOWN CLERK 0c0FOCA'e+D
Town of Southold
Judith T. Terry, Town Clerk Application No. ;
Town Hall, 53095 Main Road Construction
P. O. Box 1179 � Alteration
Southold, New York 11971
Telephone Ali *"OResidential
(516) 765-1801 "'
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $/0
DATE
APPLICANT NAME: `/o s e b h C_ f t 1 /e 1-• ,
APPLICANT ADDRESS: 7( A /118;)
-rr,^rte c k N /1 see A
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Lid hcu-s
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �L osep h . 1t 11 e+ ,
OWNER MAILING ADDRESS: 76 ) e s br
m f-Try> �� ru 119 .(
OWNER PROPERTY ADDRESS: (S_n____,yytO
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 99' Block :` - Lot11)/.
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
,9Sig ture of A licant
RECEIVED BY 4't'L4-r>C.
wn C/Ierk's Offi�
DATE:
AUG 221988
town Clerk Southold
I... 1"Vmoi' i i)SURVEYED FOR:- �OSE,C::'tf A44LET/
LOCATED AT /j/f„4TT/7L/GdC , TOWN OF `�Oe,/7-iyOL' SUFFOLK COUNTY N.YMAY 31 1988
LOT •
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