HomeMy WebLinkAboutFerrulli, Victor JUDITH T. TERRY L Town Hall, 53095 Main Road
TOWN CLERK p rZ P.O. Box 1179
t!'� •• Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ‘‘04, C. •'� Fax (516) 765-1823
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MARRIAGE OFFICERa
RECORDS MANAGEMENT OFFICER = /0'� Fax
(516) 765 1801
FREEDOM OF INFORMATION OFFICER ,II
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1232 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner FERRULLI, VICTOR
Mailing Address 1 1540 SMITH DRIVE SOUTH
City St Zip SOUTHOLD NY 11971
Property Address 1 1540 SMITH DRIVE SOUTHOLD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 76.00 block 3 lot 5.000
Cross Street SMITH DRIVE NORTH
Building Permit Number Cross Reference:
Issue Date: 10/24/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
JUDITH T. TERRY �,, iC ; Town Hall, 53095 Main Road
TOWN CLERK : =v nz+ : P.O. Box 1179
WI Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = ,' Fax (516) 765-1823
MARRIAGE OFFICER •
RECORDS MANAGEMENT OFFICER =-_ .1'Wiii `�►O�'� Telephone (516) 765-1801
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CI,,F� ..
TOWN OF SOUTHOLD ; fr I'7 1'
TO: Southold Town Building Department r'' - 1994
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: October 19, 1994
Transmitted herewith is a copy of application No. A1278 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool Service for Victor Ferrulli
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. -
' 4"'I'-'"--`"'-o`w
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - v
EXCAVATION INSPECTION
DISAPPROVE - REQUIRED
COMMENTS: Maintain required setbacks from adjacent wells, buildings,
property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
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RECEIVED , ..,,' a /,
3 -y5 Sign.tu -
OCT ^ ' 1994
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Town Clerk Southold Date
OFFICE tOF THE TOWN CLERK ""' -
Town of Southoldfour x
-Judith T. Terry, Town Clerk ,x'04" Application No. /d2 -2
Town Hall, 53095 Main Road < - Construction itpkw
: _ Z `
P. 0. Box 1179 Alteration
Southold, New York 11971 N T
Telephone b (Zr. $10.00 - Residential
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(516) 765-1801 4�0 0)/
$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 (-ye/452 7. 3y? -
APPLICANT NAME: ,ie-Z. &4 4/ 1 e
APPLICANT ADDRESS: 22 i .0�� -% ' /2 > i ` -? /
SEPTIC CESSPOOL
DESCRIPTION OF P OPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY: aci.. /.._ .
OWNER MAILING ADDRESS: /-5-YO _94��-`"� ,,s< S'�
_f 21- / / 9 7
OWNER PROPERTY ADDRESS: --4 —
TELEPHONE NUMBER OF CONTACT PERSON: �,r�„��
TAX MAP NO. : Section 7(� Block , ? Lot Sc---
CROSS
'CROSS STREET: „.. c- OA _ A
BUILDING PERMIT NUMBER CROSS REFERENCE:
&/de ,/fri',/
gnature of Applicant
RECEIVED B Y: L.(),/(51-�--�
Clerk's Office
DATE: /// 7To;zn
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