HomeMy WebLinkAboutFischetti, Vincent '�,,o��F F Ol K 1.." `:
JUDITH T. TERRY < Town Hall, 53095 Main Road
P.O. Box 1179
TOWN CLERK ` O T
REGISTRAR OF VITAL STATISTICS U, •• Southold, New York 11971
MARRIAGE OFFICER Fax (516) 765-1823
������ Telephone (516) 765-1801
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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. 757 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : VINCENT AND BARBARA FISCHETTI
Address 1 : 454 JOAN COURT
City St Zip WEST HEMPSTEAD NY 11352
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 9/6/91 .
Name Of Owner FISCHETTI, VINCENT AND BARBARA
Mailing Address 1 454 JOAN COURT
City St Zip WEST HEMPSTEAD NY 11352
Property Address 1 NORTH SEA DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 5 lot 13.000
Cross Street KENNYS ROAD
Building Permit Number Cross Reference:
Issue Date: 9/11/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
'13-7
,,,,,,,,,,.,.,
JUDITH T. TERRY % 4 :� Town Hall, 53095 Main Road
TOWN CLERK z O T t"lk P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS . tl, • Southold, New York 11971
MARRIAGE OFFICER 10�, �����•�� -1823
Tel TelepFax hone (516)5765-1801
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OFFICE OF THE TOWN CLERK f SEP - 91991 r
TOWN OF SOUTHOLD
t BLDG. DEE
1 TOWN OF �' s!.t;�.,*Zr_D
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: September 9, 1991
Transmitted herewith is a copy of application No. 778 for a Cesspool/
Septic Tank Construction Permit submitted by:
Vincent and Barbara Fischetti
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 X
DISAPPROVE
Comments: 0.4, .A.A... 61. Oen cariktRii elQ, 'V.
GIN.A41.. I/ Sai4.‘11‘.2k QAD. fetUdilk to Cftn
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MOM \CA 4#4. C ./441 4A000.--%
Signature
SEP1I1991 9 /, olgi
Dated
Town MK
OFFICE.,OF THE TOWN CLERK �cvr�J(kr►
Town of Southold �, �{ ��
y r•'`� . Application No. '72 y
Judith T. Tern Town Clerk � <• -� , .
,
Town Hall, 53095 Main Road c=3 nt•• , �.; Construction -�
P. O. Box 1179
Southold, New York 11971 �• r Alteration
Telephone / 701 r t Nk��1 Residential
(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 $
DATE / q�! /Q
/
APPLICANT NAME: /NICf441/4 dt B6%, h4y'/ ñ %'//'
APPLICANT ADDRESS: /11Ov17 SQA trVc1y
o u *t ll,
SEPTIC CESSPOOL
DESCRIPTION OQc•
PROP SED CONSTRUCTION OR 'LTE AT1ON
d/t e-44, Q4 5 5)1 .
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: VW/CS/q pF- 8j0..4.1-•1 /4 ff‘‘,4174
OWNER MAILING ADDRESS: IsifiQ418 ...10,0"-7C� td
Was 4 /4.73 rA .•
�OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 6740 4 S �/ v
TAX MAP NO. : Section 05-4f. Block Lot l 3
•
_ CROSS STREET: htS 46c„-/
BUILDING PERMIT NUMBER CROSS REFERENCE:..
na P6- =
g t r e of Applican
RECEIVED BY: 41/74Co17/
•
awn Clerk's Office
DATE: - c
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SUFFOLK CO.HEALTH DEPT. AMUIMalwor •
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Caeslcersic.E *0„..,-v1.1
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"D SYSTEMS FOR THIS RESIDENCE WILL
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JOSEPH FISCHETTI, JR.
PROFESSIONAL ENGINEER
',JELL(7) '‘. -
-1. , , Hobart Road
7JT5
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' ',-• , Southold. N. Y. 11971
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- GREENPORT NEW YORK