HomeMy WebLinkAboutFoscolo, Ted „O Gy-
VI * Town Hall, 53095 Main Road
-`•VA ����.'� P.O. Box 1179
- 1 sb.0 Southold, New York 11971
JUDITH T.TERRY .”--., vi" FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 614 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JAMES J. ASH
Address 1 : BOX 454
City St Zip WESTHAMPTON BEACH NY 11978
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 4/5/90.
Name Of Owner FOSCOLO, TED
Mailing Address 1 1770 MOTOR PARKWAY
City St Zip HAUPPAUGE NY 11788
Property Address 1 CEDAR BEACH ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 8 lot 15.002
Cross Street PARADISE POINT ROAD
Building Permit Number Cross Reference:
Issue Date: 5/30/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
t -
\ j MAY 171990 a Cay
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BLDG. DEPT. . �v 1..-
t�<, ,�`s�"��, rs,
TOWN OF SOUTHOLD ! ct, I Town Hall, 53095 Main Road
wp� - '. c-.1 P.O. Box 1179
_47, Y- `It .%t++ Southold, New York 11971
JUDITH T.TERRY — 0....;,t / TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: May 17, 1990
Transmitted herewith is a copy of application No. 629 for a Cesspool/
Septic Tank Construction Permit submitted by:
James J. Ash for Ted Foscolo ,
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 0k •
DISAPPROVE
• Comments: • ' . ' _ 1'a�► ' _ _ fi 0 0,+, 0
LI ,igilft. C•owi.\ 14.00.M.---,ir 01+% \Ill 11) D
- \(.230.4.
RECEIVED Signature
S' xJ9a
MAY 24 1990 Dated
town Owk South*
•� s.._�.
OFFICE OF THE TOWN CLERK sq Mire'
Town of Southold � 44: Application No. 6 �/
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ` g • Construction =/—
P. O. Box 1179 � Alteration
Southold, New York 11971 `45' .
Tele hon o � Residential ✓�
phone _
(516) 765-1801 I Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /O
DATE 5/1 2/9 U
APPLICANT NAME: Ni 4-1/ 7 4 g
APPLICANT ADDRESS: f,3oo
6,)c s %xq, ig73 V r3c t1 7/97.5-
SEPTIC
/97.5SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION AlE'/
c(oAf5 c77o.v - $//v'c .6.17,1 re_ y /4,46,
6
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: TEv ,rc o 4-0
OWNER MAILING ADDRESS: (770 Ha-re-4_
P/it v-G- A�- (f 78?
OWNER PROPERTY ADDRESS: Cc'€ 9- j�f/IC.r`f /11 ,S'OvT77-z,643
TELEPHONE NUMBER OF CONTACT PERSON: ((76J - 9.73 //2 " cm-6
TAX MAP NO. : Section 7.7 Block Lot /3-, )-
CROSS
- ' )-
CROSS STREET: P/tjz4-IP S P6iM1- /�
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sig ture of pplicant
RECEIVED BY:
Town Clerk's Office
DATE:
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