HomeMy WebLinkAboutRomanelli (2) 1,104 riWf 1Ulji
JUDITH T. TERRY 4� .0A Town Hall, 53095 Main Road
TOWN CLERKP.O. Box 1179
REGISTRAR OF VITAL STATISTICS s q.rb . Southold, New York 11971
MARRIAGE OFFICER ' �41� Fax (516) 765-1823
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(516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 789 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARRETT A. STRANG
Address 1 : P. O. BOX 1412
City St Zip SOUTHOLD NY 11971
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 9/25/91 .
Name Of Owner ROMANELLI, LODA
Mailing Address 1 AZALEA ROAD
City St Zip FARMINGDALE NY 11735
Property Address 1 PECONIC BAY BOULEVARD
City St Zip LAUREL NY 11948
Tax Map No. section 128.00 block 6 lot 9.000
Cross Street DELAMR DRIVE
Building Permit Number Cross Reference:
Issue Date: 1/07/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL1
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JUDITH T. TERRY %� `;' Town Hall, 53095 Main Road
.' C P.O. Box 1179
TOWN CLERK y,ry i;
REGISTRAR OF VITAL STATISTICS $,II �s A Southold, New York 11971
MARRIAGE OFFICER �c� O Fax (516) 765-1823
®��r�j., �®r 4441'_ Telephone (516) 765-1801
M 1 @ 1 El W E ii
DEC I 8 BM
OFFICE OF THE TOWN- CLERK
TOWN OF SOUTHOLD
BLDG.DEPT. Rams
TowriToF souniatotheld Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office JAN 02 1?P.
Dated: December 18, 1991 up C rk RO W
Transmitted herewith is a copy of application No. 810 for a Cesspool/
Septic Tank Construction Permit submitted by: -
Garrett A. Strang for Loda Romanelli
-
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
M
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: Q.a, -1n�.. 4,:c a dL 0,1cx.XtmcSta. ZAAktAiti toll4---
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Signature
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Dated
-
OFFICE or THE TOWN CLERKOcjV�FUL4'`,- _ f
thold
Judith T. Terryn of �uTown Clerk � Application No. V/
Town Hall, 53095 Main Road ` 8
cn Construction
P. O. Box 1179 0 " " Alteration
Southold, New York 11971 'fit-
Telephone �'� �-
Residential x
(516) 765-1801
Non-Residential •
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ iO
DATE December 18, 1991
APPLICANT NAME: Garrett A. Strang, Architect
APPLICANT ADDRESS: PO Box 1412 , Southold, NY 11971
SEPTIC x CESSPOOL x
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
One (1 ) 900 gallon septic
One (1 ) 8 ' x 12 ' deep cesspool
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Loda Romanelli
OWNER MAILING ADDRESS1 Azalea Road, Farmingdale, New York 11735
OWNER PROPERTY ADDRESS: No # Peconic Bay Boulevard
Laurel, New York pycir
TELEPHONE NUMBER OF CONTACT PERSON: 765 5455
TAX MAP NO. : Section 128 Block 06 Lot 09
CROSS STREET: Delmar Drive
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
n J2 �, z
erk's /Office
DATE:
DEG 1 8 1991
Senor
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