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HomeMy WebLinkAboutSantacroce (3) JUDITH T. TERRY �� 4*- .� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS rri ►° Southold, New York 11971 MARRIAGE OFFICER •W' Southold, Fax (516) 765-1823 ® t-9 ® Telephone (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. 747 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : JAMES AND LORRAINE SANTACROCE Address 1 : P. O. BOX 302 City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration NEW SINGEL FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 6/8/91 . Name Of Owner SANTACROCE, JAMES AND LORRAINE Mailing Address 1 P. O. BOX 302 City St Zip SOUTHOLD NY 11971 Property Address 1 TUTHILL ROAD EXTENSION HIGHPOINT MEADOWNS LOT #56 City St Zip SOUTHOLD NY 11971 Tax Map No. section 55.00 block 6 lot 15.062 Cross Street MOCKINGBIRD LANE Building Permit Number Cross Reference: Issue Date: 8/02/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) _____,_, ----r//7 ._ ,,rr-77-- ' E•C NOWg\ ' 7.1_-:,,,:c1 -:1...41 r-, --z-,,,, , 1 !:1 11991 ,�,�. _ °u.3.+.,. ,. .. :, , ,„ , ,,,,. , ,„„k. ,..,,,,....., ,��� i _. ^;-; ., .., t,, Town Hall53095 Main Road BLDG. DEPT --v .ti,.M1 __ ,`` r• P.O. Box 1179 TOWN OF SOUTHOLD ..� r'":', � '.,. ,y„�4�' , r r f'J e • 4 is Southold, New York 11971 JUDITH T.TERRY 'y3' y 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: August 1, 1991 Transmitted herewith is a copy of application No. 768 for a Cesspool/ Septic Tank Construction Permit submitted by: James R. and Lorraine M. Santacroce . 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. 6e-e-- cz cc_ Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE D< DISAPPROVE "I . . Comments: • — .1 4. ; .. !/ a f, • ., ... 1 ' ) IL 1.t_Uti i j 1 lb try. 6\Actlc.L..4 \r• ilk Signature .3\ 1--\c‘\ Dated , 'IIjI OFFICrOF THE TOWN CLERK ,cj\\FFOL,- Town of Southold 0�, .��.,"' C' / Judith T. Terry, Town Clerk .� ` . Application No. Town Hall, 53095 Main Road o ..,�>-'_ - ^ ..< Construction X P. 0. Box 1179 Southold, New York 11971 O.'� Alteration Telephone 501 x 'N• Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for (----C(17:NSTRUCTIOor ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ /�j� e•D DATE '7/3/ /V APPLICANT NAME: J aimEs R. Loc NE. in , Si4,,IrAc, oc. APPLICANT ADDRESS: p_ D. (60u 3 0.9- cScsk.r `talc k N �-(. l (Q11 t SEPTIC / CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION F019 G L to-Al . 77 e. 77 /< .4,,,h 3 0620 ('sex-L CA ci f°o O LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: J7 1 s 'R. ( act 1-o2I i'c 0(1. S2 po\rnqcRcscE OWNER MAILING ADDRESS: '© ,(?, 30a c_S otA42 0 Ar,Y /(97( OWNER PROPERTY ADDRESS: (' (L ji 6- 'A-, (-i-j LL RULE Kro MoCKiNG(.3r'R,) LR•, dote`e, lq✓ A/'. //g7/ I TELEPHONE NUMBER OF CONTACT PERSON: 765--,5-O002-- oe 7.64--- 3‘/IW TAX MAP NO. : Sectionjcay Block /.4;16, Lot IS s6 , . CROSS STREET: 0 1' DIS Lbri V e BUILDING PERMIT NUMBER CROSS REFERENCE:_ LI , /)hee.,07-----:- - - Signature of Applicant RECEIVED BY: ., Id , ,� ' ow C :rk's Offic_ DATE: 74/4/ • ' • SUFFOLK COUfiT�''D PARTMENT OF HEALTH SERVICES FOR APPROVAL.OF CONSTRUCTION OF Single Family Re;.idencc Only OAYEJUL O 9 1991 is REF, CEL. ° / S Q (0 APPROVED + 1 4G ) I L. EXNNE,La,TWO YEARS FROt:i )iiii: 6' APPROVAL. • I ;a - i ", - r Lo7- .- . �2 �Tt �oE� N 10 milli 0 Nk) k °- ' ,,... 'ill k I3 0- r— '' ‘,) . , . tx co kt \' ,, 44\. I __, s_ji, \k\ 1 [ k) I - i It) ! e D ;!rev 0,ED �Ard� �� v04 �yJ. LES, &c, T5s�'�S6'2a"w /39.�G' �-- c �, /laCoe//e/G8/,eZ7 ZA/e/ ' rz;1"flQ ;1 S 4-1 .4 Y t i 9'- 3369 ,______ys6 Ftvkw YG 5,vrre-r ae-✓.4096'0 y IaerPAUve- Sis',vrfY.exE ! /9,u�/#�vy h/GEw l .t"i Lol;5Z 4-zovac-h/i iyFtvr./l ylE ,�t'c3F.«o�i�yfa B9/2' .Tu�'r�xse I dA ,Z iL/0,„, f I