HomeMy WebLinkAboutPisacano 1/,
JUDITH T.TERRY Town Hall,53095 Main Road
TOWN CLERK g t P.O.Box 1179
REGISTRAR OF VITAL STATISTICS `0 0 • �, Southold,New York 11971
MARRIAGE OFFICER � ®� ,•� Fax(516)765-1823
RECORDS MANAGEMENT OFFICER 424 ,..11� Fax
(516)765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1258 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MICHAEL PISACANO
Address 1 : P. O. BOX 40
City St Zip JAMESPORT NY 11947
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-94-0118
Name Of Owner PISACANO, MICHAEL
Mailing Address 1 P. O. BOX 40
City St Zip JAMESPORT NY 11947
Property Address 1 1240 PARADISE SHORES ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 80.00 block 1 lot 24.001
Cross Street NORTH BAYVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 12/12/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
UL/f it IA
JUDITH T. TERRY . Town Hall, 53095 Main Road
TOWN CLERK ;% P.O. Box 1179
U Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ' Fax (516) 765-1823
MARRIAGE OFFICER &X- o'' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department ir—DEC7-71gm
FROM: Linda J. Cooper, Southold Town Clerk's Office
BLDG.DEPT.
DATED: December 7, 1994 TOWN OF SOUTHOLD
Transmitted herewith is a copy of application No. 1304 for a Cesspool/
Septic Tank Construction Permit submitted by:
Michael Pisacano •
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
DISAPPROVE
0111.
Comments: JC L - ,o — 9 c-7 /a
RECOVED Ay
Signature
DEC 9 1994 /,
Dated
Town Clerk Southold
yap ;
j•.: •-,,',::.1:-'"', ,' '7..1';'.;';',.. 't -:',' ‘',..'•!,' .,:'-: i.E.::,:.;f7ai ';(*JEFAI it....f..,..i i ----
-'.,-;,:-•`,''•,;;;4;,fttrii *--
1 .
,' „ I. ,' i.f..) .,--171.<!:.'.7:- ,',1 CF
.,', :
-C lti • .
• i ,._. ) ,
-:1' • '4 (13
i
- 1 .
DEC' 0 6 1'44 , ?,... .-:. ,- •r, R I l)---(1 .--,Lull1
.1:3
!, •,......,...,... , '..!' i-0: i
4 I 4 4u, .. /:'e . • ' !
.......... . ,, .. ,.. , , ,..r,...1. awn r.r,..en.•..,-• U.1
cc)•-....1`:
st 1
1
EXP ; TH i IT. YLI,.!, T.;- ' DT.?: OF APPROVAL l' z
\ w
. 'CI)
La
4E' 4114,a) 01
< mtv (Da5 ,
i
—J
crj CO 70 al
Its wk.it.
'll 11 0.) C C 75
i .....
111 CIS 46„Cr)
•
N/A- . eze,z• --...,,,_ . .
44 ,
\ . ..
Atteberfes____,--,t•-\r r .) ,.,;-, (,( i c111,-_RV:7:, /
-6‘;-. ,"1-
__.
/ ,
,
CI
ON . //
, • Dig•f,k 9AiosY
is. IP it'll 4)
i
—ii 1
.... .. Ow,oy 4:3434,
N.7% ..s,.-
AreArAY1411,00/
‹) NN
CI \\ (
L., ixer".491/P
IC) 0 N / k t t,
) ,, -....,......
cv , , tc) c-_ ' 14 , _
——— -- - ••, / ‘Z't kta 'C\ k --,-- (-
i
4 ..
. pA4/01i0 ,'4AxArtei
rate/sot' ..-
•L p '' - FLTV.vt -V'
ay.e.".0:VOY
' .
...._---)- ----____7_ ' _ _____ •
- A.
clti -41.--,v‘9°-yes'szn-fry
; It
er-zeil-5.-
/
, \
•.,
41,41,,,of.op iv.Eiwt 1,02 ;40
, A\8
)..
t,,Na NJ
I
/
44 •
•41 0 . . , ,
/7/
Al/C. /4//1 ,e'
n/t,,rer.VVekz.li deogAtioz Loc.fryewo eye,a/e.,,es
d'eVrAtwyl.000,00149" 0ss D
2D-evey, c,,,c,/1"/CA/nez. .0P1 .,PeA,,Ala zAvo ozors/e-Aze
:041WWee.‘3044-nleb aleW1.-7* Ah) *I eg**4‘60/S4 X/1/17/ ;34.
0 0
dellii4Z,9Airc="S 7 C-P fr-%/e/•,41/ezoior•t/Z 77'4,4'/A w e 4 vcE —---,- ,t• , •-.40 t A 13
* ..AiVovs-;•• :1• SC '
Co.ove-iVew>404 , IE,Iv ,.
1,10\.—,- - 14 Elk 7. . , 0.:,
ti , # ,, 7:af',kLAr-i'-`11.-->" 41
..
.7.0r/of•-or.-
' r — NOV 7 1904 - 1 oae9e •
,...;.. ,..
S.C. DEPT. OF
- a7whi/000-eo-e-V-z44/ .. ' HEALTH SERVICES ,
OFF4rcE OF THE TOWN CLERK ,.,'""'"'
Town of Southold .�'� stf o rt,A S
Judith, T. Terry, Town Clerk ;'�O co. Application No. ( .7C,7
Town Hall, 53095 Main Road ;$ Construction t
P. O. Box 1179
Southold, New York 11971 tl� Alteration
Telephone - Q���' $10.00 - Residential
(516) 765-1801 _ ��►�! iia ��
't $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 41— 6 - y'K
APPLICANT NAME: g 64 eAwe/A/A/O
APPLICANT ADDRESS: ?G'-77
es ci /11, //7y7
SEPTIC E TIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION S
0/VC --4-01/6"/ P w6-LC/11iG
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: '
OWNER OF PROPERTY: 5AQ-w F
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: /2-V 2/9.e"/�2
TELEPHONE NUMBER OF CONTACT PERSON: ?ZZ -cn7S
TAX MAP NO. : Section O Block ( Lot Z K
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
de //
Signature of Applicant
RECEIVED BY: 4
Town Clerk Office
DATE: —