HomeMy WebLinkAboutSpitaliere (4) JUDITH T. TERRY
Town Hall, 53095 Main Road
TOWN CLERK
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS '"� Southold, New York 11971
MARRIAGE OFFICER �• Fax (516) 765-1823
V .r 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. 728 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JOSEPH C. SPITALIERE
Address 1 : 9 NOEL PLACE
City St Zip SMITHTOWN NY 11787
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 3/19/91 .
Name Of Owner SPITALIERE, JOSEPH C.
Mailing Address 1 9 NOEL PLACE
City St Zip SMITHTOWN NY 11787
Property Address 1 ORCHARD LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 90.00 block 4 lot 14.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 6/26/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY = TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR 01-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: June 18, 1991
Transmitted herewith is a copy of application No. 747 for a Cesspool/
Septic Tank Construction Permit submitted by:
Joseph C. Spitaliere
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: ck,, -aab
%4Ait-LAti
S 412AktNLe9 e- id-Q-QL919" •
RECEIVED
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JUN 2 5 1OCi Signature
Town OW Southold • Dated
,S.
OFFICE OF THE TOWN CLERK %V.FG(,'
'
Town of Southold '43/it.'':-.:''';‘,4 �']
Judith T. Terry, Town Clerk .•` =, .'.3/4Application No. /
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Town Hall, 53095 Main Road ccA G;Y- ` •1. '-, Construction
P. 0. Box 1179 11 �• t,:d- ---
Southold, New York 11971 O.' .. r Alteration
Telephone �(_1`rii ��O 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 "/' Y'-q /
APPLICANT NAME: c/®s ��,,cii i 1teAQ
APPLICANT ADDRESS: 67 IjQe� ,�_
,_.C7Rr71--4 71-6w, Ai //777
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
i-lP, t1 / 1 /7 A? f
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: -/p.Jp1 G 4/ -4.--1 f
OWNER MAILING ADDRESS: 7_,?_ �&` ,L,
:77m/ 4 /72 /v ,C// //?t'7
OWNER PROPERTY ADDRESS: G..g �/ 21�LCil�, 1���,�
5, 9 II - -x 79- /' ®9D ,®SSD
TELEPHONE NUMBER OF CONTACT PERSON: 2 ' - 2 z 6
TAX MAP NO. : Section 9e Block 2.',rf/j Lot / '
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CROSS STREET: // ' L &' P/ew R,/ ,
BUILDING PERMIT NUMBER CROSS REFERENCE:-
.....0111. -- ''1 4 _1. -arfiLdAlieli 1 " 7
41111111.
A001.1. 'gn. ure •'f Applicant
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RECEIVED BY: ,cu/,
;o n Clerk's Office
DATE: 6/at
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PLEASE NOTE
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Sanitary system i not to be
placed under driveway area.
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