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HomeMy WebLinkAboutGargani, Julius if° • "Os�fFO[A-�o G JUDITH T.TERRY ,I y� • Town Hall,53095 Main Road TOWN CLERK H _ t P.O.Box 1179 �I REGISTRAR OF VITAL STATISTICS Southold,New York 11971 V40/ 1 Fax(516)765-1823 MARRIAGE OFFICER 0 a� Oe� RECORDS MANAGEMENT OFFICER : .� * Fax �► ��� Telephone(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. 1292 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : DBM CO. Address 1 : P. O. BOX 2130 City St Zip GREENPORT NY 11944 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. #R10-95-0021 Name Of Owner GARGANI, JULIUS Mailing Address 1 C/O DBM CO. P. O. BOX 2130 City St Zip GREENPORT NY 11944 Property Address 1 MAPLE LANE City St Zip SOUTHOLD NY 11971 Tax Map No. section 64.00 block 1 lot 21 .000 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 2/27/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) l 0 il°C)If OUrey) ;. /7) 74 . __ , , , , ,. JUDITH T. TERRY .G : Town Hall, 53095 Main Road TOWN CLERK z p T P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS .ir * Southold, New York 11971 yQ MARRIAGE OFFICER Or ;, Fax (516) 765-1823 - �1 �1D . Telephone (516) 765-1801 ''''',,,,,,I01//,, M A V OFFICE OF THE TOWN CLERK P /e TOWN OF SOUTHOLD '% / ts ?off'vOG•OA TO: Southold Town Building Department SOW FROM: Linda J. Cooper, Southold Town Clerk's Office SOW: DATED: February 14, 1995 Transmitted herewith is a copy of application No. 1339 for a Cesspool/ Septic Tank Construction Permit submitted by: DBM Co for Julius Gargani , 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 v----- DISAPPROVE Comments: fr.7 ‘,.---cf41.4).7 gra''4()/ l/r �CJ— —690 -2/ 1 �#r Signature /, �/7/ 5— Dated .. ltittttlltrrTT�l orrlcr: c)r THE TOWN CLERK t►' c\I<< iii - 1 own of Southold ;;y eq,„Cx A tion I4 / 3 tciitit t t l plica f Jt T. Tet•t•y, 1 owl' Cleric Town Nall, 53095 Malit Road r � tr .= � t CuhsllICltthh. U. 130x 1179 ,*� tC AlterationSottloid, New York 1 19.7 1 �f • • tv Telephone � std111t Residential • (516) 765- 11101 � "'T''rit Non-Residential folvN or SoilrilOLI) SOU lIHOL.i) WAST EVA I rtt DISPOSAL DISTRICT APPI.lr,\ I loll • tor • COIlS I ROC I ION or Al. I LrtAT ION PERMIT s1:i'i IC rAlir lir CI:SSI'001. Permit No. Fee $ DATE_ c - i3 -9S- .; APPLICANT NAME: V li 11 Co. APPLICANT ADDRESS: 443 IItitt . ( t(' (. P. 0. SOX 2130 Gheet1l,o,c f, N. V. 11944 - ---__ SEPTIC X ctsspooL_ tEscRIPTIoN or PRopost.D cONs rizoc; How oR ALTERATION new dtuet.e.i.ttg LOCATION MAP: Must be attached hereto before hertnit may be issued. • LOCATION or PROPOSED coNsr!MCI ION OR ALTERATION: OWNER or PROPERTY : I U S C , 4 ) 1 C/b OWNER MAILING ADDRESS: 443 1hin Sthee.t, f'. 0, Box 2130 (i leviipnh f+ rd.V. 11944 OWNER PROPERTY. ADDRESS: 1-1RAt_ G _ - - SoutIu'f11; N.V. TELI_PIIoNI: N(Mt3ER 017 CnlI I Ac: r 411-2223 - TAX MAI' NO: : Section b'-( 131rtcic� Lot 2.. I • r • CROSS STREET: __ BUILDING PERMIT NUMIWR (;ROSS REI-Ef2ENCG:. cjttaltit-e of Applicant RECEIVED (3Y : DATE: —________Jl '_"1{ TJ[ _ _ __ _ _�� _ �� 1 ST ATEMENT OF LNTENT Y Ifl J , THE WATER SUPPLY AND SEWAGE DISPOSAL © Corea) �' ' SYSTEMS FOR THIS RESIDENCE WILL e _- Z6Z6/.84 ------4------4.4 j CONFORM TO THE STANDARDS OF THE _.__.__ . __._ __._._ _...---_______ ----------- — ,'N SUFFOLK CO DEPT OF HEALTH SERVICES. us Pk I ! � (S1 -16 41,,i.k.: r'! 1 APPLICANT _ _ � if O. / i SUFFOLK COUNTY DEPT. OF HEALTHi, %•7 �. arn.g . . - if ‘ SERVICES — FOR APPROVAL FOR ti �_ __-.- I i CONSTRUCTION O,L�L„Y *+' - — / } DATE. °+'to raant}. iro�fi• ' �11 , -- I j H. S. REF. NO. /? /0 - (� �' , 1�t7t16e APPROVED: ( 4 Lwow ' ' \ E I ' _ 4._ � _ 'i` ��' '`' ±" j SUFFOLK CO. TAX MAPGNATION: N , � . CT. 8 O PC W • DIST SE CK L L - ..- — f i /ODU 64 I ZI 4 • 4 ! � ' OWNERS ADDRESS: a - - c i-- ,-- - ! 6 Z6 J V I evsrf R �'. 3"30—w. _ -- C .JJe to A'ySe PS ' N Y 11040 • Z6t3: 60A r i. I ' �o 443 MAIN STREET ?"Qr' R.O. 3X 2139 ' GREEtNPORT,WII19J'4-- ‘.-4'216 . s y77-4/1 - DEED: L. P. t' r ? I TEST HOLE I--7-3=-----. ,nGtU:,�g L ,c.,..c.. ,....i. C t � I f IC G, " --1 i, , 1.__ -.--.--.-, ,,,i -~4.1.2.At;.3710,.:44Ept...: .....1 3 y :. .. "+`etc +F+►-- } _. .,a qj #i ' / { `itoiPP r,04. '- •:- J / IRC •0°6 ~�