HomeMy WebLinkAboutRomeo ELIZABETH A. NEVILLE ot,Ilii�e®r ��: Town Hall, 53095 Main Road
TOWN CLERK ; ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
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MARRIAGE OFFICER �� � �, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � ®� 4:1 Telephone (631) 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. 2483 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RICHARD ROMEO
Address 1 : PO BOX 1111
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF # R10-96-0028
Name Of Owner ROMEO, RICHARD & ANN
Mailing Address 1 PO BOX 1111
City St Zip SOUTHOLD NY 11971
Property Address 1 817 JENNINGS ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 6 lot 18.000
Cross Street HORTON LANE
Building Permit Number Cross Reference:
Issue Date: 12/04/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
4 3 q5.3
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ELIZABETH A:NEVILLE 1A��� ��e•: Town Hall, 53095 Main Road
TOWN CLERK c:$ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER ",. y1k . ,, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �_ �®,l •®,1i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _--- ��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 4, 2000
Transmitted herewith is a copy of application No. 2571 for a Cesspool/Septic Tank Construction
Permit submitted by:
Richard Romeo
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.
Linda J. Cooper
* * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
S' afar
(00
Dated
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OFFICE OF THE TOWN CLERK 'h,,Of ULk -
TOWN OF SOUTHOLD /% (V1-% Application No.a7
FT J7ABETH A NEVILLE,TOWN CLERK
P.O.BOX 1179 z .G ; Construction -
SOUTHOLD,NEW YORK 11971 ; v rn ;
Al to ra do n
Telephone .jgjo stlb�'�
$10.00 -Residential ✓
(631) 765-1800 =_ 1 4 ,,,�'� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION RECEIVED
for DEC — 4 2000
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL Southold Town Clerk
Permit No.
Fee .$
DATE
APPLICANT NAME: Zal�
APPLICANT ADDRESS: PLS_ 60, )1Z(
So„ 4 N . ii°t?1
SEPTIC CESSPOOL i-
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Wei.0 d � 1-4-41.6-..4.e—
LOCATION
`4-Si ..ce—
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 2ti -j -a te lWvvi.e..,
OWNER MAILING ADDRESS: rp , 130,, jltl
Sowio-t A. NY. lt.'77)
OWNER PROPERTY ADDRESS: ? 1 -) .� w�v � J2 ( 5041 -ct
TELEPHONE NUMBER OF CONTACT PERSON: r1(0 S - of Cp 7S'
TAX MAP NO. : Section S y Block 06 Lot 14
CROSS STREET: F{Uw %
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: Q)I
Town Clerk's Office
DATE: 10k\t0
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