HomeMy WebLinkAboutLeonardi ELIZABETH A. NEVILLE d� r&# Town Hall, 53095 Main Road
TOWN CLERK ; ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ��, Southold, New York 11971
MARRIAGE OFFICER � �i � Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER isc. °��®,i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ �i��
OFFICE OF THE TOWN CLERK
SOUTHOLD 'INAMIERIMBIDSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2629 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN & MARY LEONARD!
Address 1 : 186 WARDWELL ROAD
City St Zip MINEOLA NY 11501
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
Name Of Owner LEONDARI, JOHN & MARY
Mailing Address 1 186 WARDWELL ROAD
City St Zip MINEOLA NY 11501
Property Address 1 1285 REYDON DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 80.00 block 2 lot 15.001
Cross Street REYDON DRIVE
Building Permit Number Cross Reference:
Issue Date: 8/08/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE It.* t,; Town Hall, 53095 Main Road
TOWN CLERK % y ; P.O.Box 1179
REGISTRAR.OF VITAL STATISTICS
% �. , �` Southold, New York 11971
MARRIAGE OFFICER `��4' l��1�, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ®1 ..j•iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER - ,,411, ,,,,'.1�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 27, 2001
Transmitted herewith is a copy of application No. 2717 for a Cesspool/Septic Tank Construction
Permit submitted by:
John & Mary Leonardi
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:
iure
n l 3 o i u t
Dated
OFA CE Or THE TOWN CLERK �5�FFU1If.';" .
,1OWNOFSOUTHOLD 0�, �G Application o.
ELIZABETH A.NEVILLE,TOWN CLERK $10.00 - Residential
P.O.BOX 1179 ,`
SOUTHOLD,NEW YORK 11971 $25.00 - Non-Residential
Telephone �j `get)-'/
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
Stif-Uaor JUL 2 6 2001
aQUrmoati lovvn Clerk
OBETWAII4M- PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE July 24, 2001
OWNER NAME: John & Mary Leonardi
OWNER MAILING ADDRESS: 186 Wardwell Road
Mineola NY 11501
OWNER PROPERTY ADDRESS: 1285 Reydon Drive
Southold NY 11971
OWNER TELEPHONE NUMBER: 516-742-8033
TAX MAP NO. : Section 80 Block 2 Lot 15. 1
CROSS STREET: Reydon Drive
TYPE OF SYSTEM: Septic Tank X New X Existing
Cesspool X New X Existing
Residential X Non-Residential
LOCATION MAP: ! Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
Ara 4
ignature • fj ican
RECEIVED BY:
Town Clerk's Office
DATE:
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