HomeMy WebLinkAboutSchiavetta r ,/.,®�ASUFFO`�C®
ELIZABETH A.NEVILLE ���1 Town Hall, 53095 Main Road
TOWN CLERK ® P.O.Box 1179
Southold,New York 11971
REGISTRAR,OF VITAL STATISTICSvo fit t
MARRIAGE OFFICER
".� ,�i Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =, d 40.iii Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,!�� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3054 R Residential x Non-Residential
Fee $ 10.00 septic X Cesspool
PERMIT ISSUED TO:
Name : INLAND HOMES INC
Address 1: PO BOX 117
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-02-0117
Name Of Owner SCHIAVETTA, ROBERT & EILEEN
Mailing Address 1
City St Zip WEST ISLIP NY 11795
Property Address 1 320 TARPON DRIVE
City St Zip GREENPORT NY 11944
Tax Map No. section 57.00 block 1 lot 3.000
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 9/08/03 Elizabeth A. Neville
southold Town clerk
(TOWN SEAL)
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EL ��
IZABETH A.NEVILLE �.a`Z`0 �4`; Town Hall, 53095 Main Road
TOWN CLERK i 4:7) %� P.O.Box 1179
t h 2 i Southold New York 11971
ftEGISTRAR OF VITAL STATISTICS W '
MARRIAGE OFFICER : O 1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER y�f® 0���� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER -ZVI 4 -0„,0 southoldtown.northfork.net
.' , OFFICE OF THE TOWN CLERK
+ ;11 'I AUG — �% TOWN OF SOUTHOLD
TO':- Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 31, 2003
Transmitted herewith is a copy of application No. 3205 for a Cesspool/Septic Tank Construction
Permit submitted by:
Inland Homes Inc
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: P+4--"rcrbo•fixOn°1-40.: !,..e._"6‹.'
. -•til,,7
2 ........4", zz..p
Signature
. ,e//or 1/0.3
Dated
OF. ICE OF THE TOWN CLERK
Town of Southold
Judith. T: Terry, Town Clerk Application No. 3OS--
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone • Residential L_ _
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION RECEIVED'
for
CONSTRUCTION or ALTERATION PERMIT JUL 3 2003
SEPTIC TANK or CESSPOOL Southold Town Clerk
Permit No.
Fee .$
DATE 7/29/03
APPLICANT NAME: Inland Homes Inc. -
APPLICANT ADDRESS: PO box 117,mattituck,N.Y. , 11952
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
New single farm 1y t91,7"n11 ink
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Robert & Eileen Schiavetta
OWNER MAILING ADDRESS: west islip,N.Y. , 11795
OWNER PROPERTY ADDRESS: -7n tarpon 1lr.. ,(reenport
TELEPHONE NUMBER OF CONTACT PERSON: Inland Homes,298 9696
TAX MAP NO. : Section 57 Block 1 Lot 3
CROSS STREET: Rt$ 25
BUILDING PERMIT NUMBER CROSS REFERENCE:
(1)// Applicant
RECEIVED BY:
Town Clerk's Office __._
DATE:
- 3C4 9 . _ e5CMedirS
t SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES '7' sols��,q pgdV ZOO V
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A •
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SIMILE FAMILY RESIDENCE ONLY et8.7 ti Z,A4e . �yey
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DATE? k��o' H.S EF. - 0')- 0 t 1'1 ��. �.
APPROVED111 %uTY c..�y
FOR MAXIMUM O 3 BEDROOMS
S ti.476c i,_,geO waJ
EXPIRES THREE YEARS FROM DATE OF APPROVAL lo' —cc ese
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