HomeMy WebLinkAboutSantora sUFFOUr
ELIZABETH A.NEVILLE 410, ® ; Town Hall, 53095 Main Road
TOWN CLERK ` P.O. Box 1179
REGISTRAR OF VITAL STATISTICS i Southold, New York 11971
MARRIAGE OFFICER : Fax����� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = Wa. _4710 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. 2852 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOSEPH SANTORA
Address 1 : PO BOX 696
City St Zip GREENPORT NY 11944
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 #
Name Of Owner SANTORA, JOSEPH
Mailing Address 1 PO BOX 696
City St Zip GREENPORT NY 11944
Property Address 1 SHORT WAY
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 2 lot 9.000
Cross Street LONG WAY
Building Permit Number Cross Reference:
Issue Date: 7/23/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
ltiOFFOUr
l le- Town� ex
ELIZABETH A.NEVILLE y� Hall, 53095 Main Road
TOWN CLERK - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
�, � Southold, New York 11971
MARRIAGE OFFICER e�,r �� Fax (631) 765-6145
�1�
RECORDS MANAGEMENT OFFICER = vim®� $3�i� Telephone (631) 765-1800
FREEDOM OF INFORMA_ TION-,OFFICER ' _ �� southoldtown.northfork.net
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, , OFFICE OF THE TOWN CLERK
JUL 1 2 2002 Y;,-a"1
;
i TOWN OF SOUTHOLD
_.1
Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 2957 for a Cesspool/Septic Tank Construction
Permit submitted by:
Joseph Santora
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:
Signature
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0 7/6-lo a_
Dated
\t'' ' IN40—` t" : ''' .
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OFFICE OF THE TOWN CLERK ,,,,,,,,..flL•
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RT.i7ABETTHA NEVOF ILLTHOLD E,TOWN CLERK '`4'`%". OLK 4' _. , Application No 4s
VJ � : 7
P.O.BOX 1179 Z. y� Construction
SOUTHOLD,NEW YORK 11971 , = . i
v
cn Alteration ✓�
Telephone
\-0,��1 ����� - $10.00 - Residential
(631) 765-1800 -_ I t ,,e�.
„„� �,,,. $25.00 -Non-Residential
TOWN OF SOUTHOLD
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SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION •
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
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Permit No.
Fee .$
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DATE ^ (g- 0
APPLICANT NAME: S,/Lr vr?/I e ,S�,o/1-
APPLICANT ADDRESS: al
ox 6 9 7.
,{.FAN ,, /? 7 (fry17
SEPTIC CESSPOOL •
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
A/c c4.— / r 4" tp ds, 1--7'd/ti>.,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: c61,,d R 4 j JSf,//-
OWNER MAILING ADDRESS: 7�� c`
Q,/ /5:dx 6r( �/itf,--An j i,“ (
OWNER PROPERTY ADDRESS: rI ?$,nt tA-iir „,-jl(o ,A
TELEPHONE NUMBER OF CONTACT PERSON: o'-3/— cvf sa3J'
TAX MAP NO. : Section ,� 64-3 Block ' '92' Lot
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CROSS STREET: /per, (,t,41.
BUILDING PERMIT NUMBER CROSS R FERENCE:
„` I 7
i.,/,,”
/ $ •Matureo Applicant
RECEIVED BY: iii (/
T wn Clerk's Office
DATE: /2 / /QD
4',V
AND CONSTRU f L ���7�idDK FOR
ANDGE
CA 4� 8 BSU APPROVAL
and will abide b �I4"STEMS Willo� MIL rein a
perm// /o cons/, se/ %rlh RESIDENCES
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uFFICE 1'ASiE1"/1(EI;FSGFii C
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1 DA 11,
she thcallons of wells and cesspools
hereon � i1
and or from data odb field observo/ions
d from others, p:i7ti
EXPIRES ai
LOT 15
LOT 0 DWELLING(pabpe water J LOT 14
DWELLING(public water J DWELLING(public water 1
, N.83.2T'45-E. 77.73'
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NOTE, 1
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L MAP OFOT BPEgBLRE REFERENCED TO, ®5'",� 3cto
FILED IN 7 E BEACH
OFFICE SUFFOLK FARMS' 7/g'W.pow t
77. 3 _�LANE
ON JUNE II, /975 AS ACLERK'S
266 76'
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