HomeMy WebLinkAboutPozzolano �,o\®SUFFO`,�-4, `\
ELIZABETH A.NEVILLE � to ; Town Hall, 53095 Main Road
TOWN CLERK ti P.O. Box 1179
Southold
REGISTRAR OF VITAL STATISTICS r
New York 11971
Fax(631) 765-6145
MARRIAGE OFFICER ��,
RECORDS MANAGEMENT OFFICER �a®'�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
OFFICTEpOF THE
TUGHWpN CLERK
SOUTHOLD WAWATER DISI�'OSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2906 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOSEPH POZZOLANO
Address 1 : 45 EISENHOWER DRIVE
City St Zip EAST QUOGUE NY 11942
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 #R10-00-0279
Name Of Owner POZZOLANO, JOSEPH
Mailing Address 1 45 EISENHOWER DRIVE
City St Zip EAST QUOGUE NY 11942
Property Address 1 720 REEVE ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 100.00 block 3 lot 15.004
Cross Street MILL ROAD
Building Permit Number Cross Reference:
Issue Date: 10/30/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ���� y�; Town Hall, 53095 Main Road
TOWN CLERK ® - % P.O. Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % � �
MARRIAGE S F1 I R `� �i *'I Fax(631) 765-6145
RECORDS�� • • DNE bFFICER =_7Qd Ali �ao��� Telephone(631) 765-1800
FRE an �Npd v THIO , OFFICER _ �,�t�� southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
-'� -- , TOWN OF SOUTHOLD
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Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 27, 2002
Transmitted herewith is a copy of application No. 3023 for a Cesspool/Septic Tank Construction
Permit submitted by:
Joseph & Donna Pozzolano
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: -, - Adlit`t'g7e4.--z-- 30
Signature e
e)6 0A
Dated //
,. re.
•
OFFICE OF THE TOWN CLERK $FO
TOWN OF SOUTHOLD O�QcCOIj Application No._ )3
ELIZABETH A.NEVILLE,TOWN CLERK $10.00 - Residential
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 ' $25.00 - Non-Residential
Telephone Ali
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ ,iD
DATE 6797/0,71--
OWNER NAME: j a + boy) I 'L0
If^
OWNER MAILING ADDRESS: 1-15 fs /ltwe' Dr
asp- a Oe Ue Py )/ L/()
OWNER PROPERTY ADDRESS: 7oc o -RP,Pi _ 1
(7/&/ -j icyy )) 95
if , cQ
OWNER TELEPHONE NUMBER: 65,s--- 40 95
TAX MAP NO. : Section ;�';�����'� l O Block Lot /...5) 7
CROSS STREET: /7/ ,ClL
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool V New Existing
Residential t7 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.)
'
Signature o licant
?-51414
RECEIVED BY: •
Town Clerk's Office
DATE: ( 41 h h'
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