HomeMy WebLinkAboutGarrido ELIZABETH A.NEVILLE �� Town Hall, 53095 Main Road
TOWN CLERK • I, P.O. Box 1179
Southold
REGISTRAR OF VITAL STATISTICS New York 11971
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MARRIAGE OFFICER
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RECORDS MANAGEMENT OFFICER � el .0,„.� Fax
(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. 2943 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1: 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner GARRIDO, MARIO
Mailing Address 1 817 FLINT STREET
City St Zip GREENPORT NY 11944
Property Address 1 110 FLINT STREET
City St Zip GREENPORT NY 11944
Tax Map No. section 48.00 block 2 lot 28.000
Cross Street 9TH STREET
Building Permit Number Cross Reference:
Issue Date: 12/26/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE �/�_ y%` Town Hall, 53095 Main Road
TOWN CLERK I o :4 P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER `` 4,, N,./ Fax(631) 765-6145
RECORDS MANAGEMF FFICER
FREEDOM OF INFOI3.N.I�ATI OFFICER ‘..:01
®'� � �a�''i� Telephone (631) 765-1800
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TOWN OF SOUTHOLD
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TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 14, 2002
Transmitted herewith is a copy of application No. 3063 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Morris Cesspool for Garrido
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: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. .
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Signature
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Dated
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OFFICE OF THE TOWN CLERK �� ,//••••••••
TOWN OF SOUTHOLD 'ocvFFOLire
�� - Application No 3°C 3
FT.T7ABETH A.NEVA-TF,TOWN CLERK 'O( C •
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P.O.BOX 1179 = Construction
SOUTHOLD,NEW YORK 11971 •
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cn T Alteration
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Telephone _ofd, Ars�• $10.00 -Residential
(631) 765-1800 ---- 414t ,r $25.00 -Non-Residential
TOWN OF SOUTHOLD
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SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION •
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee -$
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DATE 72 /y6y2—
APPLICANT
2APPLICANT NAME: ") )Z-4 c) )4.4 CJ
APPLICANT ADDRESS: 276 p
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SEPTIC CESSPOOL'. .
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: .
OWNER OF PROPERTY: !llgrd G'IOAg,• Id
OWNER MAILING ADDRESS: ?77 /d---Zi,, T S r
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OWNER PROPERTY ADDRESS: IID fin•- S\
TELEPHONE NUMBER OF CONTACT PERSON: 5� 3.7erZ)
TAX MAP NO. : Section VIP Block 2. Lot 2!
CROSS STREET: 9 fi'
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
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ignature of Applicant
RECEIVED BY reA)51A.41
Town Clerk's Office
DATE: klVU
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