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HomeMy WebLinkAboutConsiglio ELIZABETH A. NEVILLE, MMC '����� '�� Town Hall,53095 Main Road TOWN CLERK , P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER �u �� �! Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER, www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Southold Town Clerk's Office DATED: December 4, 2018 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4682 for a Cesspool/Septic Tank Construction Permit submitted by: John & Clare Consiglio Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Signature Dated w �o ELIZABETH A. NEVILLE TOWN CLERK d ��� +a" 7,� li 1 �w�' uu Ik�I�illu� w r�" Iq�� A I a�� k ,EI," �Ta.'u'll 1NF�)W1d '.T"1"fly ail:l'f �` RECEIVED OFFICE OF THE TOWN CLERK [-uRECEVECD TOWN OF SOU`1'HOLD ' C ...W ?018 SOUTI-TOLD WASTEWATER DISTRICT APPLICATION Southold Townclerk CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential (a', $10 M:;O Non-Residentiala� S-15 Application No.yo - IV - 0107 Permit No. L (A%12 - Applicant Name J®�h t C /of Cons. a',o Applicant Mailing Address oil (S rAAt ST, So, 10A r& i`� " loll '/ Septic Tank Zor Cesspool Brief Description of Proposed Construction or Alterationh y►t.�,.!_ Stn �c- FA..., l� rG s�_�entt _ Location of Proposed Construction/Alteration Owner of Property J -r C1APC- Owner Mailing Address 1.._ G/n n'r Sr S® S looti-sbvr IV.y ®97y Owner Property Address 6-11 _bl drroA=s 44vte �out�® (j Name and phonc number of contact person J04"\ 0$ 6 � 0 fax 'Llv1ap No. 1®� U Section Sy Block _ ®.3 Lot /5` ._ nAve - NOTE: . NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURA, 111 IEALTH DEPARTMENT APPROV AL w. or� turc of Applicant I a� � Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 12/04/18 Receipt#: 249993 Quantity Transactions Reference Subtotal 1 Septic Permit- Construct- Resid, 4682 $10.00 Total Paid: $10.00 Notes: Payment Type Amount Paid By CK#491 $10.00 Consiglio, John Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Consiglio, John 97 Grant St S. Sloatsburg, NY 10974 Clerk ID: JENNIFER Internal ID:4682 F--ik-EE.-CEIVEID Dm -�, 4 2018 Southold Town Clerk fA. 0 AV, a's 11 mm I.to r c � 3 � a 0 Z, :21 n ° o ri 0 CA rvir, N O a o o �1 r F S co o W A . gra ,ao� � o � a �z O cC � yo2�� u g � p ��� z � ~v m N O r 2 - b - s ani a BIOS snolAM3dV4l _� -s • 02 ocn "' o N z Rl oAo �(0 H � �o + m -q� o �0�1� o � cn tZi CA) ~ Fa� y2 � a DC7 yaaaa� a�m �zsiru ~ r*1 �' a 50V1 � aaeaeaeaea ,� 7 m m � � ti y �*t 008aa00a8 z�m o ^^ m a aaaaaaaeaaa , n a rry I -(y a "'a k.! o ' o v 0000000000000 Mll o oIt tjtpA� cx o AAAAAAAAAAAA ' " ° JO 2gino 00000x00000000 0000 a rn 2 — j o a eeeaaae0eaa0ae00aae '� z ° A � � � �nw�aa�ra�aer�rer��rmr��rerzream�a C-) � m� o a rri y ;,e a m a n R Bios slnotia3dvri n�to• � 50 0 m0 'S o rn r- a JOb zj vq o" 2 * ." nco44o w r / V p r, x C If W 0;0 x �"� rm, co c 00 ,� w P u9 cn Nv O g ' Ate. .�„.`'" cn cn w v e ,, ° + s oo w 0i 76 doCL r 1-4 Ir IM m CS o x o µ Bzr g w o p ooZ N c:b, O �. a „ r f ✓ �+ o -� p lam+ (Q" o O UlC3 r •. rm of a 0 In 0 43 PI in AS Fvtea 4�1t® m