HomeMy WebLinkAboutRosasco ELIZABETH A. NEVILLE, MMC r �� �," Town Hall, 53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS a` Fax(631)765-6145
MARRIAGE OFFICER 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: Sabrina Born, Southold Town Clerk's Office
DATED: March 14, 2019
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4706 for a Cesspool/Septic Tank Construction
Permit submitted by:
Craig Rosasco.
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: f ilial approval required froin the Suffolk County I I Iallb Department
_.....�............................................
Signature
Dated
% �
ELIZABETH A.NEVILLE ` " Town Hall, 53095 Main Road
TOWN CLERK C= P.O. Box 1179
Southold, New York 11971
REGISTRAR.OF VITAL STATISTICS Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER + Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10_zor Non-Residential @ $25 Application No.
Permit No.
o
Applicant Name .
l s C
Applicant Mailing Address—, � y�
Septic Tank or Cesspool
Brief D scrtion of Proposed Construction Pro
pp � tion or Alteration
Location of Proposed Cons tr ictiou/ :ltera.tion:
Owner of Property: mm_ '
Owner Mailing Address:
Owner Property Address:m ......_ .... _ .
Name and phone number of contact person ""�. z? ' m
11
Tax Map No: Section Block Lot ....�_ ...�,
Cross Street - --
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY ITH IT ALTH DEPARTMENT APPROVAL
Signatrurqi . Applicant Date
Received by: ...._ _.. -w.
N10I t 0
`OS CKILL 1 117.11' SURVEY OF PROPERTY
0 SITUATE
40" F-
N 84'26' `"SPaCKAOE i9y CUTCHOGUE
EHC& ® p 6
TOWN OF SOUTHOLD
a.T'E SUFFOLK COUNTY, NEW YORK
� I `
Z ' o ` S.C. TAX No. 1000-110-06-13
a
SCALE 1"=20'
o 1. JULY 10, 2015
o
E ff.
u_ x c A
AREA = 16.338 sq. .
�L 1 " 0.375 ac.
� L-11) a
'Ilk ''
1,
toll
to
ie.4•y, -
1 {�, PREPARED
IR LE SURVEYS AS ES C WITH THE MINIMUM
STANDARDS FOSHED
,.3 BY THE LIALS.AND APPROVED AND ADOPTED
FOR SUCH USE TITLE ASSOCIATION. THE NEW YORK SPATE LAND I
A
j \ X6'43'40" W
Z, 26,49' N.Y.S. LG. Na. 50467
..�
c,.
TO THIS
ALTERATION OR ADDITION
R_ £ 70 THIS SURVEY 6 A VN OF
r # Nathan Taft Corwin III
SECflNEW YON 7200 OF THE NEW YORK STATE
EOUCAflON TAW.
* COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor
c r$ - 4 THE LAND SURVEYOR'S INKED SEAL OR
7 V ' ' -tea EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
T`F a CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To:Stanley J. Isaksen,Jr.LS.
F} ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A Ing�g-L.S.
6-5 O IS PREPARED,AND ON HIS BEHALF TO THE
�s(i it RRE COMPANY,GOVERNMENTAL AGENCY AND
Title Surveys—Subdivisions — Sile Plans — Construction Layout
g \Y LENDING INSTITUTION USTED HEREON,AND
TO THE ASSIGNEES OF THE LENDING INSfl— PHONE (831)72)-2090 Fax (631)727-1727
TUTN7N.CEROFICAflONS ARE NOT YRANSFERABLE.
THE ERISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING A170AE55 '
AND/OR EASEMENTS OF RECORD, IF 1588 Main Road P.O. Box 1b
ANY.NOT SHOWN ARE NOT GUARANTEED. Jomesport, New York 11947 Jornesport, New York 11947
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