HomeMy WebLinkAboutAliano, Nicholas (2) ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
! Td:. ;..:~'~0uthold Tg_wn Building Department
FROM: Michelle L. Martocchia, Southold Town Clerk's Office
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Town Hail, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
DATED: November 2, 2005
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3539
Construction Permit submitted by:
for a Cesspool/Septic Tank
Nicholas Aliano C/O Cramer Consultin~ Grouo
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
OFFI(~ OF Ti~ TOWN CLERK
TOWN OF SOIffHOLD
~7~,BLrl~H A, NEVILLE, TOWN CLEI~
P.O. BOX i179
~OUTHOLD, NEW YORK 11971
Application No.
Construction
Alteration
Telephone $ I0.00 - Residential
(63t) 765-1800j' $25.00-Non-Residential
~,~ /~ TOWN OF SOUTHOLD
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. ,~
Fee '$ ] O.
DATE
APPL, CANT ADDRESS:V3
SEPTIC ~-- CESSPOOL
LOCATION MAP: Must be attached hereto before permit may be issued.
TELEPHONE NUMBER OF CONTACT PERS~:
TAX MAP NO.: Section ~ % Block / Lot /I ~ l~ '
O1~1C~ OF TI~ TOWN CI,I~K
?OWN OF ~OLU'I~OLD
~IZZA~ETH A. NE~ i F~ TOWN CLERK
P.O, BOX J 17~
~OL~THOLD, NI~W YORK 11971
TelePhone
Application No.
Construction
Alteration
$10.00 - Residential
$25.00 - Non-Residential
(63t) 765-1800~r.
TOWN OF SOUTHOLD '
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. ,~ 5~(~
Fee '$ I C)- O0
DATE
SEPTICS. ,CESSPOOL
DESCR,PT,~ OF PROPOSED CONSTR~T,ON ~R C~{I~ ~
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ~I~TI~RATION:'
OWNER o, PRO,ERTV:
TELEPHONE NUMBER OF CONTACT PERS~:
TAX MAP NO.: Section ~~ .,o~k / Lo~ II ~ 1~ ,
CROSS STREE,:~~ ~
REFERENCE:
of
SURVEY OF PROPERTY
A T CUTCHOG UE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-83-01-11 & 12-
SCALE' i'--30'
JANUARY 13, 2004
June 2.3, 2004
July ,9, 2004 (revi$io,,)
Sw~L $~ EO04
,~en. /-~ £005 Irev/5/ons)
Jen. 19, 2005 (revisions)
%.
ANY ALTERATION OF? ADDInON ro THIS SURVEY IS ,~ V~OLAnON
OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SECtiON 7209-SUBDIVISION 2. ALL CERTIFICAteS
HEREON ARE VALID FOR ~IS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR ~E IMPRESSEO SEAL OF THE SUR~YOR
~osc s¢cN~ TURE APPEARS HEREO~.
LOT NUMBERS REFER TO "MAP OF ~STA BLUFF" FILED
IN ~HE SUFFOLK COUNTY CLERK'S OFFICE ON MARCH
~5, 196~ AS FIL~ NO. 5060
ELEVATIONS RFFFPENCED TO N.G.
N
UFFOLK ~LI~/-DIPA~IIINT OF HIJ~TM $1111GII
PERK FOR APPROVAL
SIKLI FAMILY R~IDE~C~ ONLY
~ROVEO
BEDR~MB
PiRES THR~R~.~ ~ ~ AppeAL
FiN. FLR.
. ~ 4 ~A VEL
' ~ ,- /' SCALE'
':< CROSS
~uBL E TIER s¢P TIC
~AL FULL
4INING WALL
~TAL EROSION HAZARD LINE FROM
;TAL EROSION HAZARD AREA MAP
~ 58-545'$3
SuBSURFA (
$ YE TEM
H. BALER) P,E.
DVIRKA AND
TIL UCCI
TING EN~INE£RS
(631) 765-5020 FAX (631)
P.O. ~OX 909
12~0 TRAVELER sTREET
sOUTHOLD. N.~ 11971