HomeMy WebLinkAboutPiscatelli, Mike
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northf or k. net
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMEN!-pFRlCER
FREEDOM OF INFO,RMNr::ION 9FFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD
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TC\ j:: -S-outhold Town Building Department
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FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 16, 2007
Transmitted herewith is a copy of application No. 3678 for a CesspoolJSeptic Tank ALTERATION
Pennit submitted by:
Mike Piscatelli
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 retum it to me.
Linda J. Cooper
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
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DISAPPROVE
Comments: Maintain required setbacks from adiacent wells. buildings. propertv lines and water
Bodies. EXCAVATION INSPECTION REOUIRED.
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._ Town Hall, 53095 Main Ros'
P.O. Box 1179
Southold; New York 11971
Fax (631) 765-6145
, . Telep'~on!, (631) 765-1800
. sou tholdtown .northfork. net
ELIZABETH A. NEVILLE ...,
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
."u'"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $1 oK or Non-Residential @ $25 _
Application No. 'Ofo 76
Permit No.
Applicant Name /Y) ,'/c6 /":),'-S c /-lie (1,-
Applicant Mailing Address I G 0 () 6.) E~ f-v,,'e c.. J jj R,
!1-7/U-/-/i/-uc/c Ny I (7 .s-~
Septic Tank_or Cesspool_
Brief Description of Proposed Construction or Alteration rJ i./C- to /~-;'72e R~ct:nt/.f'Ir'vC(/
Or: /V6cv /tIdu.s~ .
Location of Proposed Construction/Alteration:
Owner of Property: J11, 'ice: fJ,s c A~ fir-
Owner Mailing Address: / Coo CJGSv-zd'C.., /.JR.
/nrl-f-!-''t-vck /fly ffl'0J.,
Owner Property Address: S /J7'-7~
Name and phone number of contact person
Tax Map No: Section /0 7
Cross Street GRo~ /2d/JtJ
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALm DEPARTMENT APPROVAL
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,.,.-/J) \ ~gnature of Applicant
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Received by: \
S16- J..'If-r;d.-OG'
Block 0 7
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Date
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CERTIFIED TO: MICHAEL PISCA TELLI
CHICAGO TITLE INSURANCE COMPANY
WELLS FARGO
SURVEY OF
DESCR/BED PROPERTY
SITUA TE AT
MA IT/TUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.G. T.M. DIST. 1000 SEC. 107 BLK. 07 LOT 18
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o 1~ 30 45 60 75 98 105 120
SCALE: 1 = 30' DA TE: CTOBER 5, 2006
I
135
JOB NO.: 2006-282
MAP NO.:
FILED:
REVISIONS:
ADD TOPOGRAPHY,ADD TEST HOLE,
PREP FOR S.C.D.H.S 02/02/07
LOT AREA: 10,050 SQ. FT. = 0.231 ACRE
ELEVA TIONS HEREON REFER TO APPROX MSL DA TUM
AND ARE THE RESUL T OF ACTUAL FIELD MEASUREMENTS
THESE ARE FOR S. C.D.H.S USE ONL Y AND
NOT INTENDED FOR ANY OTHER USE.
MA TTlTUCK CREEK APPROX. 200' WEST OF PARCEL
OFFSETS SHOWN THUS (38.81 ARE TO PROPOSED IMPROVEMENTS
EXISTING FIREDAMAGED DWELLING TO BE DEMOUSHED.
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HANDS ON SURVEYING
26 SILVER BROOK DRIVE
FLANDERS, NEW YORK
11901
TEL: (631)-369-8312 - FAX:(631)-369-8313
MARTIN D. HAND L.S .
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S.C.D.H.S. ENDORSEMENTS
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