The URL can be used to link to this page

Home My WebLink AboutRusso a f ELIZABETH A. NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER \ Telephone (631) 765-1800 C FREEDOM OF INFORMATION OFFICER oU +�► 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. 3571 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : DONALD RUSSO Address 1: 770 VILLAGE LANE City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration -INSTALL (1) OVERFLOW POOL. -MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner SAME AS ABOVE ------------------------------ Mailing Address 1 ------------------------------ ------------------------------ City St Zip 0000 -------------------- -- ---------- Property Address 1 SAME AS ABOVE ------------------------------ ------------------------------ City St Zip 0000 -------------------- -- ---------- Tax Map No. section 114.00 block 6 lot 170 ------ --- ------ Cross Street ROUTE 25 ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 8/07/07 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) J' SOUTy®� ELIZABETH A.NEVILLE ® Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL ST- ISTICS Southold, New York 11971 MARRIAGE-OFFICFRy ® �� Fax(631) 765-6145 RECORDS,MANACtE1VIENT O�+F ICER ®lyTelephone (631) 765 C -1800 FREEDOM-OF INFORMATION OFFICER ®UNI+ southoldtown.northfork.net )0- s OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD T Southold Town Building Department FROM: Lynda M. Bohn, Southold Town Clerk's Office DATED: July 18, 2007 Transmitted herewith is a copy of application No. 3731 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Donald Russo 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. Lynda M Bohn * * * * * * * * * * * * 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. J Signature e Dated L8.'n7 o7 WEI) o8:15 FAX 631 765 6L45 SuLTTH(')Lb Ti-MN c.LERK [ 601 ,t ELIZABETH A. NZ 1GE: � J Town Miall, 33095:✓lain Toad +: P 0.Boz 1179 'T013rL%r MERE �, Y'&' ,Ryk Southold,New York 11971 RSGISTRrL:OF VITAL S7.,W1S'M03 r '� '� MARRIAGR E OFFLC ' �,�. ° Fax (6311 765-61 5 Rk CP.[ 01?US A2dAG>JZti31; T OFFICER ""i ' `" fib` Telephone(631) 765-1800 F EDOM OF n\'FORMATION OFTIOER ,r Southoldtown.northfork.net OFFICE OP 'Pk-IE TONVN CLERK 7 01r OF SOUTH01.1) SOUTHOLD VVA.STEW ATER VISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMTI' CESSF001_ or SEPTIC TANK -31 2 R4sI lential t,S10 _ ✓ar ��011- E9L4Lf jltllti ('u.Ste.` —_-- Application 0, — Pennit No. Apphcuit Name—, Applicant Mailing Septic Tank ar Cassp00 v/ BiieFDesrription of Prc,posecl CoiistrucLion or Alteration___—_ A f-A aVt—ILC-P .0 Location of Proposed CoLlstrucdail/Alteration: Owner of Property: �70 _ _ SSU 0,Amer Mailing Address:-_____k__A 0,Nmr-r Propeny Address:-__ _ cZiG c- �--_ _ -------------- — Name and pllone number,of contiiet Tax Map No: Section VDgQ —_HLoek_ —��— Cross Street — NOTE: LOCATION MAP MUST BE SU—B3,.'II'TTED WITH APPLICATION. NEW CONSTRTTCTIOtN RLQITIRES Si;RVVV Vr1T1I E'AJ,Tr TMENT APPROVAL -C)-1 Si,latze of Applicant Date Received by: __-- SURVEY OF LOT 20 - �I 4 MAP OF "ill LLA6E MANOR � - FILED OCTOBER 24, Ig62, FILE No. 3666 N p SITUA-rE: mATTI-njok w e s TOM: SOUTHOLD SUFFOLK GOUNTY Ny SURVEYED 0I-31-2005 SUFFOLK GOUNTY TAX # I \ 0�1° W 1000-114-6-17 �O q 2� I 9 1 OEILTM ED TO: a o t� -h Donald Russo: Amemm Mortgage Network IV 7/to riftCmong00 Real Estate Service,Inc g ; ! oP°" OJD ✓ Plto^Ky °6° ® j {� � N� W s ')f 130 7.5 130 \ S�Of b LO 2 �00.bQi \b• YkO Don°rete MOEooP d o o d� e� 1 ' �° 9 ° o .o s � ��'•L^��"aY i +e��' �� va,enarl:ed alcerouan or atldmon to a away h t S; � i map �a I ceMe Byer _ '', I L r �! „lobtlon ar aecuon Haat,aw-vtilalon r moe G ((tt: At y Nen York State FEl:aotlon Lan NOTES ® i `3�5 N •QA nplea m 0. =q of M1b anvey '�\(`\\✓` 1 i rv'� ��r.�l t {� t,d'` startped seolnlahoth 11 bergwM�ideredlo bye 16 We ` ' ' '.t•• t M �n �S" `�' •t 'Cnrtlllcollona Ind4ated hereon II UptNla ' ONUMENT'FOUND .,�,` ��."' �'�,�. r` am.My na,prepared u,oawremc 1 we Pe.- SURVEYED ��!'��%'P'7-'��,. by the Nen York State As»cbtbn of Profeaalwnl Lord sa=, S Id certllVatloM a 11 run Doty to the person for r.hom the wrvsy b prepetl SNOW COVER`-. ord an h,e beM11 to N,e Ht1e�anpany ggooy�'' _ tal agency and IerldYg NatlWtkm Ilsted lmreon'ond - - l � to the Malyreea al the lerdkg NeNWtion,Gertlllco- tloM o'e not 4anreroble b odd,t,orol IMGWtIOM AREA = 24 2g0 S.F. or 0.5ACRE I JOHN C. EHLERS LAND SURVEYOR GRAPHIC SCALE I"= 3O' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.—\\Hp server\dTROS\05-110.pro