Loading...
HomeMy WebLinkAboutAlperti, Buovadantoma ,,/0,o\OS�FfO[�co JUDITH T.TERRY ���_� Gy< • Town Hall, 53095 Main Road TOWN CLERK y Z P.O. Box 1179 v• . Pr, $ Southold, New York 11971 REGISTRAR OF VITAL STATISTICS : O MARRIAGE OFFICER = f O ',1�� Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER �•, . Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER '—...•, .0"/ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1497 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : A. ANTHONY ALIPERTI Address 1 : 1138 WILLIAM FLOYD PARKWAY City St Zip SHIRLEY NY 11967 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR A NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SCHD REF. #R10-95-0123 Name Of Owner ALPERTI, BUOVODANTOMA Mailing Address 1 1138 WILLIAM FLOYD PARKWAY City St Zip SHIRLEY NY 11967 Property Address 1 TABOR ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 108.00 block 4 lot 7.001 Cross Street ELIJAHS LANE Building Permit Number Cross Reference: Issue Date: 6/25/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) • ilii• ,.. / (7 c/ 7 ' C /1� „,F0,A, _ �. ei-, „, CSG JUDITH T.TERRY � = f4% Town Hall, 53095 Main Road TOWN CLERK % y = % P.O. Box 1179 T0�� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER 92, Fax/ Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER : 49! * %O.," Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER ' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ' 8 fj TO: Southold Town Building Department "'- 1.• /0 FROM: Linda J. Cooper, Southold Town Clerk's Office Sou/ pLO DATED: June 18, 1996 Transmitted herewith is a copy of application No. 1561 for a Cesspool/ Septic Tank Construction Permit submitted by: B. Anthony Aliperti 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. Thank you. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE t/ DISAPPROVE l Comments: Vim`-' .I Jo /1 0 - 9�--0 4.23 Aide • Signatur Date / 6' r OFFICE OF THE TOWN CLERK ,+,""" • Town of Southold ��,, ��FfOlkCOGy` Application No. (� Judith T. Terry, Town Clerk Town Hall, 53095 Main Road �� ` z Construction P. O. Box 1179 i=3 Southold, New York 11971 � Alteration Telephone � ,f' Q ��' $10.00 - Residential (516) 765-1801l ,,,,, ' $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee •$ DATE / yp ( APPLICANT NAME: )3 . � � /2-ef' 2,7/ APPLICANT ADDRESS: if J„ 1�J,,,r Gpy6 P y • S zi2 Lty /'. //917 SEPTIC //CESSPOOL V DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION �ie�`iv t°G picrr J - loo ere. g617-Ti e- (�tet'/Z LOCATION MAP: • Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: r3Ge€2,007/41y10 g gL// --Z/ / OWNER MAILING ADDRESS: /7 ? ie4st r4M/LIt/ /y //? OWNER PROPERTY ADDRESS: 79 c/L /2 /111/W(1-14 /Y TELEPHONE NUMBER OF CONTACT PERSON: �� > �� ' TAX MAP NO. : Section /0 © Block Q4 Lot ?/p 7, CROSS STREET: G /d/W/7 .? BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY : 2.7?..../4 oClerk's Office DATE: 4// g,6 • ---- - \ % -1 A o 4 0 F S SECTION I R, le 0 m t I-- I PROPOSED AS7'HAt r DMK C _ PROPOSED - - - // ASPHM.r O RME PROPOSED API' .+:r4 5,w7MrY cw. Ni.J�c� ,R/ ` 1 No/ 9 {?ll /—MOPQStD 7N0$ 7O9Y RE9GFNCY / eft -M.1'.F,F.E.r 41.7' V ?'7... .......„.; . 7a 0` '77-7 jai' A y LW. PROPOSED KU Iso''imam mai worm',SYSIEU 0 us.10' 1431111'50'w $43.10' K COUNTY OEPAR TRENT OF HEALTH SERVICES Fon APPROVAL OF CONSTRICTION OF N / F AGNES GRABOWSKI SIN3LE FAMILY RESIDENCE ONLY I 11l--1 'iii HSS ..6wl� pisAI f: � / 4 -44 - 1rl• i ' , 'ES THREE YEARS FROM DATE OF APPROVAL �- PLEASE NOTE ,,;,tL� Minimum distance between well • ` and cesspool is to be 150 feet. SCALE: 1. a ,DO.CO' BURTON PROJECT: DRWO. BY: B.P.C. MAP OF PROPERTY CNk. BY: C.O.B. BEHRENDT SITUATE AT DATE: JUNE, 1906 SMITH MATTITUCK FILE NO: 87-369 O'CALLAGHAN TOWN OF SOUTHOLD, SUFFOLK COUNTY 1P�E pF NEE. Y . PC NEW YORK y `ES G.aV OP i,� owa TITLE: } Q t• .1 ENGINEERS ARCHITECTS SURVEYORS y OF 244 EAST MAIN ST. .-t .IPV- PATCNOOUE. N.Y. 11772 PLOT PLAN 'r - (516) 475-0349 ,ll\`'.". n;7 w'�1` t. FAX 475-0361 O.- ', J. ..- , _