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JUDITH T.TERRY 1 ‘ Town Hall, 53095 Main Road
TOWN CLERK ; y x •
P.O. Box 1179
Pr/�$ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS / Fax (516) 765-1823
MARRIAGE OFFICER �'ji, sr
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RECORDS MANAGEMENT OFFICER : .( 4 d Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1444 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JAMES T. ZAPPULK
Address 1 : 80 OAKLAWN AVENUE
City St Zip FARMINGVILLE NY 11739
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-96-0011
Name Of Owner BOSCO, FRANCIS L.
Mailing Address 1 OCEAN AVENUE
City St Zip BAYPORT NY 0000
Property Address 1 WHITE EAGLE DRIVE
GOLDEN VIEW ESTATES (LOT 24)
City St Zip LAUREL NY 11948
Tax Map No. section 127.00 block 9 lot 24.000
Cross Street EAGLE NEST COURT
Building Permit Number Cross Reference:
s
Issue Date: 3/21/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY = c Town Hall, 53095 Main Road
TOWN CLERK H Z P.O.Box 1179
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REGISTRAR OF VITAL STATISTICS Southold,New York 11971
1 Fax(516)765-1823
MARRIAGE OFFICER ;,;to O-
RECORDS MANAGEMENT OFFICER .( * �a�,l Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER - , ••1'
OFFICE OF THE TOWN CLERK ,} [
TOWN OF SOUTHOLD
TO: Southold Town Building Department FEB 7
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 28, 1996 T''``''
Transmitted herewith is a copy of application No. 1501 for a Cesspool/
Septic Tank Construction Permit submitted by:
James T. Zappulk for Francis L. Bosco
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 l�
DISAPPROVE •
Comments: � . /
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OFFICE OF THE TOWN CLERK •,,��' ""
Town of Southold •�•��0���fDlk�'�l/ Application No/50
Judith T. Terry, Town Clerk •� { y t
Town Hall, 53095 Main Road �� , ` • • Construction -.
P. O. Box 1179 _ _::
Southold, New York 11971 y ;., yc•,' Alteration
Telephone -- 190 $‘11)
� $10.00 - Residential
(516) 765-1801 1 ����� ' $25.00 - Non-Residential
•TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
•
DATE a`2-1 G't 10
APPLICANT NAME: o-vv��s PpLAAc
APPLICANT ADDRESS: ,O DCAAga r AUe.
• CO.CV1 liinavi 1(Ne_ YkV 11132
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PRQyPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : FrCw1c-i
OWNER MAILING ADDRESS: QCectv1 111Pe..
por+ V-.)Y
OWNER PROPERTY ADDRESS: Ohi1 _ 2- Dcj e - (nolcieo V lei,'
es 4es L - '24 l_cljre
TELEPHONE NUMBER OF CONTACT PERSON ; vis-W(0 fa,
TAX MAP NO. : Section 11-7.00 Block (YA Lot a.
CROSS STREET: .' (t l.JeSf-
BUILDING PERMIT NUMBER CROSS REFERENCE:
1-le ocant
RECEIVED BY :
Town Clerk's Office
DATE: a_ 7. , . .
NOTE: THIS PROPERTY DESIGNATED DISTRICT 1000,
TEST HOLE NO. 3 (V SECTION 127, BLOCK 9, LOT NO. 24 ON THE
0.0 70 LAND AND TAX MAP OF THE COUNTY OF SUFFOLK
Q
t 11 APPLICANT: JAMES T. ZAPPULLA
TOP SOIL (r1 N 80 OAKLAWN AVENUE
to Ut
HEAW LOAM O >� FARMINGVILLE, NEW YORK 71738 1
OQ' CD
O 1 (516) 698-4612
CLAY Q •�V 1 AM FAMILIAR WITH THE STANDARDS FOR
` \ <. LZ O APPROVAL AND CONSTRUCTION OF SUBSURFACE
SEWAGE DISPOSAL SYSTEMS FOR SINGLE
SAND N <�s \ r I FAMILY RESIDENCES AND WILL ABIDE
�& BY THE CONDITIONS SET FORTH THEREIN AND ,
Zg v ON THE PERMIT TO CONSTRUCT.
74.0 �3. 00 fe,.po \��* 2 \ W
�u�� 3k(SLF,_�H-,OLE NO. 3 DATA AND LOCATION \�� ?:� ,, �� DATE
LIC it Y DEPARTMENT OF HEALTH SERVICES !/ \\ \ ��' PL 0 T PLAN
R'DR APP OVAL OF Cf2�!*S�'ItEfCfgplrT FQR 1$ °� \�s FOR
SBPISG ;srl1 Y RESI DF,Ne
E'E , , ONLY bII\ LOT NO. 24
DATE B .".....7.-0- .4:,-oo/i �T c0P \
Al, HS REF. . • 411,
MAP OF
- \ O
' Oma' i , " `� �� foie5 �►�� \ �L GOLDEN VIEW ESTATES
kms. R A�q, UM OF BE -a I IT,ms %,,,,s�. ��ti�rEES THREE2 's` i ` � p� 'o c< LAUREL
YEARS FF'�QMDA+ > ,OVAL <�c^SN x.75 .5,,.. s.�y� 1,-- \O ``'.r TOWN OF SOUTHOLD
�itarrtn nL k o�p z 0 � SUFFOLK COUNTY, N.Y.
FILED: AUGUST 30, 1984
�� ��,.,., • \ .0 SUFFOLK COUNTY FILE NO. 7770
`��OG fie`` �'.• -- 00
Pty , .�$• -� GUARANTEED ONLY TO:
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2 �4" `s Oo JAMES ZAPPULLA
iJ. c
�; 4 No ' .o PROJECT NO. 95-12-26-1-1
S k •.; �; .- . ao. -7, E�a0\,- #.14 o
F4' o a„,..%•04v f 2 s 5 ��$ P�� PLAN PREPARED: JANUARY 17, 1996
tq�QSV � o 46) `� P �`� �2b ,Pc °.2S R=25. DONALD G. DEKENIPP
�aiuutniu` o 0 P� 'f DO
oN. S� \° L=36.64 LAND SURVEYOR
i S O� 354 GARDEN STREET
. ISLIP,SLIP N.Y. 11795
NOTE: ELEVATIONS SHOWN ARE SCALED FROM w`C
SHEET NO. 8-33, TOPOGRAPHIC MAP OF ` 0 \ 1-� (5 9 6) 321 - 1653
,`
1 f FIVE EASTERN TOWNS, SUFFOLK COUNTY, .N.Y. (516) 321 -0932 (FAX)