HomeMy WebLinkAboutBovino, Charles 114004
ELIZABETH A.NEVILLE h`1` yfoi �►• Town Hall, 53095 Main Road
TOWN CLERK o -� P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS %0 ?Pt• Fax (516) 765-1823
MARRIAGE OFFICER � 4 f os/ Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER ? 49! *1 �0I
FREEDOM OF INFORMATION OFFICER •
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1905 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SAMUELS & STEELMAN
Address 1 : 25235 MAIN ROAD
City St Zip CUTHCOGUE NY 11935
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-09-0067
Name Of Owner BOV I NO, CHARLES
Mailing Address 1 2 HIGH MEADOW COURT
City St Zip OLD BROOKVILLE NY 11545
Property Address 1 9775 NASSAU POINT ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 119.00 block 1 lot 5.000
Cross Street WUNNEWETA ROAD
Building Permit Number Cross Reference:
Issue Date: 7/30/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
4oZ .
ELIZABETH A.NEVILLE ��`1Town Hall, 53095 Main Road
TOWN CLERK ti P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O •� Fax (516) 765-1823
MARRIAGE OFFICER � W %\'��� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER : �Q! 40
FREEDOM OF INFORMATION OFFICER of's/10
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 21, 1998
Transmitted herewith is a copy of application No. 1980 for a Cesspool/
Septic Tank Construction Permit submitted by:
Samuels & Steelman for Charles Bovino
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.
•
i
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
Sinatur
/ 1.1 1 '
Dated
OFFICE OF THE TOWN CLERK c�\;Cft7(,�n
Town of Southold O
Judith T. Terry, Town Clerk � `Oi..
�_i- (- y Application No. 1 O
Town Hall, 53095 Main Road
P. O. Box 1179 v' C_� , pity, Fn- ConstructionSouthold, New York 11971 _
• 0� 4f Alteration
Telephone `Ol 3.. b -ft Residential f/
(516) 765- 1301 ' �,
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION
• for
CONSTRUCTION or ALTERATION PERMIT
•
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$
DATE 7 02o/F8
APPLICANT NAME: � uEZS • X i , Fad - /.
_ / /moo
APPLICANT ADDRESS: 97 5 /Ka3c Pt-. d06L, / • . ,_5- Aiti '
SEPTIC7 CESSPOOL �(F33
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
ante, ll-
��/j�TYt o RA-c::: - � GC.balidvhnedito
LOCATION MAP: Must be attached hereto before
permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION.
• OWNER OF PROPERTY:
• OWNER MAILING ADDRESS. #t(p m7/0142
‘724,1 Cr
aid, f3 letjctc.C- /V ~ • /(SY S
OWNER PROPERTY ADDRESS: ♦ 775- , / g 1/t ,ed.
•
TELEPHONE NUMBER OF CONTACT PERSON:
0,5--
TAX
STAX MAP NO. : Section Ill . Block
/ Lot S-4 r
. CROSS STREET: GU0/VNG-Zv6Ty k0 .
BUILDING PERMIT NUMBER CROSS REFERENCE:_.
. �_
411.'" U.,e-53 P
iJnature of Applicant • •
RECEIVED BY:
T wn Cleric's Office
DATE: r2.I 9S ••
•
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PLEASE NOTE r
Minimum distance between well
and cesspool is to be 150 feet.
suPPOLCCOUNIY DEPARTMENT OF HEALTH SERVICES
PERMaT FOR APPROVAL OF CONSTRUCTION FOR A
ANGLE FAMILY RESIDENCE ONLY
DAzsJUN 0 3 1998 . NO. \ • '•
APPROVED
POR MAXIMUM OF 1 .. _E •OOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL /
SITE DATA
SCTM# 1000-119-1-5 and 6
PROPERTY: 9775/9875 Nassau Point Road
ADDRESS Cutchogue, NY 11935
OWNER: Charles and Janice Bovino
2 High Meadow Court
Old Brookville, NY 11545
SITE: 93,654 sf
AREA 2.15 acres
ZONING: R-40
ri nnn.