HomeMy WebLinkAboutCashy, Harry N OA,
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JUDITH T.TERRY ��� y1�• Town Hall, 53095 Main Road
TOWN CLERK y Z P.O. Box 1179
rr7� '�� Southold,New York 11971
REGISTRAR OF VITAL STATISTICS • 49
MARRIAGE OFFICER 0 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER ('l 41 Ow Fax
(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. 1773 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RANDAZZO BUILDING CO. INC.
Address 1 : 127 SWAN LAKE DRIVE
City St Zip PATCHOGUE NY 11772
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 #R10-97-0136
Name Of Owner CASHY, HARRY AND MARIA
Mailing Address 1 80 COVE ROAD
City St Zip PLANDOME HEIGHTS NY 11030
Property Address 1 1900 HYATT ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 50.00 block 1 lot 3.000
Cross Street SOUNDVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 11/24/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ��� ��� own Hall, 53095 Main Road
TOWN CLERK % y _ -� P.O. Box 1179
W `��� ` a outhold, New York 11971
REGISTRAR OF VITAL STATISTICS Oy �l.,� S,.4 . Fax (516) 765-1823
MARRIAGE OFFICER *O O ,1
RECORDS MANAGEMENT OFFICER 1 ��fy BLDG.DEPT. Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ,�•�t-OWN OF SOU7HOLD .
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 18, 1997
Transmitted herewith is a copy of application No. 1847 for a Cesspool/
Septic Tank Construction Permit submitted by:
Randazzo Blg. Co. , Inc. for Harry and Maria Cashy
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 J. Cooper !� ./)
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE L./-
DISAPPROVE
Comments:
tivig
Sign-at e
Dated
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(;l:I:I(:l_ UI I iv; TOWN C1..I:1tl< ),1 \I q\ I:RA' -
i own of Southold �,,
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Judith I I . Ferry, Tow►t Clerk y '1'►I ,'1• ,; '",; 1 A ) /Ilcnllu
il to. I 5?-- .775?-- .775?-- .77fowl► Hall, 5:1095 Main RoncI R •l: •! ; ;' CoIsl► tcllol Li
. O. 11lx 117n , t` 1:'• .,li;.•1•. i
OAllernllo►►Su► 111n York I ( )ll (� `.) 0_•Ielephone • 4 )X4 (if
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(516) 765 • 11101 r''J"►rr'fl Non' Re0c14!i111n1
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•
SOU f1IO1.O WAS I IOWA I ER DISPOSAL I)ls'1'll ICT
AI'I'I..ICA l ION
•
1111
CONSTRUCT ION or ALTER A'I' ION PERM! 1.
SEI'•I I(: intdi( Ill (:r SSP(MI.
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I'(HrnliI NO.
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,11 $ ,y
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DA 1 1: ...................... / /1/eic..7 _....-
APPLICANTIIAMIi : P ,0 ., .6 Lc.....
APPLICANT AI)I)RESS: 12 C,--x-04--N L4K 4 . 0/2_
SIFI'TIC; ►/ CESSPOOL eZ
I)ESCRII'TIOII OF PROPOSEI) CONS• .ItW CI ION Olt AI..TERA].ION
LOCATION MAP: Must be 1111m:Ihell hereto Ixefore permit may 1)o Issued.
LOCATION OF PROPOSED CONST RUC fIOI'1 OR ALTERA PION :
OWNER OF PROPERTY :...f 1.4..r2:gY - ....P le( -....._C� ff : ...-----pOWNER MAILING AI)I)ItE S
: E0 Calif,
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OWNER PROPERTY AI)I)I2r5S :
I. goo _ ... d.-' _.. D..___..L07_640643
TELEPHONE NUMIII_R OF CONTACT PERSON : 7(:) `(3(`--74
jAX MAP NO. : Section
............ ...... .
CROSS S.I•REn' : ,t.
IIUII,I)IN(; PERMIT NIIMUI:R CROSS REFERENCE : t
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Signature o A1)I)ilt:e111
RECEIVED 11Y :...A1
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DARK BROWN LOW 01
BROWN CtAYp' LOW OH •
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BROWN CLAYEY SAND SC .
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BROWN SILTY SAND S11
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TROrW CLAYEY SANO SC
E.XCAVAI'tOt Icz;^r't:�C:'ttr)N
-40. CIYt1'...',5.'= 11,:r,
PLEASE NOTE
1AITR IN •
*Town CLAYEY SAND SC Sanitary system fr, to be installed prior
to any construction at this site.
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOA; n P71 7.t)i'A;9,�;T' 4.-::t•,1NIF�r;511: "a�OI'1 FOR A
61111.4 ! S�6 n�Y'2 1 .I Cd^1�:01:rI i 31 i
PATEN Q V _,,,, k,,; fir.r
APPROVER _. ,.r! ! .
FOR MA'rtAlliM O'' ,. O1fl' .UI
EXPIRES VIIRF.E YEARS FROM DATE 01 APPROVAL
10 THIS SURVEY IS A VIOLATION OF
• --- SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES or THIS SURVEY MAP NOT REARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL. RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND •
TO THE ASSIGNEES OF THE LENDING INS Fl—
it/MN. CERTIFICATIONS ARE NOT TRANSFERARLE.
URNHORITED ALTERATION OR ADDITION
THE EXISTANCE OF RIGHT OF WAYS
AND/OR EASEMENTS OF RECORD. IF