HomeMy WebLinkAboutColelle, Antonio N'
JUDITH T.TERRY it_� co
Town Hall, 53095 Main Road
TOWN CLERK ` y i P.O. Box 1179
i Southold,New York 11971
REGISTRAR OF VITAL STATISTICS O #
MARRIAGE OFFICER ‘1i* 1 Fax(516) 765-1823
� �/
RECORDS MANAGEMENT OFFICER �.1 �� soo 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. 1646 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ACE BUILDERS, INC.
Address 1 : P. O. BOX 426
City St Zip SHIRLEY NY 11967
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. SCHD REF. #R20-94-0046
Name Of Owner COLELLE, ANTONIO AND ANNA
Mailing Address 1 15-55 201ST STREET
City St Zip BAYSIDE NY 0000
Property Address 1 NORTH BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 2 lot 3.006
Cross Street
Building Permit Number Cross Reference:
Issue Date: 4/28/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
g''"OFFO� /46P-SOS �C�
JUDITH T.TERRY ��� � , Town Hall, 53095 Main Road
TOWN CLERKy P.O. Box 1179
REGISTRAR OF VITAL STATISTICS O {� i. : t Southold, New York 11971
r' ' '' Fax(516) 765-1823
MARRIAGE OFFICER yi
RECORDS MANAGEMENT OFFICER :f'Ol A.
1�0 Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER �
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 11 , 1997
Transmitted herewith is a copy of application No. 1716 for a Cesspool/
Septic Tank Construction Permit submitted by:
Ace Builders Inc. for A. Colelle •
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
DISAPPROVE
Comments:
RECEIVED
APR 2 5 1997 /4.1",7
Signature
3 )zs /1-1--/Y7
Dated
Sout 0td Town CE,T kt
OFFICE OF THE TOWN CLERK Oc3�FFGL, O
Town of Southold C
Judith T. Terry, Town Cleric ��' , Application No./21‘
Town Hall, 53095 Main Roadtrs
Construction `P. 0. Box 1179
Southold, New York 11971 O �O �J Alteration
Telephone 1 * `� Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee $
DATE April 9, 1997
APPLICANT NAME: Ace Builders, Inc.
_T
APPLICANT ADDRESS: P.O. Box 426 - —
Shirley NY 11967
SEPTIC X CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
2 story single family residence with attached 2 car garage
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: North Bayview Road
OWNER OF PROPERTY : A. Colette
OWNER MAILING ADDRESS: 15-55 201st St Bayside
Bayside, NY
_______------ ------___.
OWNER PROPERTY ADDRESS: North Bayview Raod
TELEPHONE NUMBER OF CONTACT PERSON: Jean Dawsom 281-5500
TAX MAP NO. : Section 79 Block 2 tot 3.6
CROSS STREET :
BUILDING PERMIT NUMBER CROSS REFERENCE:
-_---,
Signature o Applicant -
RECEIVED BY :
Alltaniffels Office
DATE:
Town Galt Soutao t
7., .........
El
_____MOoflitwoes Ouug o 11, °mac0 -...lit me,/
r
uug i
o ala
s °"� �vCckL // ��C�Lat.JG
0
itagirrhy �j ss
/ Po
// 41 e2 0 / c'1/4,:::: 4v
~ R�1'P)
• / 0
c 9,4 So��,, 1 •s/•S/, ex(
as s4 BOO&A
....04
tr
b / o r� •62e
� O et. •IvE / vP
—F::::1— RPh / ?�� 40''rr•o LL /
7
10
D ` QO
qO
/41/
tiD4‘
.7--/-..--,4„° 4-P `. 1Dasa�R2os
V AP
0/ / h 4oW
iv
17 41
/ r- /
\
o. J 4,' O
,4 '//// Ir,{4 use�R \ 9. OQ
/ J
\ tir7
\;3. .e..4
o // 43 A.`
\�k o 'IV o / v ,Pr �Q
,,// q .,
.eo Co/ ��
FO, `rf �^0
o
p /1- tL
46,7 /p 0 G!
sA '2. J
N
°a , SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
`tiFOR APPROVAL OF CONSTRUCTION OF
o SINGLE FAMILY RESIDENCE ONLY
NOTES:
I. ■.MONUMENT FOUND A'STAKE SET DAM 6-z3-RLI- I�;(',T.NO\ 1Z Ti°-R 4-GYJ
2.SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK \
/`
OF SUFFOLK COUNTY ON OCT.16,1985 AS FILE NO.7987. APPROVED a `A. .....m..-
3.ELEVATIONS SHOWN HEREON WERE APPROXIMATED FROM
TOPOGRAPHICAL MAPS PREPARED BY OTHERS AND ARE TE APPROVAL REFERENCED TO MEAN SEA LEVEL DATUM. EXPIRES'THREE YEARS
Ka-Vs-51:1,-0 Li-p 1-9-7
•
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION SURVEY FOR:
'1 AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE
SEWAGE DISPOSAL SYSTEMS FOR SNCLE FAMILY RESIDENCES AND WILL ABIDE BY.THE CONDITIONS ANTONIO COLELLA a ANNA COLELLA
SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT.- LOT NO. 6, "JAMES W. DAWSON D
APPLICANTS SIGNATURE:
APPLICANT` At: BAYVIEW Town of: SOUTHOLD
.STREET ADDRESS: Suffolk County, New York
CITY: STATE: ZIP CODE:
TELEPHONE NUMBER: Suff. Co. Tax Map: I 1000 , 79 , 2 , 3.6
DkWet Section Bleak Lot
CERTIFIED
Young & Young, Land Surveyors ANTO,,, ;y: utak yk
400 Ostrander Avenue, Riverhead, New York 11901 FI'; ;) .-ANCE COMPANY
516-727-2303 C;
MAR.26,1997
/� '" �'•_��• JUNE 16, 1994
' Alden W. Young. Professional Engineer d Land Surveyor ";� DATE :MAY 9, 1994
toward W. Young, Land Surveyor 4i 40 '� SCALE :1'-50'
Thomas C. Woipert. Professional Engineer SFp1-A 3 JOB NO. :94-0220
®
Kenneth F. Abrusso, Land Surveyor SHEET NO.:1 OF 1 e--+
women=AMMO OR 000 0 IK WRSl9 MM MOI WNW Ce1M1(0 WORM.DSM P1*11100111 IMS OWOOMWS IMM:O leu.ml OWL OM OMT S It/.MIDI lel MOM IW NIM Nfe le•fOM v All MM 1TIR
.MO1MN w 10 M11M,Mr O WO_ n _10 O WM01CM'M MM®Moa a A 0•0001~PAM MW R0,01W .,*. •0.......M..rW u.,w. w, 0 ww.111000 MM.aW...r•.*ton.ow.UWw. YG._ ..