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HomeMy WebLinkAboutDrago, Robert _0,.o. /,�o��SUFFOL,�Co G` JUDITH T.TERRY ��_ y1 Town Hall, 53095 Main Road TOWN CLERK ; y P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS `D MARRIAGE OFFICER y*0 NVY� 765-1823 Fax(516) RECORDS MANAGEMENT OFFICER 4 Fax (516) 765-1800 '�► FREEDOM OF INFORMATION OFFICER -v� ,�"t , OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1539 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : ROBERT DRAGO Address 1 : 5 WOODMERE ROAD City St Zip SOUND BEACH NY 11789 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. #R10-96-80 Name Of Owner DRAGO, ROBERT AND KATHLEEN Mailing Address 1 6 WOODMERE ROAD City St Zip SOUND BEACH NY 11789 Property Address 1 5 EAGLE NEST COURT City St Zip LAUREL NY 119148 Tax Map No. section 127.00 block 9 lot 5.000 Cross Street EAGLE DRIVE Building Permit Number Cross Reference: Issue Date: 9/16/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) _,/ . /S-g� O`' $41 JUDITH T.TERRY t'_� Town Hall, 53095 Main Road TOWN CLERK o - % P.O. Box 1179 0 ,i Southold, New York 11971 ` REGISTRAR OF VITAL STATISTICS y ���1 Fax(516) 765-1823 MARRIAGE OFFICER * 0 �1 RECORDS MANAGEMENT OFFICER 01 4 $ ,1' Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER iis" OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 9, 1996 Transmitted herewith is a copy of application No. 1605 for a Cesspool/ Septic Tank Construction Permit submitted by: Robert Drago • 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: Sl ', `i.7 -,1"4:10 ,-- fG -1Y-1-2 eri .. , `-2 Signature ' at Dated/j0 c' OFFICE OF THE TOWN CLERK ��•'' •.., Town of Southold ••' i OLA'e �Q Judith T. Terry, Town Clerk ��`��o�.-' v4-. Application No. / ___)~' Town Hall, 53095 Main Road ;��.T F` Construction P. O. Box 1179 % o - r-rt ; Alteration Southold, New York 11971 %Vs 1 Telephone ,y ' $10.00 - Residential (516) 765-1801 0l 4' 1,� ' $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL • Permit No. • Fee .$ DATE APPLICANT NAME: PO FA7L-- Diet/46- d APPLICANT ADDRESS: 6 bu ic,b 01( IQ ff evc4- (' _AO 71W4CL c ( 7o SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION IV i ) /GL411 . cD wS ZR uct-Corti LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION : OWNER OF PROPERTY: (`O('3(Fg ' 4- ‘061-1-N Lec,V ORO& b OWNER MAILING ADDRESS: 6 wo© .r4ir!j2/t R004l� scuvu Bc Lft Ny ( (7E-9 OWNER PROPERTY ADDRESS: c , ,4&2-j? iNtIS f- re-) v R 1-- L /I0thte2 Ivy TELEPHONE NUMBER OF CONTACT PERSON: g2 / - 7a y012531-7066 TAX MAP NO. : Section 497 Block 9- Lot CROSS STREET: /F/4z../-epgi (/ BUILDING PERMIT NUMBER CROSS REFERENCE: rte' 4, flP ignature of Ap 04�nt RECEIVED BY : . I A''' —// // To n r erk's i ffice DATE: ,,,. . Young & Young, Land Surveyors 6_ig 121 ��l WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS MUST 400 Ostrander Avenue, Riverhead, New York 11901 „IV q coNFOR"ti1 A'1Tli NEW STANDARDS DATED NOVEMBER 13,1 • R'� 516-727-2303 n IIun C` �+ ` ` $ II1ttT1J Alden W. Young, P.E & L.S. (1908-1994) . S 4 Howard A. Young, Land Surveyor l# 3 so* Thomas C. Wolpert, Professional Engineer „�: ail 1`. Kenneth F. Abruzzo, Land Surveyor o Gp , John Schnurr, Land Surveyor e' k%. � it. Engineering �G� ' \pc ° . -b v 41 �Oo\ 'o NOTE: 8 B �, -o 1, SUBDIVISION MAP FILED IN THE OFFICE • •c9 J,J`'?� \00 OF THE CLERK OF SUFFOLK COUNTY ON agle 10ti� 4, ,0 \ AUG. 30, 1984 AS FILE NO. 7770. yo fp c'�`9.p`t' ��� 2. ELEVATIONS SHOWN HEREON ARE FROM Iso �,•.1' ti �• ; �'� f TOPOGRAPHICAL MAPS PREPARED BY US g>"g r � \'�y\ REFERENCED TO MEAN SEA LEVEL DATUM !III 0 !1 `-� 1 �' AND ARE SUBJECT TO FIELD VERIFICATION. g8 Q �O'b c6F) f . cry �` �\` ..4; \ 3. ■= MONUMENT FOUND ii8e .� 4+ • '� N` 1 `I �+ 4. A= STAKE FOUND / Ati 4 + 1.6 �O r�r o V,i♦ . a)%. �O. -‘ e Jho �p t" `r0 5. A= STAKE SET 9 v •kl 111 Lp�pOp G C� `` \\\ . e.1 'e.�ti `IPF' SUAM FAMILIAR %WTHTY THEDSTANDARDS IFOR T oAPPROVAL AND CONSTRUCTION F HEALTH SERVICES EOF CERTIFICATION Adgv4L*1U li J. .+ ,�� SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE 8Y THE CONDITIONS 9�"O_�'_�y. 1b /•� ����� �� dt J � SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT.' §! ; IP. J'� Z w' !� APPLICANTS SIGNATURE: •A 1$ c' ® / �O�`av� \O. \`� o�� APPUCANT: 0 516 ® �`, \� �` STREET ADDRESS: '; • \ • CITY: STATE: ZIP CODE: rat „o • l<sa by •Ai � TELEPHONE NUMBER: a8 �°0�� + ,o ‘c19, 7 SURVEY FOR. 11 a \ ��p \ :k. • ROBERT DRAGO & KATHLEEN A. DRAGO Divioti 960 ,�5° .. e\- 'y� , o\ tiiffi �ti 9yLOT N0. 5 GOLDEN VIEW ESTATES 1194, �� �o > ° e°�� N1- At: LAURELTownof: SOUTHOLD+/+ \ P� �e� Suffolk County, New York 5 �� \ �$ +j d • �j�g 1000 127 9 5 c)6 -V< O ° Suff. Co. Tox Mop: ISUFVOLK cou rrf DEPARTIY�NC OF HEA1.i'H"'iVI:."rj \ �.o S (j6o,, te��2of:triet saetlon Bloek Lot ill a4; ' ,BOJ F e 9 " G PERMIT FOR APPROVAL O/CO? TR1FC1'i0I�3 FCB:. `)'•• �ti� $ �O J Nb 14 SINGLE FAMILY RaSIDBNCE ONLY \ 6�* CO �Ot. ���dGl o EP 4 /� —D0 CI I `'JO k `off' a"bs ,j/ \ , , . ,.. )/ � . \ . t .,e.: rTLG DATE :AUG. 22, 1996 ' FCR MAXI'MU'M OF BEDROOMS _ bt �,� 1 SCALE :1" so' I;b= Ec IRES IREE'iBARS FROM DATE OF APPROVALJOB NO. :96 - 0694 }� SHEET N0. :1 OF 1 O' 1: