HomeMy WebLinkAboutPosillico Construction (2) c / II
•,o��g�FFO(,�c0 ,
Gy ` Town Hall, 53095 Main Road
JUDITH T.TERRY j
`
TOWN CLERK ; y Z $ P.O. Box 1179
v Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER 'yijJ 0� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER -: �l *a," 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. 1453 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : POSILLICO CONSTRUCTION CO.
Address 1 : 31 TENNYSON AVENUE
City St Zip WESTBURY NY 11590
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. #R10-96-0015
Name Of Owner POSILLICO CONSTRUCTION CO.
Mailing Address 1 31 TENNYSON AVENUE
City St Zip WESTBURY NY 11590
Property Address 1 2495 KERWIN BLVD.
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block 4 lot 44.034
Cross Street AUGUST LANE
Building Permit Number Cross Reference:
Issue Date: 4/09/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
i
iii, 1 ,� 3
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JUDITH T.TERRY t C y- % Town Hall, 53095 Main Road
TOWN CLERK % y Z % P.O.Box 1179
REGISTRAR OF VITAL STATISTICS IG *. 0 Southold,New York 11971
MARRIAGE OFFICER Fax Fax(516)765-1823
RECORDS MANAGEMENT OFFICER -y'ge.� * i►�0��', Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER -•.•~, ••'.'
OFFICE OF THE TOWN CLERK 5 1996
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 22, 1996
Transmitted herewith is a copy of application No. 1512 for a Cesspool/
Septic Tank Construction Permit submitted by:
Posilllico Construction Co. •
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: .,,f,G'� I �i'j-J J��fL� 1•C , Jed.-%6 yC�d/3
RECEIVED
APR 9 1996
Signator
Town Clerk Southold '1/9 9 6
Dated
OFFICE OF THE TOWN CLERK ..��' ""
Town of Southold •�s"ic) f[Mkt>, - Application No. /-S-7.4)Judith T. Terry, Town Clerk �e� �� {. Gy
Town Hall, 53095 Main Road ; � Construction L
P. 0. Box 1179 •
Southold, New York 11971 �� yc ,' Alteration
Telephone -`'O� $10.00 - Residential
Tele
p = � 116• t.
(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 -3/2 Z/76,
APPLICANT NAME: Pas/G-/GO Go A/3
APPLICANT ADDRESS: -;/ S 0,V AVE
es7ovry NY PS- v
•
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
2 PD' - 5E391/ 5)'s7'eV1
LOCATION MAP: • Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 1:395/Z- /6l° e-oZS1'. Cts ,
OWNER MAILING ADDRESS: 3/ «vi"YS& /1V
i ve373 z y NY /is 9 b
OWNER PROPERTY ADDRESS: 24{9c /1'Q✓wit-• $/vI
TELEPHONE NUMBER OF CONTACT PERSON: 3-33 - o 6 b
TAX MAP NO. : Section S ' Block Lot 4/'/ 3e
CROSS STREET: 504-,�7,1 454- , is is ' L•4- vc
BUILDING PERMIT NUMBER CROSS REFERENCE :
/z7 ;:i;,/t4;,
Signature Applicant
RECEIVED BY : Cr
Town lerk's Office
DATE: 3 - 02 a ��
A
No-te: _pi-- rrurnbers shown ,ef-er +o 'Mar"of aua0s7'-'4c,bs.; SUFFOLK CO. HEALTH DEPT. APPROVAL
f=iled ,h -I-I-Te .30j-folic Co. Clerks office o5 M /7 t-/o_9/07- H S. NO.12107-96,-17OId
/04(L7 OF Peo 2TY
J.evEYE-0 . 2 I_oT 25 -- �� OT [26 1
-
V4Cati+i VgGYr;T;
—sir
e44 '---7/--(41\40Ml—)GUE
! STATEMENT OF INTENT
\, 9 r�ON -�Y I THE WATER SUPPLY AND SEWAGE DISPOSAi
TOWN OF AUT 1��SPEC IgatIk _'09.40"E.
- I _ SYSTEMS FOR THIS RESIDENCE WIL: '
aGOrrt) S.4_ 9 40 E. 164.0 — ! i CONFORM TO THE STANDARDS OF THi
SUFFOLK CO. DEPT. OF HEALTH SERVICES
v, Scale : 50,=!" _ (SI_
APPLICANT
• WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS MUST Q N SUFFOLK COUNTY DEPT. OF HEALTF
Q SER VICES - FOR APPROVAL FO
CONFORM WITH NEW STANDARDS DATED NOVEMBER 13,1995. N N
[ . ., , '
SAO ` • L.07 32 CONSTRUCTION ONLY
_SZCcTi�y.V�,- 'pause DATE:
§ ", ww/ 4C, ;S O sq.ff. -, H.S.REF.NO. s
'
\\ = APPROVED:
V \ • / ' I I
r:0r SUFFOLK CO. TAX MAP DESIGNATION:-
I- a DIST. SECT. BLOCK PCL.
; - m 0 a
N„.; 1000 053 4 44.34
/ N„.; OWNERS ADDRESS:
/. PVC � \,‘. � i'-'- -� � � Fr2C-CE�'!C!G � VAL`2/F 2EUTZ
25—}
__ '-lo osil/ic, Cons--ructrcrr Ca_
- LOT ---' N , protb kau e —' 31 Tennison Ate..
,4 ham ' b 4 bedraos-10 cycle• •-13 z Vhf bury,N.Y. 11590 (333-0666;
I ._ lf) — —
.9 j' 1 pent,,./coo ri. I DEED: L.N/A P.
`` Q L ,:�sepfic l'anlG, L TEST HOLE STAMP
+v dis+,;(,. box* a..eEe en or..
- �� `` z ;1 O / 4.2 cpoois 84 6 ' : I rouussurvey rsav-0uoonof
cpools \ b{ y 507er�E` socareoeofm.Now von syn
1 edua5at lana
.S.j j - - Ceoyo MlhiS amw0 may not besting
Pte band emroY<h inked sou ot
`` 304.5 3" 9 O"W. - f64.0 embossed feel shall not bs considered
'(��p�� toga wdnuaca0l[
—^ —J war-l'pY moirt ---- I —^-_ __..-- --•_ --- CunanW.Mctnd hereon Moll n.:
C�2virry F�0UL / D , gin", d"..��bbbehalf MOM dw
SUFFOLK COUNTY DEPARTMENT HEALTH SERVICES tatecompany,t>o romgrsnd
-Z... rending nuambn listed Noon and
PERMIT Pox ArrROVALOF STRVC ION FOR-A,.. y a eneoswar-rassof d,ete,enq intl.
�� .+'pi� � j� bsron.Guacrgeea aronot vanneEebte
SINGLE FAMILY RESIDENCE ONLY to ddn:mm n=ru:.,ns or subsequent
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DAN/ •%i ?I H -F. ••',d-9-A O/ ( ` (� (�' r {� (� ! U f
APPROVED �� / 4 -' r�i \ c'poo/s ��{{11�� uuAAj IUN INJPEUIPO� {i SEAL
\ 1U�i111 ..�F -iiti
2.1_
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FOR MAXIMUM OF=1_BEDR•• S I L -- n ,Q� ocK gal. �o,
E{pIRES I�IItBEYE+RSFROMDATEOF�PPROVAL l I� S.C. DEPT. G� j •y,c, "is-;:
Ftou;,e rr r,k ES n .,r, rc is r
\ Mouse Surve�ecl lib_ f� ! �
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\' __- RODERICK VAN TUYL.P.C.
.� __ I IE i;...7 V..— i .rr \y62b o
sCS25P�
l� I OEAo 5J
- Q LICENSED LAND SURVEYORS I
cpools L)
GREENPORT NEW YORK
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