HomeMy WebLinkAboutRomano, John //ii���
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ELIZABETH A.NEVILLE , OGy�\` Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
ti Z Southold, New York 11971
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REGISTRAR OF VITAL STATISTICS O �� Fax (516) 765-1823
MARRIAGE OFFICER *S y4,O 0���� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
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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. 1864 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CRAFTSMAN AFFORDABLE HOMES
Address 1 : C/O D & I EXPEDITING
City St Zip MEDFORD NY 11763
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 #R10-98-0054
Name Of Owner ROMANO, JOHN
Mailing Address 1 7 LAVENDAR LANE
City St Zip EAST ISLIP NY 0000
Property Address 1 UHL LANE
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 5 lot 24.014
Cross Street RYDER LANE
Building Permit Number Cross Reference:
Issue Date: 5/18/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE �,�`1` Gy �� Town Hall, 53095 Main Road
3
TOWN CLERK p - . P.O. Box 1179
y Southold, New York 11971
REGISTRAR OF VITAL STATISTICS s!‘, `�� Fax (516) 765-1823
MARRIAGE OFFICER � %N.1 Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER -.7491 * 101
FREEDOM OF INFORMATION OFFICER jos
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 14, 1998
Transmitted herewith is a copy of application No. 1938 for a Cesspool/
Septic Tank Construction Permit submitted by:
Craftsman Affordable Homes for John Romano •
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:
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Dated
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OFFICE OF THE TOWN CLERK c FOi',,-e,'
Town of Southold ��". Oli
Judith T. Terry, Town Clerk Application No./' �
Town Hall, 53095 Main Road
to x,
a ',�� Construction
-
P. O. Box 1179 0- . " .r Alteration
Southold, New York 11971
Telephone 4e21 0 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 .�" /r '410 R
APPLICANT NAME: barab)-(6nketri 4/ vdcLWo 1 69 V i
APPLICANT ADDRESS: C/O D'5 ( fl 1
-CO 1,0 , '/' 11 -71
SEPTIC \/ CESSPOOL✓
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LSh i1 d-- a w i-
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-pcp-f— , 4 reit) —c13— 0o54
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ( 'V Jyg , a /-"YYTS
OWNER MAILING ADDRESS: \?` AM"i Pg ft 11
Clit S)-- 1 -A,C_.(D ILA/
OWNER PROPERTY ADDRESS: � S v%L L4J S f`� E76 /- \/D
o ,<./E
- 14e
NUMBER OF CONTACT PERSON: 0 AiDSJ �
TAX MAP NO. : Section OW Block i 5-5. Lot 2'9, /4
CROSS STREET: -` 6 V HL LA . �6 ' plc RID _, O' e,fr-
BUILDING PERMIT NUMBER CROSS REFER:NCE:..
\ AC (I .
Sp nature of Ap licant
RECEIVED BY: RECEIVED
Town Clerk's Office
DATE: MAY 141998
uthoId Town Cl-krk
I
5t�i IL �t 1 AILa PROPOSED ./KY lCI LJT— L.0 IOC
r1•pt to scale DWELLING "MAP- OE ORIENT �
. P 9 eAee i BY THE SEA
EL- 15+1- existing grade ma _—x, 2'
max. 2' min. SECTION THREE
min. f' cover /� i FILED OGT, 16, 1914
cover ��J"
leaching eeo?'1, min. ercft
AS
G� 1.1/1 �n G
6' deep min. Pitch tank
1/4' P AS NO. 6 160
8' dia.
1/4' Per fti '
s300° f. EL< 5 + SITUATE: ORIENT
dewa
TOWN OF SOUTHOLD
Rlt.
SUFFOLK COUNTY NY
'"'un .af=r EL- 2.0 ---------- LOT 158 ‘...01: 1Sc‘ G
SURVEYED 3-2438
1
< SUFFOLK COUNTY TAX MAP
`- \= v_ _- �' -. _ 1000 15 5 24.14
„� ,$ CERTIFIED TO:
1°33' CRAFTSMAN AFFORDABLE HOMES
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N88 °26 ' 00 •
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• 32 . 94 ' NOTES:
WY p0 2 If. 1
ill
P?1 s 385. 0 . / �° 165 ■ MONUMENT FOUND
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;� ,'.- ? ' _ 0 PIPE FOUND
/ /• i
� ELEVATIONS REFER TO
./2 , �_ AN ASSUMED DATUM
clam- ____ . I' oS 9 01
01 IP
TEST HOLE ON FILE
D ! N AP _• al AREA = 1.0 ACRES
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Received
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�,:;-.PHIC SC:QE 1 ' = E EAST MAIN STREET
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