HomeMy WebLinkAboutLoCastro, Andy (2) V.,gUFFO�,�"
ELIZABETH A.NEVILLE d`!
Town Hall, 53095 Main Road
TOWN CLERK - P.O. Box 1179
�+► Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER y •� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER •,0 Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER �' ,,�' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3155 R Residential X Non-Residential
Fee $ 10.00 septic x Cesspool
PERMIT ISSUED TO:
Name : DENISE HEYSE
Address 1: 206 LINCOLN STREET
City St Zip RIVERHEAD NY 11901
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-03-0139
Name Of Owner LOCASTRO, ANDY
mailing Address 1 107 ERNEST STREET NORTH
City St Zip MASSAPEQUA NY 11758
Property Address 1 250 LAUREL WAY
city St Zip LAUREL NY 11948
Tax Map No. section 125.00 block 4 lot 24.020
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 4/15/04 Elizabeth A. Neville
Southold Town Clerk
(TowN SEAL)
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ofFOur
ELIZABETH A.NEVILLETown Hall, 53095 Main Road
I TOWN CLERK ; y - P.O. Box 1179
at
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
�
MARRIAGE OFFICER . y 0.0° Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =_ �� 'to.� Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER �, southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
R 18 2004
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 18, 2004
Transmitted herewith is a copy of application No. 3292 for a Cesspool/Septic Tank Construction
Permit submitted by:
Andy Locastro
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 peiiiiit.
Please complete the form below and return it to me.
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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Signature
Dated
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�0,,oN�SUFFOL,tco;
ELIZABETH A.NEVILLE ��sti� 4% Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
ti Z $ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v. i
MARRIAGE OFFICER
O Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER \�y� �� is, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER - 0'I * *Doe southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential $10 . or Non-Residential $25 Application No. 3-2 c,
@ @ pp
Permit No. I Applicant Name R , 1( . �- s-L Ln - ,-,_( A 4 C� Lc, C oi.S-\ 10
Applicant Mailing Address Z 0 L Co; v 0 (+1 5 1- .e ' t „ 'J`i II 'C( _
Cli art/ j 1 0r�a .5 A ►i(-.h.• ' g el--
Septic Tank or Cesspool ✓
Brief Description of Proposed Construction or Alteration_ I Q L3 Q e4. i
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Location of Proposed Construction/Alteration:
Owner of Property: Alt d L v a 51 c O
Owner Mailing Address: i 0 ti E: r 1 Q 5 j S 1 . /ti/0I V1
114 3$ k 7t, `'- U , Al i 1 1` 6
L--
Owner Property Address: o f 2 1f L a i (-4-1 [
- ; rt ie--S
GI- ti0Q �L N /i aso Ln P coat
Name and phone number of contact person C-lex k., l e s 1 0 a 5 66 5/ 74 7 r) l 5
Tax Map No: Section / 2.S Block LI Lot 2t-( , 2 0
Cross Street t( (j; r it a K.. & a' L c. () rt i .rr-'et; ,
NOTE: LOCATION MAP MU ;E SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES :URVE WITH HE• TH DEPARTMENT APPROVAL
.or 4 1( $
7( 3j1/ 0 L-1
// '' aa Signature of Applicant ate
/lJ
Received by: . ��t/,,&-,;
•
•
Young & Young
.0i. 400 Ostrander Avenue, Riverhead, New York 11901
•\4...v <' 631-727-2303 iii
. , ti 0 z
/ Howard W. Young, Land Surveyor a
Thomas C. Wolpert, Professional Engineer int
Robert C. Taal Architect
Ronald E. Pfuhl, LandscapeArchitect >'
�� 4/� \ HEALTH DEPARTMENT USE
. * \ / // // EJ i OLX. as F --
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/ __ T"i'Iil!tf1II'S :�iA HEALTH ail
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* i EXPIRES THREE YEARS F_ ir!DATE ?PR3 AL I
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7er, \(? ,i----________-:--1/ r
tea\J`S�O� ���CP \a° �y °o„N,/\�fiq�, 31 SURVEYOR'S CER1IFICATI0 1` ' C
\ 1\ 9>'96‘
f4P \ y( `` • WE HEREBY CERTIFY TO ANDREW LOCA- -.• C)rn
` VI c A1. NANCY LOCASTRO THAT THIS SURVEY 2;1.=
trr ? . ;
� \ S/ Art CABLE 90 \- \ -.T •.I,..,jii.,�
\ 0� ACCORDANCE WITH THE CODE OF PRACTICE �' , �0,> _� 5
e►� ' ;8 0 REBrR�S `\ ADOPTED BY THE NEW YORK STATE ASSOCI •'Y1 W-.-).-r, `,A -4
00.5‘...C- / ;6' a FOUND \ PROFESSIONAL LAND SURVEYORS. 1. ;8
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‘.,''..% °: _ W ,FIEF OK Boa O 2
u '4� s Q r't`�i:`,f' il
\• � � c ` HOWARD W. YOUNG, LS N 45893 OQ ISI
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a, <. 45895
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`\�sS X9'9 '�a.r 1 J SURVEY FOR
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ANDREW LOCASTRO & NANCY LOCASTRO ii
/ LOT 27 "MAP OF LAUREL LINKS" iV
cv a
' At Mattituck, Town of Southold 1
Lot 27' a v', � Suffolk County, New York 1
\.\ N Block/ County Tax Map District 1000 Section 125 B, 4 Lot 24.20 IQ
NOTE • 0 n C.� --' BUILDING PERMIT SURVEY
Ae S 26343• -� -- `
AREA =
314
• • SUBDIVISION -MAP OF LAUREL•LINKS SOFlLEDT. THE OFFICE \., SUbd'''%-io„Sp
p°I-ce/ , --` - / I , gE
. OF THE CLERK OF SUFFOLK COUNTY ON NOV. 23, 2001 AS .q' -- ADDED BUILDING PERMIT DATA SEPT. 19; 2003 E)i
FILE NO. 10712. \ Our / MAP PREPARED JUNE 4, 2003 /t
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• VERTICAL DATUM = N.G.V. DATUM (M.S.L 1929) \ "ks- ---- SCALE 1" = 50. BP 9E
0-MONUMENT SET .MONUMENT FOUND A-STAKE SET A-STME rano -- J JOB N0. 2003-0212 V 1 1
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DWG. 97717_027_2003_0212_bP f