HomeMy WebLinkAboutOrito, Frank ELIZABETH A.NEVILLE �� �� � . Town Hall,53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS '�� Southold,New York 11971
MARRIAGE OFFICER _ O.�,, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �( �� �►1 Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER Pr- ,,' 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. 3166 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : FRANK ORITO
Address 1: 2680 BEDELL STREET
City St ZipBELLMORE NY 11710
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 #R10-02-0050
Name Of Owner ORITO, FRANK
Mailing Address 1 2680 BEDELL STREET
City St Zip BELLMORE NY 11710
Property Address 1 3420 STARS ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 22.00 block 2 lot 18.000
Cross Street SOUND AVENUE
Building Permit Number Cross Reference:
issue Date: 4/15/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
.. //,iii..
•
,,,,,o�oSUFFot,�0oG_ 3 lCP
ELIZABETH A. NEVILLE ,��pp�� V Town Hall, 53095 Main Road
TOWN CLERK y Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ` Southold, New York 11971
MARRIAGE OFFICER . oh. �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER -,oh.
.„101 Telephone Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .,,,°�� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
ApR t 3 St TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 3304 for a Cesspool/Septic Tank Construction
Permit submitted by:
Frank J. Orito
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: I.,�ls.." ...0" 'i
Signature
4r2r,‘;''' /e- Acro
Dated
O
ELIZABETH A.NEVILLE ifif 4 L Town Hall, 53095 Main Road
TOWN CLERK O . % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � �boo Southold, New York 11971
MARRIAGE OFFICER : G ' 1e Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ssfifo .0.I� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = '' * �." southoldtown.northfork.net
.....�t0
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 Zr Non-Residential @ $25 Application No.33 0
v J Permit No.
Applicant Name 711 , Tf,
Applicant Mailing Address 2 6, 0 lB or
' i.-1,t4o,1 ,-.,v / -7_10______
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration /}/L..p //�L:2)
0 t /LA' /6fAC=/-dip �P ,i
Location of Proposed Construction/Alteration: /S4-26) -7 d S RP, ,�-, /o ff A/if
Owner of Property: ,� J, 12.,[fc?
Owner Mailing Address: 6 gO ® Lam. �-r',
L4,,4b _ /0
Owner Property Address: 2Q 5` A-,e 1t:: ,
Name and phone number of contact person PiC,64,,k,. 0/2fTb -5/6, ,tell -g2:37
Tax Map No: Section .a.... Block Lot i<fr.
Cross Street 5QUA'J ,26-.V- J... [i/
NOTE: LOCATION MAP MUST B SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR f? WITH HE• TH DEPARTMENT APPROVAL
: . .i ( A/I,,.'l C - 3 CY
//6,4„:_-_,
Sign.ture of Appl cant I ate
Received by: 9
Li(
- - --- -
i •
1
I .
..,....cosx'
•••••. . .
sULR0VTEY250F ..t'., • .
U
... -..
NNITAGNER MAP OF.
wrglIalsG IA
il • STAR'S MANOR • .
....--
FILE No. 381;irFILEUADT;cPTED Ala, II. 1163
09_15.4 .. wc.,
------------- ''' .16'Se a
,-..,,......,- EAST MARION
"So. c,,,.. * .102
ll)
fONSIO:""-
tf ' ,„........._-
SUFFOLK COUNTY,
OF SOUTHOLD
COUNTY, NEW YORK
to S.C. TAX No. 1000-22-02-18
t i
0SCALE 1"-T-40.
A%
JANUARY 14, 2002
....I At
__---
E.1411Mbign
,
betweennkittthealaildequatePPfil w:tnrers:an3supPirt:finsiraYnddbirislincege
LOT -- AREA = 20,459.03 sq. ft.
o%
t -01' 04* 0.470 roe. I
til
ti:I =
s•
,.,11.
A
.,'Z'Z•
-.. disposal facilities.
/=.-,c, r. , i•
'PP 075 %I. t...,-3-
..., •= FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK
-
r- UTOPIA ABSTRACT
FRANK ORITO
.cUl "7 1 -c
IC Norzs
1 \
t- I I tuvolsONS ARE INFENENGE13 TO AM ASSUMED DANN
DOSING 12LEVANOSIS AIN SNOW 111101.J0.9 t • ' 002 la ve , 2.Wilt 10 MO ASP VOA VEST NOLE DATA.
3.INI1=1 irING vsylpissont:...7•I TO 4 NE0110031 NOUSE IS 1.000 GALLONS.
\ 0 'aii ...111111111AI 1.4011110 STS1011 TOO A I 10 4 113410001 muss Is 300 Aq II S1OEW4U.404l
I POOL:12.Op%II'eia
\ A _
1, A
/
A \ flp100001E0 EZPANTioN Pam .
/
\
;40' OPINVOSE0 LIAONING ANL
\ l‘i Iri 0
0 EM11010310 UM T/G
/ IG
DR LOCATION or ACLLS N.otsoisSNOW HMCo AIEL Mr FIELD
05001. , -7 • • ..
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
\ o ravot°
FOR A
.__
10613
rot 6.50 44 \ POIRET SINGLE FAMILY
REOrsiltINCSTREUCTION,0;
-
\ . .
3 \
DATE1 17(01. 1 No.-"R/0 .....b 2-0 0.5-
, 1...: =, .1 1 C.1 .OWt -. - - 1 -, \ k 1 r• `
. aN,
APPROVED it.,4)",--.
FOR MAXIMUM OF q BEDROOMS o •
e '....-. 4..t..., ltioNio,
t \ ...
- EXPIRES THREE YEARS FROM DATE OFAPPROVAL
-----__---- •- _
491140
TOuNrONVILY%o NotArom Or
=SON OF TNT NEN WM STAN . L
\.?' 141011011 WM
In:W.:rrhottri#RMAr' A
rrer.triitra.... eese— Land Surveyor
\I
oNly 10 AN PONION-CON quiz
• , SELL-...,,*
\ , '- --'s....---APOROXIMATE
, 4 pa : lafter
?VOA No
MI- Mk Snoop-SubdiN/A0N4 - 514 Mans - Gonda/calm Layout
PHONE(1131P27-2000 Fox 27-1927
-__-- AT
aTersicTifiE„„„„1 . 01110ES Lor.ArED MON AMOS
._ 1360 MUM NEOAX
RIV011€10.!ow ratIc i MI pt. lloo tat '
Riortlood.Now Nark I AM-01,
' ZI 41111 1