HomeMy WebLinkAboutPatane, Alfredo (2) /..///i
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ELIZABETH A.NEVILLE ;= Gyd Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
y Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � � �
MARRIAGE OFFICER `. . � �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ; �Ql 0 �� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER r�' 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. 3181 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ALFREDO PATANE
Address 1: 2804 WOODS AVENUE
City St ZipOCEANSIDE NY 11572
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 #R10-01-0180
Name Of Owner PATANE, ALFREDO & JOSEPHINE
Mailing Address 1 2804 WOODS AVENUE
City St Zip OCEANSIDE NY 11572
Property Address 1 4430 THE LONG WAY
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 2 lot 93.000
Cross Street THE STRAND
Building Permit Number Cross Reference:
Issue Date: 9/01/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
a-
G• '
•ELIZABETH A. NEVILLE �� �d` Town Hall, 53095 Main Road
TOWN CLERK H Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �
e Southold, New York 11971
MARRIAGE OFFICER ` �� 5
a0i•I TelephonFax e (63 31) 6765180054
RECORDS MANAGEMENT OFFICER z 1 � �►�.0
FREEDOM OF INFORMATION OFFICER �,,,,.��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD MAY 2
I 2M4
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 21, 2004
Transmitted herewith is a copy of application No. 3322 for a Cesspool/Septic Tank Construction
Permit submitted by:
Alfredo Patane
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: IZ: 4"s....,1„44.7e;‘•
31‘44- 4745(1\
Signature
rfrtga--02-K oli94/4*
Dated
,•1° ,Og�FFO�,�co
ELIZABETH A.NEVILLE 1�/0 4\ TownHall, 53095 Main Road
A
TOWN CLERK '' _= 1 P.O. Box 1179
y Z $ Southold' New York 11971
REGISTRAR OF VITAL STATISTICS % v •� �� Fax(631) 765-6145
MARRIAGE OFFICER
O
RECORDS MANAGEMENT OFFICER =y�f O./ Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER =O" * ',aI' 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. 3.32
Permit No.
Applicant Name Alfredo Patane
Applicant Mailing Address 2804 Woods Avenue
Oceanside, N. Y. 11572
Septic Tank x or Cesspool x
Brief Description of Proposed Construction or Alteration Construct ion of s i ng le
family house
Location of Proposed Construction/Alteration:
Owner of Property: Alfredo and Josephine Patane
Owner Mailing Address: 2804 Woods Avenue
Oceanside, N.Y. 11572
Owner Property Address: 4430 The Long Way
East Marion, N.Y. 11939
Name and phone number of contact person Alfredo Patane ( 516 ) 678-8338
Tax Map No: Section 30 Block 2 Lot 93
Cross Street Strand
NOTE: LOCATION MAP MUST 0 SUBMI TED VITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR v I TH 1 EALTH D PARTMFAIT APPROVAL
0 pP.; 1
1 Oy
Sign: : of Applicant Da
Received by: A )'L--L_
OF68
11 SURVEY' �OT N
MAP'OF PEBBLE BEACH FARMS ,
FILED JUNE II, IG15 AS FILE # 6266
SITUATE: EAST MARION SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES WE
TONNAL PERMIT FOR APPROVAL OF CONSTRUCTION FOR A /pN
SUFFOLK COUNTY, NY SINGLE FAMILY RSSIDENCE ONLY
SURVEYED 01 - 15 - 2001
HEALTH DEPT. OS - 13 - 2001
`DATE? /W H.S. 'a� "Ko-01 -COUNTY TAX #
\ /IS)bt3
69
1000 - 30 - 2 - G3 APPROVED tA�A
CERTIFIED TO: FOR MAXIMUM OF 4BEDROOMS 56
ALFREDO PATANE EXPIRES THREE YEARS FROM DATE OF APPROVAL 01Vb, 0
3
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I,Ylauthorited alter°tion or atltliklon to°survey
' �.� map dear ng a u�eneea ane evr�eyar 7 Beal s
NOTES: FOR SANITARY SYSTEM tan ee tan,z�,�d eon of t e
New York State Eduwt on Law'
THs '� "cnly caplets'ram the arlg9lnol of this survey
• MONUMENT FOUND Y H DEPARTMENT j` ma ketl with o °r gVgl cf the
stooped seal still be ccnsidered,r4',7:::.:,
Alli
AREA = 23,186 S.F. , s"Lertiticatione ina atea ere° eig lfy mat thle
lrvey was prepered in accordance with tM ex-
i tNg Lorin°t Practice for Lmd Surveys atloptetl
ay We New York State Ass°clatkfn of Professional
ZONING AS SHOWN IS FOR R-40 NONCONFORMING awsrveyare. Sld certlficatiana shall only
m the person for whom the wrvey Is preparna,
antl on FIs behalf to the title compomy govenmlen
Lal agerwy and lending Instltuti°n Ilstea hereon,antl
SECTION 100-244 WITH MAXIMUM LOT COVERAGE OF 20% h°aseg°°'aftMl°ndigl,n non. certifk°-
tions ora oat transferable tc odditlonpl lnsGtutl°ns
ELEVATIONS REFERENCE AN ASSUMED DATUM JOHN C. EHLERS LAND SURVEYOR
GRAPHIC SCALE I"-- 30' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
EN MI - RIVERHEAD,N.Y. 11901
369-8288 Fax 369-8287 REF.-U11)server\d\PROS\01-227A.pro
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