Loading...
HomeMy WebLinkAboutTese, Vincent ''_, iii �o� S11f F0(,�00G ye • • ELIZABETH A. NEVILLE �` Town Hall, 53095 Main Road TOWN CLERK ` " P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 11.7 Southold,Southold, New York 11971 MARRIAGE OFFICER �� y Q�,. Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �'1 jigja•,, Telephone (631) 765 1800 FREEDOM OF INFORMATION OFFICER '�v ,•is' 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. 3237 R Residential X Non-Residential Fee $ 100.00 Septic X Cesspool PERMIT ISSUED TO: Name : PECONIC CESSPOOL Address 1: P 0 BOX 972 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration REPLACE OLD TYPE CESSPOOL WITH NEW TYPE PRECAST MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDING, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED Name Of Owner TESE, VINCENT mailing Address 1 130 EAST 74TH STREET City St Zip NEW YORK NY 10021 Property Address 1 800 JACKSON STREET city St zip NEW SUFFOLK NY 11956 -ax Map No. section 117.00 block 10 lot 5 Cross Street NEW SUFFOLK ROAD Building Permit Number Cross Reference: tLfes.>) Issue Date: 1/26/05 Elizabeth A. Neville Southold Town clerk (TOWN SEAL) a2 a7 • • I���,i/FOIFFOUr . O ' ' ELIZABETH A. NEVILLE i,, Gfi y1` Town Hall, 53095 Main Road TOWN CLERK P.O.epi, Z $ Box 1179 O ''��� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �; MARRIAGE OFFICER : 4 0-i Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER - e. * *;8" Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER •.,,,,,ss southoldtown.northfork.net OFFICE OF THE TOWN CLERK 5 2004 TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 5, 2004 Transmitted herewith is a copy of application No. 3379 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Vincent Tese 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. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Maintain required setbacks from adjacent wells, buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. . k ,,,,,,... ,..i.,,,,, 4 Signature ffeeed.%., Dated . I 4 , • • OFFICE UFTHE'IU11'NCLERK �II� ������ r�,� TOWN OFFO(IInu1,D �� r'J /Q AI,I,lil alit,ll tsll►. Elf/A1111111 A.NIIVII.IJI,'I OWN C1.1AtF. 0 ` Gam, P.O.11UX11/9 % 1 .UIISt, lll.lil,11 ✓/ SOUIIIUU).NEW YURK 11971 _- i- Alleratil)11 "1$‘1 ���C' 'I. II). 110 Itesicle►Itial i-- -telephone �`' .�, - __- (G31 ) 765- 1800 N'. igt • Lll�t(11 'I "x.00 Hon Residential TOWN OF SOU-I IlUl I► SOU TIIOLD WAS-rhWATI IZ i►I';I'1►';/\I id!, I itll: I API'I_ICAI Ic ►l l r()I- CONS rRUC-r ION or AIM EPA i if )11 I'I I'.r,l1 I SEPTIC TANI< or 1;1-Y1'()OI Permit No. Fee $ DA 1.110 /O/S/ait APPLICANT NAME: I'f?1.'ON 1 C CI';s:31'OOI� APPLICANT ADDRESS: P . 0 . HOX 072 r1A'I"I' I 'I'll('1c , NEN —Y0l I; I I 0'0 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION oft Al:1 [HA I loft LOCATION MAP: Must he attached hereto beim e ',el alit may he is,hell. LOCATION OF PROPOSED CONSTRUCTION OR Al I HON I IOII : OWNER OF PROPERTY : // �� _ OWNER MAILING ADDRESS:- 0 3O ge�.� -a'z7 St &.�• /L /'Q -,' OWNER PROPERTY ADDIU SS: d ____ e TELEPHONE NUMBER ( " CONTACT PERSON : (99k_ qc._ .o TAX MAP NO. : Sectioj_ /7 Block. 1© I of 0 S CROSS STREET : _.—.. BUILDING PERMIT 1' DOBER CROSS REI-f-lf TILE : f __ I/r . _- S!�lU't111 U of /1,I)licallt RECEIVED DY : 6,5,14,v,L0.019..cri,_t:- / T w Clerk's Otfice DATE: /0 ( S Of • J4 c,,,.,, ST�'FE s.73 ^� = 39 0£r"4, VINCENT TESE . / 2T pp' 800 JACKSON STREET NEW SUFFOLK a I °� � .S. Pc f �4 ,J+ ; '- l'' r I , /I ,,r 'i I P, ,err ii -II:: `r / 1 3J/' /x N � /• +art f'. I /° I T A t 11 xg t \,-, U.�q{: n ` ` , ,c SURVEY FOR �N JOYCE TESE rrris ' '; r3 ANC U AT NEW SUFFOL �' ... TOWN OF SOUTH / ty € -v p s COUNTY, � � ��4: 2 I., - 10 - a 4 T. .s'� L& 1"_ 40' f 1 'R.25, 1988 'c f ss.a • IA' 'A -- -•'- AR*{B,1999 -{t� _ r.e rn N r r y as 'xr ili -1- f �4' r. AV o- tc� r. (. f I M I 14^n c Z. ---_____,_..z.,..„„. ,,,,1 CER OFIEU TO, JOYCE TESE v r� 1 r, i CE. 11 1 ANY k Km 2C 08 elta/M: TO I E *A .AOL u.ysK z 1 e .it O OF SECTION 7209 rm.:.NEW rLRA TA C E dA.A T10N LA., u�� 0 SA HENSON ARE VALET T.'S F AN., r-r i ?1K. ( O SAC?MAP NA r:Y - c'' d'. 4qs I. j.E sc� Ac „t �r.t • ,r0istf, ' b MHOSE.SJ6NA7(iWE{,-Fr£AF�ftEf•'TON i t t ' �367,To_4 t .. V L A 591KWALL Y'TO LLEA Wr TN SAO LAp THE,/,`Thy'Al 155E-5*' MOST BE USED BY ANY AMO ALL S VC 1.VII/ZNb A C ✓ OF ANOTHER SLHVE rCR'S NAP. T SSSSSttt/WW��O11111 . .CLE( ARO {.r*KW i-O 1 ' {I • WROUGHT-TOGA FE'ARE mor N trr role L.•*. I i1 r '' 1'.. ND. 49616 C PEG'QA/^ QA „.��Vl�• G7j7 Y AREA 4 25447 saes 10 tis kas ttom�, ra %J, 'Y. 1971