HomeMy WebLinkAboutPerino, Joseph (2) •
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3297 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOSEPH PERINO
Address 1: 2260 WUNNEWETA ROAD
City St Zip CUTCHOGUE NY 11935
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 #R10-04--0112
Name Of Owner PERINO, JOSEPH
Mailing Address 1 2260 WUNNEWETA ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 1120 HARBOR LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 1 lot 20.009
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 5/18/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE i ,tO lQ Town Hall, 53095 Main Road
TOWN CLERK *% P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ti N Southold, New York 11971
MARRIAGE OFFICER % G Fax I Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ``r. i. A 1 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER -v COATI .*' southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 23, 2005
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3439 for a Cesspool/Septic Tank Construction
Permit submitted by:
Joseph and Letitia Perino
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
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Comments: �-e
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Signature
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Dated
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ELIZABETH A.NEVILLE /it y Town Hall,53095 Main Road
TOWN CLERK ; P.O.Box 1179
REGISTRAR OF VITAL STATISTICS fri
atSouthold,New York 11971
MARRIAGE OFFICER ' ' � Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =� �����
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Telephone(631) 7654800
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FREEDOM OF INFORMATION OFFICER 't /' ' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$100( or Non-Residential @$25 Application No..3 {J/
Permit No.
Applicant Name Jas'Phl ft7/N 0
Applicant Mailing Address -a 6 o W(A.N N u/E-7 /2h1-4)
cu7-c /YO GcJe /•,r, // 93s
Septic Tank or Cesspool A
Brief Description of Proposed Construction or Alteration A/L?Gc) Si c)GG a" Crim'LY
Location of Proposed Construction/Alteration:
Owner of Property: cJO$CP/ir PE/A/0 - F%/Till- C , Pig/H Cl
Owner Mailing Address: .L -6 Cl W u H N C-WE 779- /Lm A
c Tc ff o EF /u. > //Far
Owner Property Address: // a2 0
Cw r e if0 &L/ v ( 1/ .3 s_
f, 971-
73 y7 o&
Name and phone number of contact person �l d SE -'// f #2 i i c c -97 7-76,�-33 ?
Tax Map No: Section/0 3 c) o Block 00/,0 0 Lot O,z O p0 }
Cross Street /h f}i&u R b
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HE TH DEPARTMENT APPROVAL
di
S frature o Applicant Date
Received by: 56l yQ.c,t
110'
Fit,
CiA
SURVEY OF
-114::' LOT 2
10
,° s4°� MAP OF
HARBOR PARK HOMES
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FILE No. 9602 FILED NOVEMBER 22. 1994
�0� tr. SITUATED AT
os
(7, ,� �s °, CUTCHOGUE
v G `� by TOWN OF SOUTHOLD
o.o `'f tO. �,� c SUFFOLK COUNTY, NEW YORK
C�`Y 9 S.C. TAX No. 1000-103-01-20.9
7-\,,,.... SCALE 1"--7.60'
MAY 12, 2004
1rF AA yo { c� AREA = 80,000.63 sq. ft.
o a �pH� 1.837 oc.
4� On �� t‘ %
lib CERTIFIED TO:
SUFFOLK COUNTY NATIONAL BANK
CHICAGO TITLE INSURANCE COMPANY
JOSEPH PERINO
T \ Ilii
O % 750• GCS LETITIA.C. NASTASI-PERINO
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IP
so. °
y MOTE I
LP Q 41 I. ELENM110N5 ARE REFERENCED TO AN ASSUMED DATUM
CP. - wr, ' - ERRING ELEVATIONS AK SHOWN THUSi 30.0
SO OfitA \\ 2. REFER TO FLED NAP FOR TEST HOLE DATA. I
s 3. MN IWMI SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.. ..
\ 1 TANK: 8. LONG. 4'-3` WIDE. IC-7. DEEP
190 00 4. 11 POOL: 12 DEEPT FORA 1 TO 4 BEDROOM HOUSE IS 300 p n XIDET9es AREA.
f 0 PROPOSEDlXPANOL
SDN FO
/�,.c" E ® mo rose)LUCIRNIG POOL
oil
® PROPOSED SEPTIC TANK
S� �44
O S. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HE7UAN ARE FROM raw
N.: S�.3 f J�> 6•kA _ /O E E11_� ORSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
11
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r'L* \'1 a 3- 10�p,M� SUFFOLK COUNTY'DEPARTMENT OF HEALTH SERVICES
m
t.ta ,A v= PERMIT FOR APPROVAL OF CONSTRTJ TION FOR A PRE ED . AM THE MINRARN
'�,' .* ;� ` -'N LE iii'AMILY RESIDENCE ONLY _"°"_0 AND .,:.., TAM
„[�. / TIE 1CRK SOUS kI
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`� 6 DATE 5 F.N0. 0 V. 0 _ I
'� APPROVED / . , Co r �7 S
0. FOR MALUM OF.BEDROOMS r�\ . - 't; �:
o.:
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A EXPIRES THREE YEARS FROM DATE OF APPROVAL l".°'a�
AFD— ,Y
vk s , N.Y.S. Lia No. 49668
111 uwAVllawzTn NTgNT10N OR ADDDION
ffi.1 SECTION TEN•OF THE NEW YORK STATE
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EDUCATION LAIT o h A. kigegno
A 5BEARING
L° w;:ot COPIES OF airs super/IMPSE v Land Surveyor
CEIHEICATION3 THE ammo
HEREON SHALL RUH
1o,4 °G"L Aq 'WS.o w 70 1THE SURVEY i
ITTLE COMPANY
uoNOM INSff0 `HERO04Cr AND 1711. Surveys — SW v stone — Sit. — CarletrucNwl Layout
TO THE ASSIGNEES Of THE 1E110010 Mu-
7CB1011 CERTIFICATIONS ME NOr.TNpaFERAIRE PHONE (631)727-2090 Fax (631)727-1727
J THE ETOSTENCE OF RIGHT OF WAYS OFFICES LOCATED AT WI.? ADDRESS
4 AND/OR EASEMENTS OF RECORD, IF
ANY. NOT SHOWN ARE Not GUARANTEED. 322 ROANOKE AVENUE P.O. Box 1051NowRINERNEAD. NYork 11901 RiwrhooL New Yat 11901-0945
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