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Home My WebLink AboutBettinardi, Lucille (2) I ,� %SOF SO(/ryo - / ELIZABETH A. NEVILLE .p Town Hall, 53095 Main Road TOWN CLERK * *; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ; G Southold,New York 11971 MARRIAGE OFFICER :\ ,�1 aq �1 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER r Telephone(631) 765-1800 1 FREEDOM OF INFORMATION OFFICER �_�'�CoUfm,* .�i�• southoldtown.northfork.net r_',1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3329 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : A J HOMES CORPORATION Address 1: 2578 MERRICK ROAD City St Zip BELLMORE NY 11710 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 #R10-04-0033 Name Of Owner BETTINARDI, LUCILTP Mailing Address 1 C/O JOHN HESSION, ESQ 131 EAST 38TH STREET City St Zip NEW YORK NY 10016 Property Address 1 WATERSEDGE WAY City St Zip SOUTHOLD NY 11971 Tax Map No. section 88.00 block 5 lot 51.000 Cross Street LONGVIEW LANE Building Permit Number Cross Reference: Issue Date: 7/08/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 4 WO ,,,,,P�oF sotiryo -• 33a ELIZABETH A. NEVILLE t "O 4 Town Hall, 53095 Main Road TOWN CLERK 4 4,z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS co Southold, New York 11971 MARRIAGE OFFICER % �QQ�1�� Fax (631) 765-6145 RECORDS MANAGEIVIENJ'OFFICER ��, ``4 �1 Telephone (631) 765-1800 FREEDOM OF INY. fR%APION OFFICER = COUN \.\ ///° southoldtown.northfork.net ��" ‘r. OFFICE OF THE TOWN CLERK � �' ., `�,� ,� TOWN OF SOUTHOLD Tk•• ©uthold Town Building Department FROM - Linda J. Cooper, Southold Town Clerk's Office DATED: May 27, 2005 Transmitted herewith is a copy of application No. 3472 for a Cesspool/Septic Tank Construction Permit submitted by: AJ Homes Corporation 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: '1.',:-:"e:eati...—Zc' -...f� • f? vie.....4.7":0/ ‘.e.i./. .- Signature '71 3/ 020o s- i Dated 4 ELIZABETH A.NEVILLE �)�� A`` Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Ca a REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER : 4. '� 1 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER = �� t),$ Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = 'r * Doi° 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 @ $25 Application No. 3' 1 Permit No. A � 1 Applicant Name A t' 0 YIA S c?o Com- n Applicant Mailing Address ZS) e r r N‘ a. N... 'e )) w�v<j w\ ) ) -71 C Septic Tank or Cesspool 5� � Brief Description o ropose Construction 1 t c1 ro o 3 0 Nw or Alteration 3) S ',( � Location of Proposed Construction/Alteration: Owner of Property:WCA -LA 6 611. ) 1' t'� Owner Mailing Address:C 0 4'o 11 - -e S S-1 E‹ 31 arcr 3(r' S ikr:N/) vk-`j, 1 U d I So Owner Property Address:Wa 1 e cs e 3-t S I t o'o'( \ Name and phone number of contact person /1-1911- `-^1 \`��b�(e-- 5)to -2)/) -40S2- Tax 4OSZTax Map No: Section % P i /Q 0 Block Q 0 0 Lot r 5.1 Cross Street hV i ce-W Lot, Y,-e NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY ITH HE• TH DEPARTMENT APPROVAL 11. 5) )77 tOc Signa rof Applicant Date Received by: LILA I `\, / . / - 744 - / // i116, 3 / 11 / SIS �l 66 ° S TR ^ ,`, c77 et IO �''' -Z00:�� 1 \ iJ ' SI 00 gC/c0oee lS ` C`7- 1c7.RI �✓ F '��9 0 � �CTT 100 � / p CoQNN� I��'1I� �, / „IONC088 0 vB� cTE c <QT Os 133' lIC (�� TQ 12'-4" ' \441 / SI 1 ER �?; I:I _ 0 Q � i i —NI/ r 41 i C43 ' / I-4-tI r iii ,,,,,4! , 7.2, \� 130' ljsp' ' ' 0,� i �/ p 4p 'c 1,� 10/ RQp \�� 30' Dd✓ O'S 11 i �'/ 11$p, FFA.TA//:. 50' ' AV. 4 lo- \, �,'` � 45' / \ \ , /./„5-0, 30, i 6 t, SElI IST zo�>, SER '�TE �� SE i0 10„ 1/,;7-4R BCTI 41 EI,, L',0�, / o SI C, 10e' TI N T \ iv A/ 6- ,�-, 10< ,.� ,,. TQ .8 .D F, i. & -/S 'S ER, IV C 'it M ' \ v�� C S 47 DIS ,v,i \ 01' \, \ BCTID T 100 \'� \\ \ `LOCA- 088 0 \ G� QT Sg S / \\\ tvQ Fi9/yI 1' , �� NG �' / R150' ISO, 'ATE. ,, / IS I . STRjICo° < IST/ 8 OCOkN 88° l SERIS C 7- C 7-1 1' IN OT OS '940 CQN ° 0\ 0 0' �Eq8 '� /c O88/ Q.0FCMSNNE- ING l SIN � T (IS Cal)11/4'4/f"4/114, pu , N�ECcIGI'�'1TTQE / CES <ICTFi� pQ �� a 7.17 ,SIDE < TE / 1S0' 47C4 R E ) / S / TEST HOLE DECEMBER 12, 2003 INi,004 „-----,„ // G./, \\\ Pa_ 18' it< cv / IA1V i1DF ,•h � 8,�S; F<, 1F�� i2^ 33, & cb 8 • 8s. F<, s / cv `•,,// G .\ //--V 4V/ i Q'11)4' /./4/i7a' , h �\1133' I Pao, 1E��F /9F4, � -- 4' Q 1,Sp, / p. /INV 9s6; F<, FSU I✓A<<0A 7. 10N PR - P - SE - ❑ RAMI \ G PLA \ SCALE: 1" = 10' 0 10 15 20 SITE - ATA APPLICANT AJ HOMES CORPORATION 2578 MERRICK ROAD BELLMORE, NEW YORK 11710 (516) 221 — 5625 SITE OWNER LUCILLE BETTINARDI C/0 JOHN J. HESSION,, ESQ. 131 EAST 38TH STREET NEW YORK, NEW YORK 10016 (212) 889-2300 SITE L❑CATION WATERSEDGE WAY SOUTH❑LD, NEW YORK 11971 • ,Lit,,.,- •1,0 — 474/A/AC 4(in 1 /4 Y / 04-c'19.1c 7- 1 14/4 7. 7-0 / , Cic t9e . FA) / •SIN,-c 07' OS 1 / CO14, /-4 N Q A114 PUS)/ Af4C 7- ING k ............„.„,„„A r Tel / ki 7-0 1.a 4k 7'4,,\) I ISO, et17-A- , / --......„.., ---..,.. tli'l ,_-----4"/ /--\ 1 1 , ...I 1(M) / 1 WAtis c, / Irv, k.ADN\-tiC (.01,61k / (. , vAtAr, \Ao6\kk —I i Qle *t, WNW-, / , , Cic , ee I •S'IA, u 7' uS I G44, S,? 1 / 1 i SO• *1) 00 ''),0 ' . ' N , ' / ' t•Sj. °4 i 11•Pilis 4 0'4 / / SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 1 I , I PERMIT F( APPIZOVAL 07 CONSTRUCTION POR A , ! \ srveaiii:‘ii AM'S P.ESIDENCE ONLY ----....... •••, DATE\-\\A \DI HS REF.NO: \14:"2:\;;; 33.,. -...i, APPROVED CA,,................—... i FOR IVIAKEVICIVI°P.a..BEDROOMS EXPIRE.S THREE YEARS FROM DATE OF APPROVAL '...