HomeMy WebLinkAboutCacciopo, Paul r
w,
, �Q SOF
r�o
SO(/ ! _,
ELIZABETH A. NEVILLE A Town Hall, 53095 Main Road
TOWN CLERK 411,; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ; G � Southold, New York 11971
MARRIAGE OFFICER �Q 1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICERTelephone(631) 765-1800
1
FREEDOM OF INFORMATION OFFICER --_ COUAllsoutholdtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3330 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : BOULEVARD PLANNING EAST
Address 1: 32645 MAIN 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 #R10-03-0141
Name Of Owner CACIOPPO, PAUL
Mailing Address 1 PO BOX 249
City St Zip NEW SUFFOLK NY 11956
Property Address 1 SKUNK LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 85.00 block 3 lot 2.002
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
:issue Date: 7/08/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
o„, 33L3
° vso ,�,o
ELIZABETH A. NEVILLE 1 , 4 lQ ; Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ik N Southold, New York 11971
MARRIAGE OFFICER OQ1�1 Fax (631) 765-6145
91.
RECORDS MANAGEMENT OFFICER Tele hone (631) 765-1800
1
FREEDOM OF INFORMATION-OFFICER q OOUN115* x.10. southoldtown.northfork.net
tf
4 _ OFFICE OF THE TOWN CLERK
3 TOWN OF SOUTHOLD
TOWN ;)F SOU iP-nW
Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 1, 2005
Transmitted herewith is a copy of application No. 3473 for a Cesspool/Septic Tank Construction
Permit submitted by:
Boulevard Planning East
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
1 /
Comments: ,/ o
/ `.,/� = _
Signature
ess--
i
Dd
/oil SVFFO fr
ELIZABETH A. NEVILLE es��`Z`O Town Hall, 53095 Main Road
TOWN CLERK % p� • P.O. Box 1179
REGISTRAR OF VITAL STATISTICS CIA°O
Southold, New York 11971
MARRIAGE OFFICER : `� 1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �;y�IfQ aOv,i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = ' * 1:,•� 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 @ $25 Application No. 3�
/ / / Permit No.
Applicant Name gt?C'/ev4{Gi P/4nrn .„ Ga$ 1
Applicant Mailing Address 32 4( 05' 44a1ri
CC•104osvc , /r/,x , /193 c
Septic Tank X or Cesspool )C
Brief Description of Proposed Construction or Alteration Ne X-Ge,d&rt cG
Location of Proposed Construction/Alteration:
Owner of Property: pa v/ Q app D
Owner Mailing Address: Pa p O/X�� 1
Sv Z/A , ufi Ilq✓`0
Owner Property Address: 5 f`vn A 1- ole
G,71GI o f0.6 ,Qi,` //
Name and phone number of contact person /Li tr/- I 44ti7i 731--2O//
Tax Map No: /000 Section 8S Block 3 Lot .4,2
Cross Street Mow-, Dt
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APP ATION. NEW
CONSTRUCTION REQUIRES SURVEY WIT -- H 1 P :� ENT APPROVAL
. —
-_ tureAPpl'1i � Date
Received by:
4
SUR\fEY OF PPOPERTYr, �_ N
SITUATE: PEGONI G a-- A. 0
TOY4N: SOUT�-IOL 7 �=- . e�
SUFFOLK GOUNTY, NYU , ' > w '/P N
E
SURVEYED 09–Oq-02 4 o �,
10-08-02, HEALTH DEPT. Oq-02-03 ''� t IN 1 I C/ + ,►tj G`J r
REVISED Oq-15-03, 10-02-03, 12-15-03 ",o, A, E Or ill/ tIV
SUFFOLK COUNTY TAX # I�''' o i r_ i 1 i •r
1000-85-3-2.2 '0 C' O
CERTIl�3D TO: <
L., .Y._, ri -p`97d
O • fit"
pa ..4 .. ,
Paul Cacioppo 1 i
-. . ., w.. - ci I ' ' 4' r
o 0cps \ g • M Fill g 4 ..„,
R g
K- �.1 i40 'c�`Ili
fir+
PR M
• 6 6
-, 1 1..--, = a
t r i \ ,cp, .,
Z.', 4..., I-,
'i' % \ ...rant
\ c *to
c>�� a \ CQ je 99 o r
w
q \16440 \
N ` / \ 0 / 6��^ z
\ tr.; / \ / (--' '0 S 1
' Cb / \ %II% 4'+
a ), \ -ate '0 r0 1
Vbs
0-0
\ F
r� o+
• o €°'= °° 2Q \15a \
. ....a.'
� $ \ w�•
ill‘ � 45.
/ \ w/
u .‘o
l 1
/
Ir
/ \ 6 0
/ \
TEST HOLE / \ 0(\y°
-45-20-03 °c'0'
Mc DONALD GEOSCIENGE \\ \ SBU k °C9 P�
DARK ,cp, \.°�N o
I BROWN LOAM
3, BROWN
SILTY SAND
.
47
Ns
PALE BROWN
FINE TO GeAv: -- " 23,,"
COARSE SAND '"
11'
NOTES:
• MONUMENT FOUND
0 PIPE FOUND
OfNE1/1/.;::C3.
PROPOSED SEPTIC TO HAVE TRAFFIC BEARINGS COVERS �,LD4 * C
LOCATIONS OF NEIGHBORING WELLS AND SEPTIC 'a' —1`I 5
'Unauthorized alteration or addition to a survey
AS OBSERVED AND REPORTED BY OTHERS4. - map bearing a licensed land surveyors,ea f a
AI'.�y ijr t vialata i section 120A sub-divlfon 2 lof the
�} i'1 f h7 , .'1�A New York State Educntlon Lao.'
t\V�\w�1` . 4 "Only wpbs item the afithe of e r survey
marked rile 11 0191001si ci!he to sway ere
Y scarped sea stw be considered be vote true
EXISTING LOT COVERAGE _ •13q SF OR 7196 (GARAGE) r te' ' `op16s'
�,�y� 'cert iKallom hldicobd hersan fkyil tMt bis
.,� i .ar survey of p epanea a°arch�e nen to
PROPOSED LOT COVERAGE = 1087 SF (PROPOSED HOUSE) + C �iJ JVD ,r,' Gado of Practice For Surveys d
73q SF (GARAGE) = 1826 SF OR 18.8% (GARAGE 4 PROPOSED HOUSE) L'n Surveyors Said cert `°`Ions run only
to the person for rata,the sway Is prepared,
aid on his bebolf to the title company,govemmen-
tel agency and lending Institution listed hereon,and
to the assignees of the lendMig institution. Certifica-
tions are not transferrbie to odditbnai Institutions
AREA = c1,655 SF OR 0.22 ACRES JOHN C. EHLERS LAND SURVEYOR
is
6 EAST MAIN STREET N.Y.S.LIC.NO.50202
GRAPHIC SCALE 1"= 40' RIVERHEAD,N.Y. 11901
MN =I 369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\02-268.pro k'