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Home My WebLink AboutPaladino, Robert SOUr'yo ELIZABETH A.NEVILLE,RMC,CMC '`� l0 Town Hall, 53095 Main Road TOWN CLERK J l P.O. Box 1179 REGISTRAR OF VITAL STATISTICS v' ,e Southold,New York 11971 MARRIAGE OFFICER • COQ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERTelephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �COU�Y 1►�� 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. 3903 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JOSEPH KOLLEN Address 1: 1205 TUTHILL ROAD EXT City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner ROBERT PALADINO ------------------------------ Mailing Address 1 485 RACOON ROAD ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Property Address 1 485 RACOON ROAD ------------------------------ P O BOX 635 ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Tax Map No. section 106.00 block 10 lot 9.000 ------ --- ------ Cross Street MILLER ROAD ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 9/24/09 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) y1 OF S011r�,o! ELIZABETH A.NEVILLE,RMC,CMC O Town Hall, 53095 Main Road TORN CLERK J�[ J� P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER i COQ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERTelephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER yCOU��1�,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD E C E R D �Vf TO: Southold Town Building Department SEP 2 3 2009 R FROM: Carol Hydell, Southold Town Clerk's Office BLDG.DEPT. DATED: September 22, 2009 TOWN Of SOUTHOLD Transmitted herewith is a copy of application No. 3903 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Joseph Kollen for Robert Paladino 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. Thank you Carol Hydell I have reviewed the application and location map of the project cited above and make the following recommendations: s APPROVE V DISAPPROVE Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. Signature Dated ELIZABETH A.NEVILLE ( =`1` OG•�� Town Hall, 53095 Main Road TOWN CLERK p P.O.Box 1179 y Z Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS .i• AT MARRIAGE OFFICER Oy Hyl` Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �f Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER O'� �'a 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. / 03 . Permit No. Applicant Name Applicant Mailing Address Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration) CC4459a P�oL ,Z 1-4ee---e-� Location of Proposed Construction/Alteration:� Owner of Property:_ M/-, 46 � f p 41inEO Owner Mailing Address:_ R+Cf>o j A4A7T;-7vc, Ad Owner Property Address: ' Name and phone number of contact person (D S��n Tax Map No: Section Block ® Lot Cross Street NOTE: LOCATION MAP MUST B tTH TED WITH APPLICATION. NEW, CONSTRUCTION REQUIRES SUR YE T D ARTMENT APPROVAL sip of Applicant Date Received by: r - t N CP O �C Z jjjjjXR ROAD (BUX"Lol LANE) RIQHT OF WAY s- WELL o \ Cp NGO o \ NI F oM S M E�tOR FE GpRONER DWELLING) 16 Is Ape vice w EVES .N ,.Z'S w \ tOCKppE ��0.� � a3. \ " 0.51N 5 3.37' C� v��D N w \ 12.0 \ w 31 1 1, 2p,0 \ ? FO BRICK 413 STM' FIR. T Q• � \ � ►� \ NF F, E►r O J C CO� \C o_5&4' D EC, • o� \ � ��` � Qn 'xEUUIP g0 F � 0X , . � �.pgIVATE � � • � 0 � EL 30' / N00pBELE / MpNG- (DWELLING) CeSSFOCIIIS (DWELLING), + .,'OTIC 15 SURVEY OF PROPERTY A T MA TTIT UCK TO WN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-106-10-09 SCALE.- 1'=30' e JULY 9, 2009 AUG. 61 2009 (additions) SEPT. 21, 2009 (NEW SEPTIC SYSTEA o OLL GP O Z �i BUNGALOW yANB) WAY O LL N� O NGERo �/� AS M• CP lP cfNERATOR - f 0.4N N& TMOVA Pao, � 11 � 0.2 0 GARpNER c) � A/165.3�K�5 �cE Ev ADE FE 0. 'N 1 8 3 N Ul .� FE St 10.0' 1%Q "oN O 0.5 153. Eb LA ECK0SoN' D �� O o c-, �O �0 SE �'0 0 v- 0 1 0 in 7'4 O Z c- c: 20,0 \ t 000AY kA' 3.1' - A'pHN- �i. Wim' cin o O �y STM' J LA � t4 CO 9� OUT. ovo E • \ �,�' �+ �� Hae ids /N0.iW� _ cul EL 36.9 / / / Lp G. COOS EOUP. cv+•�"� / / M�Q/ REp ,. y�01v g0A� 15.66 / / ER1OK G. DW`SONG) FOX go / / FREp cE5�p0o� goo / / � O.W � t4/0/' ��E� 0 G. � � VAM S lo0f . NE O�g ESS?� / C , i \ j BRi L Z LA o \ �-A 41.3 sly. �Q• °' � % Z O 3a rn j 0 \ % g \ \NLA 9D Go �Ep cc M o / � o B� T. '6• `AS W ` �"z \o 0- 00 �OWE E►- 3 � CK _ O plRt Rp w I \ \ 62,9, G. E��P cv+ M/�� REQ Lit \ o / O OW g� 8� EDER`cK �. (DW LUNG) 0 \ C� g0� �FQX vATE O,W N101' ffi3f0- NIANv - / / iS0' 5 Nouse � GES (DWE��IN 0,+ SEP11C if ° a I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL 'SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the °ALL permit to construct. SOF NEtq, The location of wells and cesspools shown hereon are from field observations and or from data obtained from others. Elevations referenced to on assumed datum. ■ =MONUMENT .1 ; ANY ALTERATION OR ADDI77ON TO THIS SURVEY IS A VIOLATION 496! OF SEC77ON 7209 OF THE NEW YORK STATE EDUCATION LAW. r� P CONICS R of EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CER71RCA710NS AREA=23,372 SQ. I— 1. (INCLUDING R.D.W. - P 0.1 BOX 9092 ��" 65-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYORg 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. AREA=1i 9,76v SQ.. Fr. (EXCLUDING R.O.W. SOUTHOLD, N. Y. 11971 09-146 OF SO!/l�,ol ELIZABETH A.NEVILLE,RMC,CMC O Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS 4W Southold,New York 11971 MARRIAGE OFFICERCOQ Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Oly Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER COUNT` i southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SO=OLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4403-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner ROBERT E PALADINO ------------------------------ Mailing Address 1 P O BOX 635 ------------------------------ _ Mailing Address 2 r— -- – ------------------------------ City St Zip MATTITUCK ---------- NY 11952-0000 ---------- -- ----------I Property Address 1 485 RACCOON ROAD Property Address 2 ------------------------------ 2 o a City St Zip MATTITUCK NY 11952-000, -------------------- -- ---------- —- Owner Telephone No. 631-298-9602 ------------ Tax Map No. section 106.00 block 10 lot 9.000 ------ --- ------ Cross Street MILLER ROAD ------------------------------ ---------------------------------- Issue Date: 10/20/09 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) f , �O OG ELIZABETH A..NEVILLE r y� Town Hall, 53095'Main Road-, TOWN CLERK � me P.O.Box 1179 ! REGISTRAR,OF VITAL STATISTICS O Southold, New York 11971 MARRIAGE OFFICER y • o�� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��l �a -Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ' southoldtown.northfork.Aet OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD RECEIVED SOUTHOLD WASTEWATER DISTRICT APPLICATION OCT 16 2009 OPERATION PERMIT Toym. Clark - CESSPOOL or SEPTIC TANK Residential @$10 'D`or Non-Residential @$25 Application No. "-/YO Permit No. Owner Name PAM- eWO Owner Mailing Address O, 6 p Owner Property Address 1062— Owner Telephone No. Tax Map No: 16-00 Section G9 Block Lot_ Cross Street e(L ?i Please check each that applies: New Construction Alteration to Existing System Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submi opy of s with SCHD approval.) 5 1�Jjt-C ignature of Applicant Date Received by: