HomeMy WebLinkAboutBravo Contracting (4) , �O��pF SO(/j�,ol
` ELIZABETH A.NEVILLE O Town Hall, 53095 Main Road
TOWN CLERK J� � P.O. Box 1179
REGISTRAR OF VITAL STATISTICS y �r Southold,New York 11971
MARRIAGE OFFICER '�► • �O� F� (631) 765-6145
RECOR,DS MANAGEMENT OFFICER �l� ,M � Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER CDUI11,,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
5EPTIC TANK or CESSPOOL
Perntit No. 3369 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : BRAIJO CONTRACTING
Address l: 13-15 37TH AVE
City St Zip LQNG ISI,AND CITY NY 11101
Descripton of Proposed Construction or Alteration
-FINAL APPRW�L REQUIRED FRCNI THE SUFF'OLK COUNTY HF�LTH DEPARTMENT
Name Of Owner BRAUO CONTRACTING
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Mailing Address 1 13-15 37TH AVE
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City St Zip LONG ISLAND CITY NY 11101
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Property Address 1 595 StA�MZCT LA��TE
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City St Zip EAST MARION NY 11939
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Tax Map No. section 35.00 block 8 lot 5.200
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Cross Street MARINA T,ANF:
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Building Pe�nit N�nber Cross Reference:
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Issue Date: 9/28/05 Elizabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
, ; o��OF SO(/rypl �
' ELIZABETH A.NEVILLE '` O Town Hall, 53095 Main Road
TOWN CLERK l� J� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS y � Southold, New York 11971
MARRIAGE OFFICER � • �O F� (631) 765-6145
RECORDS MANAGEMENT OFFICER l Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �C�U�,�� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
., �
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 22, 2005
Transmitted herewith is a copy of application No. 3516 for a Cesspool/Septic Tank Construction
Permit submitted by:
Bravo Contractin� (Lot#12)
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: ��v"'�-� a
_����.s'"7ri �`� .
Signature
- �-3 �s
Dated
_ _ __ _ _ _
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, , o�OS�FFO�,�coG
ELIZABETIi A.NEVILLE h� �, - Town Hall,b3095 Main Road
TOWN CLERK � P.O. Box 1179
�� � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O Fax(631) 765-6145
MAR.RIAGE OFFICER �
RECORDS MANAGEMENT OFFICER y �� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��'� � �'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. ��I�
Permit No. _���_
Applicant Name� ��l�u �tJ��� G�//��.
k
Applicant Mailing Address ��-- / � 3 7 � �-2
Z.. /, c . ��y. < < r� �
Septic Tank or Cesspool��
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
OwnerofProperty: d�k�,y'� C�T2�4 G�2 Y�G.
Owner Mailing Address: t�— �� �'j�`� �-�
�.�_ c. �- � ��� 3 s
Owner Property Address: �-f-� (2 �(��lt.-Q-l�� �-�.��5
��5f �-P��C�N t�-�`-f � t �,� �
Name and phone number of contact person (JOl�sN� ��G�f��"� ���f7� �5�-- �C��7�
Tax Map No: Section��,Block � Lot � 2�
Cross Street �...�,/�,Q,( I�l A �-l-��
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
,
.,�;/���zq `�/ 4� l �3
Signature of Applicant Date
Received by:
m� �
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' , , � ' Young �c Young ���� I
' � � ' � v 400 Ostrander Avenz.ce, Rtiverhead, New York 11901 .,.. �I
, 631-727-2303 ��
�' P � •/ Howard li. Young, Land Surveyor ���� '
GZ • ' Thoma,s C. liolpert. Profesawnal Engiraeer �� � I
Q�t � � Robert C. Tas� Architect ��o '
i ,��o'� ��,� �� Rmza,ld E. Pfvhl, Landacape Architect � $ j
�Ge',5�o� c�e� � / Lot 11 Douglo,a E. Adama, Profesa�i,orzal Erigir�,eer ���� 1
e�, �Q � p• S
J'o�\,�p'�e��e �� Subdivision — w E HEALTH DEPARTMENT USE � �
pQ ,��y�'�� $ + s "Summit Estates, Sectic,� 2" �
�(�� GpJ �Q� ,30 `SS� � (Dwelling W/ Public W+ater) � ���� �
,,c�.���o��t- 1 636�� � �0��1C�1��'�' 1�AL'S'11�► .� ����
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�� C�10 �S �� R�O.Op• � L�ArtB � .N�. - Q��� '�
+` '" ,2�' �%�� ��� APPRONBD vc'�"'� ����
Lot 12 �� s F�£
� „ �'��a +�'r, FOR 1`Ul7�vlUM OF..,'�,...BEDR�QNI� �R��
s. 4 4.�- Z,. , Lot 10
'� �, PROPOSEO LOCATION n,4.00' y p ��YEARS�ROM L�ATE�QR��R��� ���R
O� 2 OF HOUSE dc GARAGE u u 'j � @
� � �, (3-4 BEDROOM) aoo _ ,�,-- v ( o . Subdivision - , �.� . ��§�
°^ o � -- �OPO�D W I Y,S.o o "Summit Estates, Section 1" ����
'9�. � ^ �L o w�mt s�a�ce N � �F
so O � a? .\ sG ,,. Suffolk County File No. 9426 ����
���� �°� ��:33• � P � � � ��, �- {Dwelling W/ Public Water) SURVEYOR'S CERIIFICAl10N �� �
p' . o�i �pC. F \ /�_ p.►
�, �� /� gj;ril, WE HEREBY CERTIFY TO B RAVo C O NTRACTI N G o
J ��� � s�i. s�rs��u Y '�3. O� � � \7 C O R P. THAT THIS SURVEY WAS PREPARED IN ORDA
h � l S WITH THE CODE OF PRACTICE FOR LAND SUR �P� g
'�� � � `•A t� THE NEW YORK STATE ASSOCIAl10N OF PRO r ���,
�' J, °3 � �� 3 j� SURVEYORS. � ' j' � € g
/ n � � Sa x- . � 1� ;�o�
/� P � � Y � Of��: a � � :. � ���:
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� � .15� Lot 13 ��.,9 F + f ; �' �"� ��-�� ���a
�c� �o� oiy °6►. +�6 gD� ��`�p �`� ���-�----',�-�+'��" ��` . t� � �� �
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���9����o �,. � �� Subdivision — „ ��O R��•83 �' HOWARD W. YOUNG, N.Y.S. L.S. N0. 45893 FQLa��j1��� �
�9 �6� � Summit Estates, Section 2 ��.�, �� w\P o
� V�, 1' � `\ (Vacant) �► 9� ���,
� � ��, �� \ � �, �P SURVEY FOR ����
6`���.� �, �� BRAVO CONTRACTING CORP. ��R;
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����`L \� �9ti � LOT 12 "SUMMIT ESTATES, SECTION 2" ����
\ � At East Marion, Town of Southold ���p
Suffolk County, New York ���t
County Tax Map Distriet 1000 s��ti«, 35 aio� 08 �oc 5.20 ����
aR��
� BUILDING PERMIT SURVEY
NOTE �
t�3
� �3 ��� �n�� . �w ���; �,.i
��� =,, ��,_ � ��'�?�' , �EA = 30,000 SQ. FT. ,
j • SUBDIVISI�N Y�` 'SUMMIT ESTATES, SEC110N 2" FILED IN ���� I
•���`��� ��`�.���� THE OFFICE '�F T�. � CLERI� OF SUFFOLK COUNTY ON MAY 21, MAP PREPARED JUNE 10, 2005 �„�� �
���;f���;1�,�;; 2002 AS Fi`' NO '�°0768. SCALE 1" = 50' ���� �
�- UONUMFNT SET � e MONUYENT FWND A= STAKE SET �e STAKE FWND � �RTICII� �AT �;_-. t �` :�; V. DATUM (M.S.L. 1929)
JOB N0. 2005-0169 ���� �I
:_� „ �.,: DWG. 2005_0196_bp � �i i'
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