HomeMy WebLinkAboutMattessich, Anthony — — ',,o �c c S002,
ELIZABETH A.NEVILLE ,to� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �� G Southold, New York 11971
MARRIAGE OFFICER �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER C"LINTY ��" Telephone (631) 765-1800
o
FREEDOM OF INFORMATION OFFICER f� southoldtown.northfork.net
... .19
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3399 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : STACEY BISHOP-EAST END CONST.
Address 1: 150 WATERVIEW DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
-NEW SINGLE FAMILY DWELLING; MODULAR CONSTRUCTION
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner ANTHONY MATTESSICH
Mailing Address 1 7 SUTPHIN ROAD
City St Zip FARMINGTON NY 8822
Property Address 1 TOWN HARBOR ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 62.00 block 3 lot 39.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 1/05/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
l_,, iiii
04#.....
pFSO(/jy+0
/
ELIZABETH A.NEVILLE `O Town Hall, 53095 Main Road
TOWN CLERK i% * * ; P.O. Box 1179
N Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G Q ��
MARRIAGE OFFICER 1,-)93, . ,� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `, iY �0 Telephone (631) 765-1800
_
FREEDOM OF INFORMATION OFFICER /C QU,mI+���,16g,
southoldtown.northfork.net
fir OFFICE OF THE TOWN CLERK
5 29w TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 14, 2005
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3551 for a Cesspool/Septic Tank Construction
Permit submitted by:
East End Construction Services Inc. for Anthony Mattessich
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 Z
DISAPPROVE
Comments: /
r - 4
Signature 9
/2/42-0/03_
Dated
oFFour
ELIZABETH A.NEVILLE re ; Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
; Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v Al
MARRIAGE OFFICER : 1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =y 0*OS Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER �'� * ,,," 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 )C or Non-Residential @ $25 Application No.
Permit No. /~ 4 0
PieiS
Applicant Name SIDI.“ ++1 &rksT- CA i Svc-
Applicant Mailing Address l.) UA zrc-vIcz.J ,D2_ ca L 11->o gr-1 (fat-7/
Septic Tank or Cesspool c'--
Brief Description of Proposed Construction or Alteration Nc7-u S A)c, r-rc i c.-y
PLAE-LG.(JJ(o —yVt 00(.4.-+ GATA)S'cl--Lx._.11 J Y.-)
Location of Proposed Construction/Alteration:
Owner of Property: / i- o m f'Sicri!
Owner Mailing Address: `7 Sv7-1,24,0J leo
at.) . DE'?aa�
Owner Property Address: I ow,J
S'oVETWOL-41 r•Al ?/q-
Name and phone number of contact person Siwc.c-i 221J1-l6,2 7 to = ,7/—2
Tax Map No:/OOJ Section 6 Block 2 Lot 3g
Cross Street )14,4 rN) ( j
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY . 'H HE TH DEPARTMENT APPROVAL
/2-/YAr
Sign e of Ap licant Date
Received by:
• (
f
I- \ . '
';
.SURVEY OF PROPERTY ,
N
SITUATE: SOUTHOLD
TOWN: SOUTHOLD W _
SUFFOLK COUNTY, NY o . , N
, \
SURVEYED 08-24-04
SUFFOLK COUNTY TAX # S
2y
1000-62-3-3G e\
it oQ
CERT D TO: �'�4{ 6�
Anthonych \- < �I►''� \ 2e 9E9
'4%),,
p O� �3 • v0:5 /�A Test Hc
'WI Dark
OL oroHn
..----.—_--
\
. W. 'coo O OSI'' s ��
Pole
SUFFOLK COUNTY D FA�T ENT OF HEALTH ERVICES 'IA �►�'�° P� P \\\ % /j ML e of
3
PERMIT FOR APPROVAL OF CONSTRIJC"I'IO FOR A o13,' 0,�t�000 N �QJ
9 \\ \`_O Pole
lc
j O Iv FAMILYRESIDENCE ONLY �(j3 ��+ s \ �0( Brom
--
Fine
DATE `� HS REF.NO. L ...0 ' I • / ► / / ..°,�k► -voee ��v�0 �i v‘. (��� SW T°
�► e
'E^J Oh c°«ee
APPROVED v�'/ ��*'� �sfi^°' Qc°��\ �� 'tom d
FOR ' r. IMUM OF , BEDRO 5. S '�'' e\. •
\
G Q
EXPIRES THREE YEARS FROM DATE OF APPROVA
° d 6,-
\, g \\ Oh
Q \
c , g0Q 25 9�,9
\\ ." Vacan 6� y \ ��� 9\.
\\ ` r0
Q 0\-�a
N \
•
J \
•
GP o , `�S
\ ------a ----
s 61
o Qs) -� 7�'
� ti \-' take 1---
\s
`a \,,
• �J �,�� �.\ 9� V'� ,�l\.. ^f - vwktw, aim;4,112'15:
�\ 2A �Ot Q JV'c'' ®`%$\ T' y from
thetn
• 9� 'Only copies frwn thea k
NOTES: „cc marked,eh an ori of 1
v T ,�' \ etarrped Beal Nall a cormidere
11 MONUMENT FOUND X05 �`. °.� _
'Certifications tmro„e e
of Practice/or
p PIPE FOUND ,X y, ' < H '”: `
\.,,'C',,;,. -- ,,d1<' to as penal for them the e
_e tap of he behat c to me ata cot
# r mi aq.aey om�e.g.atiartw,
to rrr wegaee of as isoerg ns
',.., ~'`'4 �qH :v ..d' t tkme Qe rat trwferads to m
AREA = 22,g2 T SF or 053 Acres JOHN C. EHLERS LAND SURVE
6 EAST MAIN STREET N.Y.S.LIC.N
GRAPH I G SCALE 1"= 30' RIVERHEAD,N.Y. 11901
611116111161101 .1
369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS\04-261.pro
10A0l2000 10.30.95A1t Wb cove