HomeMy WebLinkAboutDiSaluo, Joseph SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3411 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MARBEE REALTY LLC.
Address 1: P 0 BOX 207
City St Zip PLAINVIEW NY 11803
Descripton of Proposed Construction or Alteration
-NEW CONSTRUCTION
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner JOSEPH L. DISALUO
Mailing Address 1 P 0 BOX 207
City St Zip PLAINVIEW NY 11803
Property Address 1 2055 PLATT ROAD
City St Zip ORIENT NY 11957
Tax Map No. section 18.00 block 6 lot 26.900
Cross Street
Building Permit Number Cross Reference:
Issue Date: 2/23/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•4c sou/. -
ELIZABETH A.NEVILLE � /&' l0 . Town Hall, 53095 Main Road
TOWN CLERK ; Jill 1�[ P.O. Box 1179
H Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICERl • �o, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER b.Coll111�,� , southoldtown.northfork.net
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'--- ;\,OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Build g Department
FROM: . Lin-da J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 3564 for a Cesspool/Septic Tank Construction or
Alteration Permit submitted by:
Marbee Realty Llc. —Joseph L. Disaluo MM
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:
Signature
Off- /4 4
Dated
1 ,////
ELIZABETH A.NEVILLE �,�h`Z`� Town Hall,53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ! � Southold, New York 11971
MARRIAGE OFFICER ".10 t Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =4 O��•I Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER --__el * #.. southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT r ;,\
CESSPOOL or SEPTIC TANK 31 i l
Residential @$10,. or Non-Residential @$25 • Application No.
aacLAt
A'i
p /'l/ �0 ,Applicant Name / 1i&p e, e_ e_14 2-6
Applicant Mailing Address 9 - 8' C) • ,t) A A
`>u tl-e_ c- 4box pz0 7 / ikA/NUr ,ccs Al.._. //i''o5
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration Pe W CO ki s 'c1u ct(d-ti
Location of Proposed Construction/Alteration: -; A p QA A . (/ S!� C,v 0 /ice
Owner of Property: kl M/ e e A -( G 4.C
Owner Mailing Address: / 9 g R- 0 c C CtO L AY A4
ll !-Te c_ k0k H7 iL / oc tv /(/y. /(?0,.
Owner Property Address: p1 D S /k,47T AA
O A Arr � &9'Y 1 k
Name and phone number of contact person J 0 S 1� ) , Vii S 44-0 0 7-70,6
Tax Map No: Section log-0 Block f SI_. 0 Co Lot _ 6 , 9
Cross Street ?0 c 4.1 ATI AA 6 A'o°/V i
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY H HEALTH DEPi. 'TMENT APPROVAL
° A 74 07 a,lie .6
signature 1 fplicant Date
Received by: a' r--- --)6(k----------------'
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439
/ No. 1000-27-02-1.3
TAX I.D.I D
JOB No. 03-38D / / t�P�•�
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DESTIN G.GRAF \.o
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r` F RM MAP No.3610300068 G FILE MAP No.9001
III t.4,,, , \'''P 7,4 �g ` ELEV IN USCGS DATUM SEPTEMBER 28,1990
CY \ �a
E 1i05s zs
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p \9� \ �.:,'p, ° o a°��� DEED PLOT: LOT 4
o,�,� `ti \ \ - c+R-0 5 MINOR SUBDIVISION FOR
\ „dr \ �is 42k,- MACKENZIE, RAM REALTY, AND PELUSO
\ \ o Li'l. ORIENT, TOWN OF SOUTHOLD
Unauthorized alteration or addition to this document lea violation of Section 7209 \ \ �I ^yo° SUFFOLK COUNTY, NEW YORK
of the New York State Education Law.
and�beindicated
halt o thehereon Title Com shall
pany,Govemmenta Agency a Lending \ ��e� �r
Institutions listed hereon. Certifications are not transferable to additional institutions \ DATE: 11/23/05 SCALE: 1” =50'
or subsequent owners. \ \ ��0
Copies of this document not bearing the professional's inked seal or embossed
seal shall not be considered a valid true copy. \ N tiN g-0
The offsets[ or dimensions]shown hereon from structures to the property lines are
fora specific purpose and use and therefore are not Intended to guide the erection of \ s6� �.O��\G DESTIN G. GRAF
fences,retaining walls,pools,patios,planting areas,addition to buildings,or any other �_4.°�Q.
The existence of right of ways and/or easements of record,if any,not shown are \ \ N LAND SURVEYOR
not guaranteed. \
\ P.O.BOX 704
CERTIFIED ONLY TO: \,ba \ Rocky Point,New York,11778
\ 631-821-3442
.-0' e- �` <AIXO
\ By DESTIN G.GRAF N.Y.S. LIC NO. 50067
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