HomeMy WebLinkAboutClaudio, Janice o��pF SO�j.�,Ol
ELIZABETH A.NEVILLE '` O Town Hall, 53095 Main Road
TOWN CLERK J� 1� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �' �r Southold, New York 11971
MARRIAGE OFFICER � • �O� F�(631) 765-6145
RECORDS MANAGEMENT OFFICER l Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �CDU�,�� 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. 3419 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED T0:
Name : JANET & BILL CLAUDIO
Address 1: 1105 WESTWOOD LANE
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
-NEW CESSPOOL '
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTNIENT
Name Of Owner JANICE & BILL CLAUDIO
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Mailing Address 1 1105 WESTWOOD LANE
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City St Zip GREENPORT NY 11944
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Property Address 1 SAME AS ABOVE
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City St Zip 0000
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Tax Map No. section 35.00 block 3 lot 12.060
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Cross Street GULL POND LANE
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Building Permit Number Cross Reference:
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Issue Date: 4/05/06 Elizabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
� �O��OF SO�jyol
ELIZABETH A.NEVILLE 4 Town Hall, 53095 Main Road
TOWN CLERK � � P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Q Southold, New York 11971
MARRIAGE OFFICER � � �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �I�COU�'�� Telephone(631) 765-1800
FREEDOM O�dNFORMA'�-F9�OFF��E�t southoldtown.northfork.net
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: � � 3 = _� � OFFICE OF THE TOWN CLERK
, " TOWN OF SOUTHOLD
j�.�.-- Tt ` � _ �
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 13, Z006
Transmitted herewith is a copy of application No. 3572 for a Cesspool/Septic Tank Construction
Permit submitted by:
Janice & Bill Claudio
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
l�/
DISAPPROVE
Comments: ` �'�
.
Signature
0 3 �y o 6
Dated
• �s�FFo��.�,
ELIZABETH A.NEVILLE �`1`� �� Town Hall, 53095 Main Road
Z`p�C�g� �j � P.O. Box 1179
y Z Southold, New York 11971
R,EGISTRAR OF VITAL STATISTICS v. �1
MARRIAGE OFFICER Oy � �.� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � � 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 @ $25 Application ��
Permit N �� f� �
.i -� �
Applicant Name ',%G�i�C f �J►�/`� ��Cu��i J
Applicant Mailing Address �/0�`" �'U�/l��7� L<,c�i2
�f�C��d�'
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration ��
Location of Proposed Construction/Alteration:
Owner of Property: ��,�� �- b�� /� ��CGl.tt�i .7
Owner Mailing Address: /l�s� ��°,S�.�c��Q� ��C
V� o�NT, �/� �l`�T'
Owner Property Address: ��-""''L
Name and phone number of contact person �f 77-�//3 �'raC. �06-94�aCc//
Tax Map No: Section l�,j�Cjp Block � vc�p Lot��la-b� la_�
Cross Street o � /�iO� L���e � xx /� " ��� ���
NOTE: LOCATION MAP MUST BE SiJBMITTED WITH PLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
------�� �
c� /3 0 6
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Si e of Applicant Date
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Received by. l
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PROP. HSE AND GARAGE= 46/4sq./i
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L O T CO VERA GE= 6094/4/,000
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DETAIL A TE/�j A�s FFQLK COUNT Y, N. Y.
NO SCALE SUFFOI.�£CQUN�CI'D� ART��"$'G��I���.�$:,4�,�`�i i s.:�
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-J "• = �'`d _ � p . SEPT. x 2005
M'ATER N PALE BROM1V • I8' � � DATE l�o O�d �-T F.i'd�°t. � ros�7
�' ro co�wsE s,�no sw � - Nov. l, 2005 (additior,sl
23' . .
BY McOONALD , _ . ' 'APPKC?VED Nov. S 200$(�'evisi�/�,3�
GEOSCIEIVCE � • • : • • • T —" DEC. !2, 2005 frevisions) i
FQR Xu�4qUM OF � �BI2R Clbqg
FL 000 ZONES FROM FIRM 36/03C076 G May 4,1998 F,N F�Q EXPIRES THREE yEpRg FROM DATE ( I
CONTOUR LlNES ANO ELEVATIONS.ARE REFERENCED TO N.G.V.D. Q� „ Y A ��►{�Y�1�►� `t /��OD .Sq f f f0 f�Pi ��nP+ ,�
�D = PROPOSED ELEVA TION ' � � �� e��� • , i
�P.��oF NEy,r '�
ANY AL 1'ERA TION OR ADDITION TO TH/S SURVEY /S A VlOLA T/ON /m.''' � G„ �p /ao a�� 5 �1�.M j 0
OF SECT/ON 7209 OF THE NEW YORK S,A TE EDUCA TlON LAW. - � O' � � `�` E � �
' E X C E P T A S P E R S E C T I O N 7�2 0 9 - S U B D l V I S/O N 2. A L L C E R T I F I C A T I O N S �E�s /E' ►a o 0�l ,�i 2.2 � v1sT � �T . • �b � Q�
HEREON ARE VALID FOR THIS MAP AND COPIE$ THEREOF ONL Y /F /z•7 s7 � M o� � .:� i� 3}• � �
SAlD MAP OR COPIES BEAR THE iMPRESSED SEAL OF THE SURVEYOR 3,� LANDWARD EDGE OF TIDAL WETLANOS 9k
WtIOSE SI�VATURE.APPEARS HEREON. � aa� _ AS DELINEATEO BY SUFFOLK �
� wAraa ENVIRONMENTAL CONSUL TING, lNG'. ,�' 4 6/8
� CROSSEC TION SEFTIC S YS TEM ON APRIL 20, zoo5 coN�c su v ,�►
i am /amilior wiih lhe STANDAROS FOR APPROVAL LOT NUMBERS ARE REFERENCED TO �63/I 765 - 5020 - 1797
AND CONSTRUCTION OF SUBSURFACE SEWAGE � - i5oo� gol. SEPTJC TANK P. 0. BOX 909
0/SPOSAL SYSTEMS FOR SING�E FAMIL Y RESIDENCES 3 - em �EAc�n►c Poo�s s�nE� SUBOlVISION FOR GREGERSEN'S /230 TRAVELER STREET
ond will obide by /he cpf�dilfons se! /orlh lhereJn and on lhe � - 80 EXPANSlON L£ACt�NVG PO01_ KEEP LLC SOUTHOLD, N.Y. I1971
mll lo conslruc%
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