HomeMy WebLinkAboutCaputo, Irene 40
T Town Hall, 53095 Main Road
to �� P.O. Box 1179
` Q���'� Southold, New York 11971
_
JUDITH T.TERRY _ '701 1 � •
'� FAX(516)765-1823
TOWN CLERK 0/1' TELEPHONE(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 594 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : BOB KEHL'S HOME IMPROVEMENT
Address 1 : P. O. BOX 520
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 3/9/90.
Name Of Owner CAPUTO, IRENE AND RICHARD
Mailing Address 1 TWIN RIVER APARTMENTS, APT A20
ABBINGTON DRIVE
City St Zip EAST WINDSOR NJ 8520
Property Address 1 PARKVIEW LANE
ORIENT BY THE SEA
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 5 lot 24.026
Cross Street RYDER FARM LANE
Building Permit Number Cross Reference:
_iitooffie
Issue Date: 3/28/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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i____________
• Town Hall, 53095 Main Road
BLDG. DEPT. �� >' '°� �c•
TOWN OF SOUTHOLD
`�'� �� P.O. Box 1 179
_ � ia ��®00.� Southold, New York 11971
JUDITH T.TERRY -� '
—7'�.. 0. TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: March 26, 1990
Transmitted herewith is a copy of application No. 609 for a Cesspool/
Septic Tank Construction Permit submitted by:
Bob Kehl's Home Improvement Inc. for Irene and Richard Caputo .
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.
,oCw
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
. APPROVE X -
DISAPPROVE
.---)Comments: 0.4, :r=. 9 PN.--49 fit. y.,
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Signature
^ \-4...i\cb ' •
Dated
OFFICE OF THE TOWN CLERK
Town of Southold O•
C Application No. 190
Judith T. Terry, Town Clerk ).t
Town Hall, 53095 Main Road Construction X
P. O. Box 1179
Southold, New York 11971 O A�•`J Alteration
Telephone
� '� Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ ID , ( //ll
DATE c3 ' ,)C2 '90
APPLICANT NAME: e)ob t'kh(S OYU- T_h-/F./ Iflc_
APPLICANT ADDRESS: P.O 5'z0
5oL Ib, ) z ( 197/
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
NES S/.4i6-,C� 6"/fmsh✓ DwE'6c./AI&
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: aP, c. o(~ p lchavc Cc pt h
OWNER MAILING ADDRESS: 1WjrTCi .ib3 _ ( - 4 -- Z
Qbbin51')riV 1PQJ 6 52.0
OWNER PROPERTY ADDRESS: ` a.r VI€) kanc_ { tj- d ,c
O24 rifm, Nj 1IC'57
TELEPHONE NUMBER OF CONTACT PERSON: :323- Itl•iwye402;) y �fTAX MAP NO. : Section /J Block ,5 Lot �
CROSS STREET: £(,/4f$CUttY? -
BUILDING PERMIT NUMBER CROSS REFERENCE:
AAP tip .
Sigpp
ure of Applicant
RECEIVED BY:
own Clerk's Office
DATE: MAR 2 61990
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S.C.T.M. I000-015.00-05,00-024.026
4.4Cr44'T .
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE WILL CONFORM
TO THE STANDARDS OF THE SUFFOLK COUNTY
DEPARTMENT OF HEALTH.
I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL
���/ � AND CONSTRUCTION OF SUB-SURFACE SEWAGE
,C/A/1/E DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
AND WILL ABIDE BY THE CONDITIONS SET FORTH
THEREIN AND ON THE PERMITS TO CONSTRUCT.
TCEZ.Q9
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APPLICANTS SIGNATURE
.s 7J7K
EL.C49 -' "s •
"71 Ar.40
APPLICANT :
EfTAEnzS19 eDEf/
29.x'1"air Ra
OR/EHT, ,Yr#.9.57
1 TEL• 1.`/6/,.8,13.f,7
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LOT/79
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_ awf,,VT, TOONOP$O/Ti1GYD
4r/LE22 a 'T. /4'4574 41425/60
AREA Oc"LOT= 4q/40-..fF.
AIA AcArSZE711E=Ar00.�'f."
�y .4,£E74/$ZO9eD/7 1O .
SURVEYED FEBRUARY 21. 1990
CERTIFIED..TO:
• D —� .� .,!CAGY/10 CAGY/1U
1 •
h LOT//Y ( \ 434TERSA65TRACT •
.4wr.49P.. A
,�s, o, I bert W. Tay
• LAND SURVEYOR /.
.SE-rvx . s, .r'l P.O. BOX 312. PLAINVIEW. NY .11803 *Wit,
/Y400• .,wi , ;;i TEL TEL. (516) 433-3725 . 46't0S
I ew S UNAUTHORIZED ALTERATION OR •.3
ADDITION TO THIS SURVEY IS A
VIOLATION OF SECTION 7209 OF
THE NEW YORK STATE EDUC'.'ION
LAW.
'/ �+�t'
Yo4CAA4T COPIES OF THIS SURVEY MAP NOT S '1/f
BEARING THE LAND SURVEYOR'SWt..
INKED SEAL OR EMBOSSED SEAL '
SHALL NOT BE CONSIDERED TO BE ' �
p w a A VALID TRUE COPY.
: BOB KEHLS HOME IMPROV. INC. GUARANTEES OR CERTIFICATIONS r
P. 0• B .;;
BOX 52O INDICATED HEREON SHALL RUN -r ,...
44 / ONLY TO THE PERSON FOR WHOM
SOUTHOLD, NY 11971 THE SURVEY IS PREPARED,AND ON
HIS BEHALF TO THE TITLE
�,�` J/! ' 3 3 Sze J COMPANY VERNETAL
AND LENDINLO.INSTITUN ON L STEDY
HEREON,AND TO THE ASSIGNEES ,',_3. •
. OF THE LENDING INSTITUTION '
,{ , ARE NOT
EES OR CERTIFICATIONS
//`_/'�/� N"'e \156:2'b6 ADE NOT TRANSFERABLE TO
S
� ADDITIONAL INSTITUTIONS OR
SUBSEQUENT OWNERS- .
tiEASUREMENT3 U.S.STANDARD SCALE r•40'