HomeMy WebLinkAboutCeparano, Ciro e'
* Town Hall, 53095 Main Road
t. cts W',�� P.O. Box 1179
1-20 . ,r 1.% os Southold, New York 11971
JUDITH T.TERRY ,� TELEPHONE
TOWN CLERK '�����//// (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. 378 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : CEPARANO, CIRO AND ROSE
Address 1: 1555 SEVENTH STREET
City St Zip WEST BABYLON NY 11704
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYTEM.
APRPOVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY HEALTH
DEPARTMENT 7/18/88.
Name Of Owner CEPARANO, CIRO AND ROSE
Mailing Address 1 1555 SEVENTH STREET
City St Zip WEST BABYLON NY 11704
Property Address 1 2295 CEDAR DRIVE
City St Zip EAST MARION NY 11939
Tax Map No. section 22.00 block 5 lot 28.000
Cross Street WILLOW DRIVE
Building Permit Number Cross Reference:
Issue Date: 7/22/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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to. It „� 7' ^'' Town Hall, 53095 Main Road
V <+p. ,y'-�`'C`c''•41 P.O. Box 1179
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JUDITH T.TERRY '�' ,s0 TELEPHONE
TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: July 21, 1988
Transmitted herewith is a copy of application No. 383 for a Cesspool/
Septic Tank Construction Permit submitted by:
Ciro and Rose Ceparano .
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.
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: 'Q., y�,9-i,L ,I p,n A-t p,nS. U a,
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Signature
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Dated
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OFFICE OF THE TOWN CLERK f 141,
Town of Southold DS Application Nof3f3
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road aConstruction v
P. O. Box 1179 op" Alteration
Southold, New York 119710"
Telephone _alt � 's Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee 6/6
DATE
APPLICANT NAME: ee.."Lei
�`" D`��
APPLICANT ADDRESS: /J`".S-�— 7
//704
SEPTIC CESSPOOL r/1
•
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: c:2o295
� - //73 9
TELEPHONE NUMBER OF CONTACT PERSON: .5f7- 7,57
TAX MAP NO. : Section „22 Block ,� Lot mfr
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signatur of Applicant
RECEIVED BY:
Town CI k's Offi
DATE:
JUL 21 ''
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25. o Subdivision - Highpoint at East M rion, Sect. 2 , Inc.
-3• Suff. Co. File No.7755
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l4 t_ T� ', is i V •i E- 1•-a1 2 i:til% JI DATE !- APPROVAL
qb SURVEY FOR
CIRO CEPARANO 81 ROSE CEPARANO •
LOT 28 HIGHPOINT AT EAST MARION SECT. I JUNE J6,1988
AT EAST MARION DATE: MAY JULY
211 ,'1985
iUFFOIK COUNTY DEPARTMENT OF HEALTH SERVICES •
TOWN OF SOUTHOLD SCALE' Ili= 50S
FOR APPROVAL OF CONSTRUCTION ONLY (� SUFFOLK COUNTY, NEW YORK N0. 85-500
E ?7/(i// -' or S}�
v]_ MUNAUTNORIZED ALTERATION OR ADDITION To THIS GUARANTEED Ti •Lt
SAT o HS REF. NO• U SURVEY A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW SOUTHOLO ' ' i�a�NkF�
i
*COPIES OF THIS SURVEY NOT SEARING TME LAND COMMON AL • ,' •-URANCE CO.
NOT SE CONSIDERED TO SE A VASURVEYOR'S INKED SEAL OR EMBOSSED
ID TRUE COPYHALI 0.tR • . ?
APPROVED —_ yy
((GUARANTEES INDICATED HEREON SMALL RUN ONLY 10 T 'r s 0 t
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPAREDC
AND Om HIS BEHALF TO THE TITLE COMPANY,GOVERN- • • ,+ _
M DEAREST wag* LIMN YL: M SOWRCFE_OF WATER: PRIMTE PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED 4(.'"..4i"11 O
II KOFF CO. TAX MAP GIST-VDU SECTION ge! BLOCK Bair LOT .g HEREON,AND TO TME ASSIGNEES OF THE LENDING w
*THERM ARE NO DINELUMNS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
OTNER THAM THOSE SHOWN HEREON. TO ADOITIONAI. INSTITUTIONS OR SUBSEQUENT !� +■ THE WATER SUPPLY AVID*DDISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS �� .S
ILI CONAFORM TO THE 1TAHOAROG OF THE SUFFOLKTO EXSTANCES COUNTY DEPARTMENT *OI SHOWN HEREON' FROM PROPERTY LINES J/ /AN!STING STRUCTURES ARE FOR A SPECIFIC if Pi
IN , '
OF SM.TN BiRVICES. PURPOSE AND ARE NOT TO SE USED TO ESTABLISH 'I0�' /
APMN�T. Q. j1j Ar PROPERTY LINES OR FOR THE ERECTION OF FENCES _�R (/
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ADDIIBG PLC= ,c It .. / ,v N
-
ri 3 _ YOUNG YOUNG R'`°� , EW YORK
AVENUE
StNiSiCN MAP FILED IN THE OFFICE OF THE CLERK OFSUFFOLK 3
C0;1N !T ON ,yW II,1984 AS FILE NO.7680 ALDEN W.YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S.LICENSE NO.12845
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-M..kLfREla_ HOWARD W YOUNG, LAND SURVEYOR
suit .o s ura,c.evn.SvnC TAMIOSAa CESSPooLs(CPt morn HEREON N.Y.S.LICENSE NO.45893