HomeMy WebLinkAboutConsiglio, Salvatore s
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JUDITH T. TERRY 'L Town Hall, 53095 Main Road
TOWN CLERK t P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS1P �� Southold, New York 11971
MARRIAGE OFFICER .7"--TO)yt O� �, Fax (516) 765-1823
.7jl .kb Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 969 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SALVATORE CONSIGLIO
Address 1 : 338 MARLIN STREET
City St Zip DIX HILLS NY 11746
Descripton of Proposed Construction or Alteration
SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 3/16/93.
Name Of Owner CONSIGLIO, SALVATORE
Mailing Address 1 338 MARLIN STREET
City St Zip DIX HILLS NY 11746
Property Address 1 HAYWATERS ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 111 .00 block 4 lot 16.000
Cross Street OLD MENHADEN ROAD
Building Permit Number Cross Reference:
Issue Date: 4/02/93 Judith T. Terry
Southold Town Clerk
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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK v T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER *?-_-149_
Q O�' � Fax (516) 765-1823
:',� 1D Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD 4/.1R
g •%t
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 29, 1993
Transmitted herewith is a copy of application No. 996 for a Cesspool/
Septic Tank Construction Permit submitted by:
Salvatore Consiglio .
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: (1, � eo. .A.
WihAstl xt Co• 0�.4 . gA,l1�CR,o iNN
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Sign ,Y 0 J
Dated
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OFFICE OF THE TOWN CLERK c,�rF�(X^
Town of Southold CSO^ ��� •
1 ‘Judith T. ,Terry, Town Clerk �'' `'v `� Application No.
Town Hall, 53095 Main Road ! - `
(XI �_; , 17.74 ;,:--77 Construction
P. 0. Box 1179 _
Southold, New York 11971 � � ,�'` 'ON"r' Alteration
:
•Telephone °l z p1� Residential `�
(516) 765- 1301 n1� •
Non-Residential
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
• for
' r
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
•
Permit No.
•
Fee .$
DATE
APPLICANT NAME: �A/f/i4Tv�' (L / / 0
APPLICANT ADDRESS: 338 /c-lAn��N St
• DAc.1/1/ _Nem) yoRk- 1/7 V6
SEPTIC '� CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
ott.„‘e._jet .
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: qwA'fo& , / I • / b
• OWNER MAILING ADDRESS: 33 / f4 Sr
74 4 ,ll evu 6 //7V6
OWNER PROPERTY ADDRESS: — , a/ATc ,•
•Ad At ;Nat
TELEPHONE NUMBER OF CONTACT. PERSON:( /-16 ) n -/.55-5e-
TAX
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TAX MAP NO. : Section // / Block Loti6 T
3 V7 ,
. CROSS STREET: O -O /WA/AA• -,e HCl .
BUILDING PERMIT NUMBER CROSS REFERENCE: •
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Signature-of Applicant
RECEIVED BYdr
:•
. .•
own Clerk's Office
DATE: 3i�--� 1`�
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Prepared In accordance with the minimum
h;Crm(laerdiSkr
.. A.L.S. and approvna I
!We surveys as established
Icr such 1.use by The New Ynd adopted
77/4 s.cso.:.
1 338 j
(DWELLING) The water swly eed..wp *speed
stems for Mk residence wit coatome
Department ca Herrlh Sor ".,s.
stojr the standard*of The Sulictir county
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CHICAGO TITLE INSURANCE--- ....... MAP OF SECTION "D "
COMPANY
TITLE NU. 8808-01688 • NA-SSAU POINT CLUB PROPERTIES,
SALYATORE J. CONSIGLIO
ANGELA CONSIGLIO (VACANT) INC. •
FLED MAY 7, 1926 FILE NO. 806
AREA 27.635 SO. FT. AT NASSAU POINT
TOWN OF SOUTHOLD
The localism el waft and cropook shown Avoca are from Reid .a.,
observations Gad or date obtained from afters. SUFFOLK COUNTY N. Y
1000 - 111 - 04 - 16 ,..771, _-,.=.• -T C--7:,
Scale 1" = 40' .._
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES May 20. 1988 NA, • .
--_,
---F017API7VAL OF CONSTRUCTION ONLY • -\..Of NEkri, -"CD —
DATF ' ------ REF NO
CD ,4 I.ME, 04)
LCD —
APPROVED ' 'i7,i *
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/ '",) ) ‘4.):.,..S..._/ ,,... , .!:_-- .Y.S. LIC. NO. 4961-8
L / - 49 6
P' 6,* 0 i:::t.- ORS, P.C.
1.516 - - • 0
—--. • P. 0. BOX 909
MAIN ROAD
• I-'''-',-,• e 3/ /9.3 SOUTHOLD, N.Y. /1971
•
88 - 323