HomeMy WebLinkAboutCortellino, Karen -
11' Town Hall, 53095 Main Road
/ P.O. Box 1179
-IWO Alt It'.
• Southold, New York 11971
JUDITH T.TERRY #l" FAX(516)765-1823
TOWN CLERK 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. 647 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : A.D. CAPED, INC.
Address 1 : 2 PLEASANT AVENUE
City St Zip CLIFTON NJ 07013
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 5/11/90.
Name Of Owner CORTELLINO, KAREN
Mailing Address 1 39 DOUGLAS DRIVE
City St Zip TOWACO NJ 7082
Property Address 1 910 THE STRAND
PEBBLE BEACH FARMS
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 2 lot 81 .000
Cross Street THE LONG WAY
Building Permit Number Cross Reference:
Issue Date: 10/12/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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. Town Hall,53095 Main Road
' �' •'•� P.O. Box 1179
-_ 0 h. l `O,," 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 •"" 3 S
To: Southold Town Code Enforcement Officer
„‘ SEP 2 51990
From: Linda Cooper, Southold Town Clerk's Office iso,
• •
Dated: September 25, 1990 t , �, r
4' r
Transmitted herewith is a copy of application No. 662 for a Cesspool/
Septic Tank Construction Permit submitted try:
A. D. Capeo, Inc. for Karen Cortellino
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 �C
DISAPPROVE
Comments: p., pjt )4.4119,:" .44. ,„-,
RECEIVED
OCT 10 190 tiJA. .L.
Tow perk Q.,"ted Signature
Dated
S
OFFICE OF THE TOWN CLERK -
Town of Southold ,'' UFFDLKe„ Application Nod loll
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. Q. Box 1179 •
Southold, New York 1T971 ; Alteration
Telephone �,� Q �' $10.00 -Residential
(516) 765-1801 "- �.� ��
� �' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 1p
DATE P 51 t Q
o
APPLICANT NAME: A • 17 ' c.APto 1 rJG
APPLICANT ADDRESS: 9 PL.,.cyaS,' &va-
atADiJ , ),)11-/ 3-zr (nof
SEPTIC04 CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Ms%) Oki LT RAs t t-'1' 140 °C
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: i(pl>'L1J Co+e-t Lt.-1 u b
OWNER MAILING ADDRESS: 3q DOt6LAA
S P2 •
'tOwAao jNrA 3rle sem 07 52
OWNER PROPERTY ADDRESS: cT!e) 'h4i gricA
P f3 l.(3 $874C44 ff4 Y AT MS, v>J
TELEPHONE NUMBER OF CONTACT PERSON: f 4J. C-APT 'p► ' (2o1) 111.6'SSL
TAX MAP NO. : Section ' D Block ?J4 2 Lot F I
CROSS STREET: I.) Ct -tA/
BUILDING PERMIT NUMBER CROSS REFERENCE:
i
t e of Applicant
RECEIVED Bile
own Clerk's Office
DATE: SEP 2 is:5J
Town Clerk STAMM
-.6) 'r e "' Gv .=: 4)`).
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tifiN AO. ,',,•0' 3,��ti
SING' E FAMILY DWELLING ONLY
.E4:-1tR .5 TWO YkAhS FROM.. aAi� OF APPRO
VAL
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NOTE::w .
attvatot + SHOWN THUS' (2.0)ARE REFERENCED
t AM SL 1929).
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SURVEY FOR
KAREN CORTELLINO, JOSEPH PENH DEBRA bOSSENA, FRANCO DOSSENA,
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE! CONCETTA DE BORGER 81 THOMASI DE FORGER
LOT 127 'PEBBLE BEACH FARMS"
AT EAST MARION DATE . APR. 18, 1990
FOR *ROYAL OF CONSTRUCTION ONLY TO W N OF SOUTH O L D _ _ SC ALE' I"= 40'
•
MAY 1 1 1990 SUFFOLK COUNTY, NEW YORK NO. 90 - 0247
DATE HS R F. NO./v S C •3
" / r uiMUTNORIZEO ALTERATION OR ADDITION TO TNI!
SURVEY A VIOLATION Of SECTION 7209 OF THE
�� i D 0 NEW YORK STATE EDUCATION LAW �p'TE OF Nfly.
APPROVED , MCOPIES OF TMS SURVEY NOT SEARING THE LAND S *
JC. SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL �tO YY .p
3 0 / LA 3 7Q S NOT SE CONSIDERED TO BEA VALID TRUE COPY /'
NGUARANTEES INDICATED HEREON SMALL RUN ONLY 10 0 QG
HEALTH DEPARTMENT-DATA FOR APPROAL Ti CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED �.• 2' ` S.
AND ON NIS BEHALF TO THE TITLE COMPANY,GOVERN- n p
R NEAREST W MAIM_MI ' M SOURCE OF WATER PRIMTE_PUBLIC MENTAL AGENCY AND LENDING INSTITUTION LISTED
M SOF CO TAX POP DIST 1000 SECTION 30 BLOCK ._L_LOT 81 HEREON,AND TO THE ASSIGNEES OF THE LENDING ��'�)
INSTITUTION GUARANTEES ARE NOT TRANSFERABLE �'-
OT R[ ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY TO ADOITIONAL INSTITUTIONS OR SUBSEQUENT
OTHER THAN CHOSE SHOWN HEREON OWNERS �!
M THE WATER SUPAMCPLY ASEWAGE DISPOSAL SYSTEM POR THIS RESIDENCE d 0. ,
WILL CONFORM TO THE STANDARDS OF THE UFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY LIMES . '
OF HEALTH SSERVICES TO EXISTING STRUCTURES ARE FOR A SPECIFIC /A� ♦ /
APPLICANT. AND ARE N
TO
EOF FENCESTABLISHA!6 LAND �Rr�O
(kA
DA Cortellino A � Q,cuA PROPERTY LINESORFOR THE ERECTION�� PD _
ADORE$3
19 nj uglas Drive 400 OSTRANDER AVENUE
ZbwaCot ru TEL 07082 201-299-0502 YOUNG 8 YOUNG RIVERHEAD, NEW YORK
NOTE: • s j1110NUMENT
SUBDIVISION MAP FI LED IN THE OFFICE OF THE CLERK ALDEN W YOUNG,PROFESSIONAI. ENGINEER
OF SUFFOLK COUNTY ON JUNE II, 197E AS MAP NO. AND LAND SURVEYOR N Y.S.UCENSE NO.12845
6266.
HOWARD W.YOUNG, LAND SURMEYOR
5 *TNE LOCATION OS PEELL(W),SEPTIC TANKIST)B CESSPOOLIKCP)(MOWN HiMOS N.Y.S.LICENSE NO.45853
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