HomeMy WebLinkAboutPiscioneri, Robert r '
SCUTHCLD VIASTEVATER DI SPCBAL PERM T
OCNSTRIXTI CN CR ALTERATI CN PERM T
SEPTI C TAMC or CESSPOOL
Per ni t F'b. 4144 R Resi dent i al X Nbn-Resi dent i al
Fee $ 10. 00 Septic X Cesspool
PERM T I SSt.ED TO
Na rre : KURR S CESSPOOL
Addr ess 1: 2760 YEMEOCITT DRI VE
City St Zip SCUrHCLD NY 11971
Descr i pt on of Pr oposed Const r uct i on or AJ t er at i on
ADDI TI CN TO EXI STI NG SYSTEM
APPRI'ED AS SU3M TIED. MAI NTAJ N FEW FED SETBACKS FROM ADJACENT
VELLLS, BU LDI N26, PROPERTY LI NES AND MATER RD ES.
EXCAVATI CN I NSPECTI CN REQJ RED
Nene Of O,ner ROBERT PI sa CNERI
Mai I i ng Addr ess 1 50-52 194TH STREET
Q t y St Zi p FLUSH NG NY 11365
Property Addr ess 1 21925 SCUsEVI EW AVENLE
Qty St Zip SCUfHCLD NY 11971
Tax Map Nb. sect i on 135. 00 bI ock 1 I of 10. 000
Cross Street CLARK ROOD
Bui I di ng Per m t Ninber Cr oss Ref er ence:
Issue Dat e: 4/04/ 14 D i zabet h A Nevi I I e
Sout hold Tow, a er k
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' ,��,�o��gUFFO(,�-�0
ELIZABETH A.NEVILLE,MMC Is h1 V
Town Hall,53095 Main Road
TOWN CLERK 0 P.O.Box 1179
H 2 ; Southold,New York 11971
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REGISTRAR OF VITAL STATISTICS ` `" Fax� O � � Fax(631)765-6145
MARRIAGE OFFICER 4* `► ��
RECORDS MANAGEMENT OFFICER O! ili 1%. �,� Telephone oldt nny.g00
FREEDOM OF INFORMATION OFFICER ,91CI,u��, www.southoldtownny.gov
OFFICE OF THE TOWN CL RK i � �� '�„ol
TOWN OF SOUTHOLD
1 ;a Ewoz 6 i tri
TO• Southold Town Building Department 1 ,;
FROM: Linda J. Cooper, Southold Town Clerk's Office ; ! ' '11``
_ ` _ _Thi
DATED: July 19, 2013
Transmitted herewith is a copy of application No. 4144 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Morris Cesspool for Robert Piscioneri 135-1-10
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
V.
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells, buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. .
0:,/
Signature
ae-g,,r- 7 /3
Dated
# I�I',OstiEfOL4
• • 4' C
'� ELIZABETH A. NEVILLE 'ir OGS* Town Hall, 53096 Main Roa
• ~' TOWN CLERK :. - F P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �, �� Southold,New York 11971
MARRIAGE OFFICER :� Fax�1� Fax (631) 766-6145
RECORDS MANAGEMENT OFFICER 0' o' Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER _Q1 4 ��0'� southoldtown.northfork.net
, OFFICE OF THE TOWN CLERK -N
TOWN OF SOUTHOLD
TOWN OF SOUT1OHOLD WASTEWATER DISTRICT -
BUILDING DEPAR
P.O.Box 1179
Southold,N.Y. 11971 APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 /or Non-Residential @$25 Application No. el/ il7
Rea Permit No.
Applicant Name 7ORe.a )f)ft /
Applicant Mailing Address 7‘o /f;fie4 > ti fi SOc t
Septic Tank or Cesspool l/
Brief Description of Proposed Construction or Alteration oue4/60,ed 0_,,,,fr,
Location of Proposed Construction/Alteration:
Owner of Property: /(6,12.6)— (ccs'oi2 'i
Owner Mailing Address: ifO -> 2. /94-4 517-
7-:
Owner Property Address: 024 9 cS '-x-
Name and phone number of contact person
Tax Map No: Section_ (l,5 Block ( Lot (d
Cross Street ( fi-Xk AQ
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL-
4:3114f1 4 /7&-f-4A' ie..&
Signature of Applicant Date
Received by: s/7-7i- /3
,
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STRE. DDRESS: 21925
SOUNDVIEW AVENUE
N
SURVEY OF PROPERTY
;{' AT SOUTHOLD
a f\
t S° D TOWN OF SOUTHOLD
LoN c SUFFOLK COUNTY,2. _ N. Y.
56.39' --- z
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BANK __,• w�
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old Town
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L a'. �. igir `_'' — Q .H.L.� APPROVED BY
o a 17 1.2,-5
s' 11 BOARD OF TRUSTEES
FL04p Zt 0.„15. f F• 4 i 3
-� a, , TOWN OF sourHoL
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1ita16
, .� ot,. DATE 71 i7 13
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ELEVATIONS REFERENCED TO N.A.V.D. 1988
,mss �
t FLOOD ZONE FROM FIRM RATE MAP NUMBER 36103C0158H
it g----,-,-,...4.-=:-- aF p1/4AV1314 ; SEPTEMBER 25, 2009
'4'?. � � COASTAL EROSION HAZARD LINE FROM COASTAL EROSION
0011141) HAZARD AREA M NO. 55-581-83
P40F NE`,!-
* 4 k
ti / f
{ :'w. j'� '` N. Y.S LIC. NO. 49618
ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION �4,1". i' ,I ON IC SU' YOBS, P.C.
OF SECTION 72090F THE NeW YORK STATE EDUCATION LAW. '• a f30 765-5020 FAX (631) 765-1797
AREA=4 6t 80. F=T. EXCEPT AS PER SECnav 7209-SUeDMSION 2. ALL CERTIFICAT7ONS
LAND P.O. BOX 909
TO TIE LINE HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES SEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET �y
WHOSE S1 NA T URE APPEARS HEREON. SOUTHOLD, N.Y. 11971 13-180
—180