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HomeMy WebLinkAboutBassis, Steven go/ 000000 so 0 JUDITH T. TERRY • Town Hall, 53095 Main Road P.O. Box 1179 TOWN CLERK t p T �•' REGISTRAR OF VITAL STATISTICS Southold, New York 11971 . y Fax (516) 765-1823 MARRIAGE OFFICER O 0��� Fax (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 817 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : STEVEN D. BASSIS AND Address 1 : CHARLENE DEANGELIS City St Zip LAUREL NY 11948 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 IN DECEMBER 1991 . Name Of Owner BASSIS, STEVEN D. AND Mailing Address 1 DEANGELIS, CHARLENE 213 THIRD STREET City St Zip LAUREL NY 11948 Property Address 1 BUNNY LANE City St Zip NEW SUFFOLK NY 11956 Tax Map No. section 117.00 block 6 lot 20.001 Cross Street NEW SUFFOLK AVENUE Building Permit Number Cross Reference: Issue Date: 4/03/92 Judith T. Terry Southold Town Clerk fTOWN SEAL) t r � .. ?1 7 o�oFouKa, JUDITH T. TERRY ,,� y� Town Hall, 53095 Main Road am P.O. Box 1179 TOWN CLERK v rn Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Lti MARRIAGE OFFICER VO / Fax (516) 765-1823 �� Fax (516) 765-1801 '410/ $°4, OFFICE OF THE TOWN .CLERK TOWN OF SOUTHOLD ?661LZ �M To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office Dated: March 27, 1992 Transmitted herewith is a copy of application No. 840 for a Cesspool/ Septic Tank Construction Permit submitted by: Steven D. Bassis and Charlene DeAngelis 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: RECeft APPROVE APR 1`493 DISAPPROVE Town 060 —74 Comments: CL,oicerv,iLk � � C '- e4) . SilA .V,011 . Signature 4:ACV). °` Dated 11 OFFICE OF THE TOWN CLERKOc�VF�0/1(`," Town of Southold �. �" ' D Judith T. Terry, Town Clerk 044 . 1.71 Town Hall, 53095 Main Road t '�—T Application No.Construction 1/' P. O. Box 1179 trir -- Southold, New York 11971 O ' Alteration Telephone 7 x t Nt+ 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 $ DATE OlcfCh 27, 19c2_ APPLICANT NAME: SilreVe.ki_ t„ aAsy l3s CIO 2i1Qrl c°1le be AnlE!!S APPLICANT ADDRESS: 013 --rgieD Stree-t- .aU4Ei Ai , y //Off SEPTIC CESSPOOL / DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION %(e(,,,) hone I ortorrns .2s. ha4J1 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: .S+evend D. asses and Charfrne Dei1ntelk) OWNER MAILING ADDRESS: A/3 7/i,rd Sired- 1J4/1 I19y8 OWNER PROPERTY ADDRESS: 6244PutiNy I-whLe, New s , )y TELEPHONE NUMBER OF CONTACT PERSON:(51098'-50(p6, /4Sk, TAX MAP NO. : Section I/ 7, 00 Block Ote,.. 00 Lot ®0.(},!©0 CROSS STREET: We1- keivue- BUILDING PERMIT NUMBER CROSS REFERENCE:_. Signature of Applicant RECEIVED BY: „rein es Office DATE: Swasii Tower I S.83?11'00" SnED \ �I --� i o , - W --�-, ; 189.39' EG 21.0 T _T I 3 R EL=21.2 a EL=20.6 I a /,, N ' (-� y v- m l i N A - (24892 s.f. (� CV -J1 Q I _ y � � N , -e,! PI?OFOSEv mcve WAY M Fs� - (31-6"CEOAR TREES — WELL PRCFybgED - o S9.rem - m o.Z„ `-SEM__ \ z'o" PaowsEe ® ` LOC. use - 7-.L !0 HOUR OF o wEL.L VVI el-L� /T-I v yj�;j w 91.2 '-!C` ' ,7 l -c ),----*-.3A:.._— 21.8 4�.F 224 �vti� }�r— 0 0 ' " TEST HOLE z 3` 10,PINE TREE 3+.'\.ELL COVE�Q]NANT^REGUt .0 I p , .11 T rl) \ ei,\ / 0 .,... — Ft. itl— , . ,'i.. _J . , `_EL:23.2 I O . Y _---'°' N.7:•341OO,.W vi \ ELc23.2 a �� 190.00' a EL:23.1 I 0 MI z J W IWELL CD 1 CESSPOOL O - now or formeriyQ aN Z Joseph $ Mrson z Z G. Arena = A WL3 41 t iii gun rs•I` ' � ii...,,pa, O rj rip) o l N E w vs,,,,,.,,,."_.c.„. ,,,,,„ �' ' ► /- VENUE Lo O'1 24 1991 a. F , I I V n1:,;,;71 ,,,,�� N L _ ,t r- ter.A 3' i . A'. � ;,' X"�� -. i '.:: 1 y i ,P C iV i l'1 . ,N r ,APP, 1,..i I i XIMATE.3SPOOLAND 'IE 1CIMATE. PT. OF IEAL SERVICES sURVEY FOR . STEVEN D. BASSIS & CHARLENE De ANGELI DATE . AUG. 16,1991 DEPARTMENT OF HEALTH SERVICES AT NEW SUFFOLK SCALE E 1 : 40 TOWN OF SOUTHOLD NO 91 - 0691 AL Of CONSTRUCTION ONLY FFOLK COUNTY, NEW YORK 1 ALTERATION OR •O DlTION TO THIS -----OF NE -' s `EF. PIO CI �'� M uY R ••, VEOI•TION OF SECTION 7209 OF TME i'lt },SURVE T•TE EOUC•TION LAWTHE 11N0 a�. rOC NEr, YORK S �,S SUwvEY NOT �E•RWG 11 ^ ��, ' �. A •COPIES Of • R EMBOSSED SEAL SH•ll 0 enw of VOR'S INKED SEAL Or EA`IO TRUE COPY G