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HomeMy WebLinkAboutBolletino, Nicholas r '4 C a t 0�`a Town Hall, 53095 Main Road , VsV ., P.O. Box 1179 _' Ol 4. 0 Southold, New York 11971 JUDITH T.TERRY .'' ,,�.ii''°0FAX )765-1823 TELEPHONE(516) 1801 TOWN CLERK 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. 456 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : WASHEIM, BRUCE Address 1 : GOLDEN SUNSHINE CONSTRUCTION City St Zip MIDDLE ISLAND NY 11953 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SHOWN ON SUBMITTED COPY OF SURVEY AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 12/16/88 Name Of Owner BOLLET I NO, N I COLAS Mailing Address 1 670 INTERLAKEN LANE City St Zip NORTH BABYLON NY 11703 Property Address 1 GREENWAY WEST City St Zip ORIENT NY 11957 Tax Map No. section 15.00 block 1 lot 27.000 Cross Street PARKVIEW DRIVE Building Permit Number Cross Reference: Issue Date: 1/19/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) ....„ St"cofgui-ez,- I. 1 �1 r( ` k `, ,SIN 101989 :v. A tjv_v HII, 53095 Main Road p TO\ Yi ;L';t3.':.13Qx-1179 sor _ Ql a � .0 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 To: Victor Lessard, Southold Town Building Department From: Linda Cooper, Southold Town Clerk's Office Dated: January 10, 1989 Transmitted herewith is a copy of application No. 463 for a Cesspool/ Septic Tank Construction Permit submitted by: Bruce Washeim, Pres. - Golden Sunshine Const. for Nicolas Bolletino 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: a�. ,AL. cz a►ati- -� or .a S .0 N. 7. °NI tX1 )41 Signature t � la`� 9 Dated ` ,' . OFFICE OF THE TOWN CLERK c.0FD Town of Southold 0� Judith T. Terry, Town Clerk Application No. Town Hall, 53095 Main Road cn ,-7•7 Construction r P. O. Box 1179 `0 ' Off` Alteration Southold, New York 11971 alt � Residential Telephone (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 (� APPLICANT NAME: �2tc..& DASH LI\ P4s. � c,�1cSv.vsl c�v£� C�,t dp,,,s7; APPLICANT ADDRESS: GQ FAt2w01 1), v'il- /16813 SEPTIC X CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /Q /,i,ST.f« (7,VG C�ei0</G Caves C,2 )cvc> Z�i*ea rs,1r4 /4,0g--3 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: / h, , S BC,L.L_&-r,Np OWNER MAILING ADDRESS: 67o //cr7e ZLA 6'/ Z,4 NY /8,4ceri.at iUf /s7c>3 OWNER PROPERTY ADDRESS: leiecsr- ,2-1 .0117-4/ % TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section /Sr Block / Lot fre.. CROSS STREET: /ZKINe(/ ALVA BUILDING PERMIT NUMBER CROSS REFERENCE:.. Signature of • pplicant RECEIVED BY: Town Clerk's Office RECEIVED DATE: /7( 0 town Clerk Southold • s .x �; e. ,�r ' t + A 11 4.1r • ri C���� f f I `• i f ro -ti Ili J Cv�\C/,d1T1 + i +, r t1/4C c. n i .s\,..,-‘ ,z__.\- 0 le 41 C Z.``\1 „"� 25 ! _ .r ,.__ _5...34111.1..............:1:11',,,f•I'leff.::f. t I Ct.) .k% ‘'Ik'l-fi\t',1%'. ' ' , -e i P. '- i .......0w � } •r �;n ` — ; t`' A.. \N ii f ? , ` ir,, i'1 - C , •. r'73 1: II t ;; J 1i VE (r 1 ;; r2 .-4-- —7 r—..:.�Q 36 CO '`.,,,,"• .a•?,e9 -. , r j • ill ' `-, _ - + I — 2 _-_----'_ _--' -•- -^'___ - MAP_.At ,/ a."4 .. 'it..: i f-i'.,;_y, ! r•; , -Cir v r 'r TELEDYNE POST N5.779 ..••••••••••••• r. N SUFFOLK CO. HEALTH DEPT. APPROVAL - ' • /L.oE NivSbied eZ at'sr H.S. NO. iThe/2 , Dray1s• .ill -Sils,�©sC' f \-\,,,i : STATEMENT OF INTENT 4. { f THE WATER SUPPLY AND SEWAGE DISPOSAL, , N �( SYSTEMS FOR THIS RESIDENCE WIL . ,' iCONFORMi TO THE Ste, • ND RDS OF THE•,'.t. �E) SUFFOL . DEP %+ L.TH VICES.. "ktff,s, N •1// (s) PPLIC T E dd • - --� 1 Wi SUFFOLK COUNTY DEPT. OF HEALTH'' .,+s _ S1NOL FAMILY p` �!` IN( ') i..Y SERVICES - FOR APPROVAL OF -'it �S TilV'i� ( N} �` �� �, , f CONSTRUCTION ONLY ` rip ,� iJ r� r �i 1 �� f= �i``y `•` DATE: ( a I( b 16 0 i� — H. S. REF. NO.: (J4 C> 16 • APPROVED: 4 — W ( Y b I V 1 .O I— SUFFOLK CO. TAX MAP DESIGNATION: . ?N- _A1._E-4 e'1 DIST. SECT. BLOCK PCL. N AI2EA'2 9 .F 1 (5 - 1 , 27- U 0- U i,c,ONf PI E OWNERS ADDRESS: ''` i ---- •, 670 IwTeeLAi4EN LA., - E n; a `7•95Q5 •. Nov 22 198$' DEED: L_N/A:. P. i TEST HOLE STAMP S.0 DT r) i'^--, •.:Fm.i tilferot5 f.,..;-wiy HEALTH " S f� .. ,�..isyv=�'at;c.,o! y�. • *:or:47:-.":or it Now Yank Stu►t4 _t"A . 12 EFJ 2 TO MAP C F G N A r c i z cf this sunray . barrio t 4Et•y i-fie! / J '}H SjV Fyo�rCErQFe5-0RrCCXrG:XHDd seal shall net be consklt_ Ls be a valid true r `luU:354Q. ,, c'mantess indicated hereon sheat I, 4 4rtfy to the person for whom the ru •- '�TOW I,..EFE 1Z TO MEAN `SFA LEVEL. _ 14 Dares:ea end on his behalf to tho < r;::a ccaxt+ri nany,governmental s.^Wed P .F Li-,log institution ed hereon said to the assignees et the lending 1ns'il ;:Orion.Guarantees ore not trondorah: _I in ccs:!:oriel inttitutlone Or sut7u ADEL)-NOV22,1986 SEAL ILI LI rs . At;__U�f2V Y • _. } � ' i •ti O§ FC VAN TUYL, P.C. ; ; ;,� JGw• A,',-.. .,,,:,„,,(- 2.2.5".• \(' LICENSED LAND SURVEYORS., • GREENPORT NEW YORK _