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HomeMy WebLinkAboutDeConigilio, Rosellen oro d�SUFF0��c0 JUDITH T.TERRY �'= �� Town Hall,53095 Main Road TOWN CLERK e/a Z P.O.Box 1179 rry0 REGISTRAR OF VITAL STATISTICS 4, el0 Southold,New York 11971 Fax(516)765-1823 MARRIAGE OFFICER O RECORDS MANAGEMENT OFFICER : Ol * ,•� Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER - •o- OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1321 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : ROSELLEN DECONIGILIO Address 1 : 311 MUTTONTOWN ROAD City St Zip SYOSSET NY 11791 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SCHD REF. #R10-95-0029 Name Of Owner DECONIGILIO, ROSELLEN Mailing Address 1 311 MUTTONTOWN ROAD City St Zip SYOSSET NY 11791 Property Address 1 2260 GRANDVIEW DRIVE City St Zip ORIENT NY 11957 Tax Map No. section 14.00 block 2 lot 3.001 Cross Street OLD MAIN ROAD Building Permit Number Cross Reference: Issue Date: 4/28/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) z + ,,,,,,l,i,,, ( 3 l ,ocFFo� cG_ JUDITH T. TERRY Z Z Town Hall, 53095 Main Road TOWN CLERK : =v IT , P.O. Box 1179 VVI Southold, New York 11971 REGISTRAR OF VITAL STATISTICS = y � O�' ' Fax (516) 765-1823 MARRIAGE OFFICER o RECORDS MANAGEMENT OFFICER =�.�1 4 `I„,�.$6 Telephone (516) 765-1801 FREEDOM OF INFORMATION OFFICER A,P0- OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department MI I 8 FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: April 18, 1995 Transmitted herewith is a copy of application No. 1370 for a Cesspool/ Septic Tank Construction Permit submitted by: Rosellen DeConiqilio . 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. J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: • APPROVE DISAPPROVE /� Comments: ' ,f24(//-** � ,ym +_ V n��i`!/ 1/%0 r/ —.Q) 7J ISignature s� / Jr Dated OFFICE OF THE TOWN CLERK """""' Town of Southold /O /3 ()Lep = / Judith T. terry, Town Clerk � '� '; Application No. l�7d Town' Hall, 53095 Main Road , Z .G Construction P. O. Box 1179zcm � � • Southold, New York 11971 trra ‘,� Alteration Telephone O,y �Q�� $10.00 - Residential (516) 765-18011 ' $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE APPLICANT NAME: dsc//exii C&LCS, / d APPLICANT ADDRESS: 5/ 1 /IGC #011. 1-"IN,- 24 OSS c-}r DU ( (7 ? / SEPTIC ✓ CESSPOOL DESCRIPTION OF PROPOSED CO STRUCTION OR ALTERATION � v Sin 1e , ( y Awe-0/, 3 . LOCATION MAP: . Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: er)Se/kej ,fie C \4-t 3, /, 0 OWNER MAILING ADDRESS: 3/j / 7 11`1,ry, t'c OSset- AI '# / 1 -1 q1 OWNER PROPERTY ADDRESS: as (c, " -e( v/e&j L r TELEPHONE NUMBER OF CONTACT PERSON: (67Q) L7J q , -02902c TAX MAP NO. : Section !boo -/cf - Block O Lot 3 , (14-) CROSS STREET: W BUILDING PERMIT NUMBER CROSS REFERENCE: fiW&A./ (-ef/(-t, Signature of Applicant n , f RECEIVED BY: own Clerk's Office DATE: �` 1�jf • " '321 42'08' E 136.84' MAP OF i 10 1995 _________ 136.84' — GRAND VIEW ESTATES ` _�_- ___^.�_-•. _ TIE UNE- -- _ C REPT. OF ---- FILE No. 7083 FILED JUNE 8, 1982 H MEAN HIGH WATER MARK SITUATED AT LTH SERVICES d v.. ORIENT in N TOWN OF SOUTHOLD i N s-M- ____ `---.04-- _"-ED k'^^ow SUFFOLK COUNTY, NEW YORK _---- S.C. TAX No. 1000-14-02-3.1 M -6 SCALE 1"=30' T%� - ----- DECEMBER 19, 1990 t2„._---- '' ROTTOAT or SLOPE MAY 31, 1991 (SET STAKES) Tq --------7-------- JANUARY 30, 1995 (REVISED PROP. HOUSE) T9_ _ MARCH 10, 1995 (REVISED PROP. SEPTIC & POOL) \I �N NNS 4r. \ / __` --\ AREA 45,598.18 sq. H. _, \ \ I //�/// \ (To TE UNE) 1.047 ac. _ � � \ I1_// / / \I , M'or SLOPE ! Iilt I I, I / / / I t \\\,, ,\N _14-12 1L \ 18 II t t I l ) ia\\ — 724 VINCENT D.CONIGIIJO SET \\\\\\ / / / SET ROSEUEN DeCONIGIUO / / / 2.04'N. STATE p EAS NO1n tto be `� _ ,/ SHACK L StC area. - _ �EI�EVATIONS ARE REFERENCED 70 N.C.V.D. 1929 DATUM Sanitary s d dr��W�lq �s.Te H. p�acEd u� `, \ \ / / • \\ \\ TEST HOLE fIAT4 SET LOT© /// \\\ i (TM NOLO Na f ON PILIID YIP) M ,__1 I \-_ -I IOAA N CIA' %AKit [., I a O ' I N SAND a GRAVEL 30 CESSPOOL`_ ' I, ��� ANSDN AREA 700. ` \\N\ I i� .,/ 7..1 t' T 4€ i�EtVT - ' /�/�� ITS mi.) S / , COSTING CESSPOOL EDED // i 1\ CESSPOOL STAKE i �,/,, sou / ,\ F-1 7 0 ,,, , •., c>._______±.______......60' - --� I d FA- ELEV. r I ` .\ • LLI M t�EDM.)V' — —1 a w \ .. SET \t ENVELOPE"°° CO 0 \M 'STAKI ,, • Z to I ,d„,* to 32-------�-) _ 414.WE 30 1.. ____ 1.89' STALE ` 28— T.C. T.C. - - g=615.41' L=150.37' GRAND VE I W DRIVE e�' PREPARED N ACCORDANCE WITH THE MUM . STANDANDS FOR BILE SURVEYS AS ESTABLISHED it TIE AL3.AND APPROVED NC ADOPTED PLEASE NOTE IFOR DLE ACH USE THE NEW mot STATE LAID Minimum distan TSS-betw-- we and-Eesspb E is to be 150 feet. LOT f4 LOT 0 03G. 01 Nek/5 (VACANT) (VACANT) et A.M• �i. EX AV TION INSPECTION REQUIRED * �:, ;,, SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES r ���'. •FOR APPROVAL OF CONSTRUCTION ONLY 'b' `�SiL;= e N.Y.S. LIG. No. 49668 DATEMAR 0 1995 S. R o.i.lc-7 - 02 7 \'•iiitrfeIi!'/ -T UNTTCRIZED ALTERATION DR ADORxIN -. TO IHIS SURVEY APPRO EDUCATION °SECTION 7209 CC^IE STATE Joseph A. Ingegno THE 1 S D`RE�'""MAP NOT SEARING Land Surveyor ------ . SHALL L CONSIDERED TO RE A VAUD TRUE COPY. GUARANTEES INDICATED A01 OMNI RUNThe water supply & sewndisposal sys— ONLY TO THE PERSON FOR PRION TIE SURVEY tems for this residence will conform to the IS PREPARED.AND ON HIS SEHNF TO THE standards of the Suffolk County DepartmentTIRE COMPANY,00VERNMENTAL POO4CY ANO �ED NM Sun** -Subdivisions - was - Construction LaAout of Health Services. To THE Ad90NEEa Cr THE LENDING ESTI- PHONE 518 727-2090 Fax 516 722-5093 NOON.ol1APANIE S ARE NOT TRANSFERABLE. ( ) ( ) -- OFFICES LOCATED AT MMJNC ADDRESS THE LOCATION OF W'EUS AND CESSPOOLS SHORN HEREON ARE FROM FIELD THE f18STASONCE OF RIGHTOFRECORD,WAYS u OnLe, New YUnion �11931 Riverhead, Now York1 11901 OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. ANOIOR EASEMENTS GURAN A7�9 ANY. NOT SHOWN APF NOT GUARANTEED.