HomeMy WebLinkAboutClaudio, William • 00%pf SO/j1
ELIZABETH A. NEVILLE its ,`O lG
� Town Hall, 53095 Main Road
TOWN CLERK 4 4 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Q
Southold New York 11971
MARRIAGE OFFICER . i01� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ;li` '�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER oUN%,',�,`� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4341-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner WILLIAM CLAUDIO
Mailing Address 1 2006 GULL POND LANE
Mailing Address 2
City St Zip GREENPORT NY 11944-0000
Property Address 1 SAME AS ABOVE
Property Address 2
City St Zip 00000-0000
Owner Telephone No. 631-248-9421
Tax Map No. section 35.00 block 3 lot 126
Cross Street SOUND AVENUE
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Issue Date: 6/21/07 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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61
ELIZABETH A.NEVILLE tits,`14_t� Town Hall, 53095 Main Road
TOWN CLERK I=A P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v, Southold, New York 11971
MARRIAGE OFFICER V O '� 1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =y ���� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER �'� �a�” southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 ✓ or Non-Residential @ $25 Application No. LI N
Permit No.
Owner Name W` , A v.\ o i 0
Owner Mailing Address 0200 (ru-LL 14
(: rteer.PMRt !4 y
Owner Property Address .0-006 r1.&
G,tee ^R944 rC'
Owner Telephone No. G 3 ( .10e l Y2
Tax Map No: Section 3S— Block 3 Lot ?IC'
0(2 , b a- 9(2 .)
Cross Street SO k tie
Please check each that applies: New Construction
Alteration to Existing System
Residential f Non-Residential
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate
building and system; give north arrow and approximate distance in feet from system to building
and closest road. New construction may submit copy of survey with SCHD approval.)
(OAA___D 6//Y/e7
Sign ture of Applicant Date
Received by:
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By
FIRM ZONE AE(EL10) NGVD 1929
S.F. OR 0.94 ACRES ELEVATION DATUM:
ERA TION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
;ON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
ID TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
iM£NSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
AONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
CE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
2IBED PROPERTY CERTIFIED TO: WILLIAM S. CLAUDIO JR.;
JANICE L. CLAUDIO;
J.P. MORGAN CHASE BANK;
BOUNDARY TITLE SERVICES; (#13253)
1LD KENNETH M. WOYCHUK L.S.
FY, NEW YORK Land Surveying and Design
4 M M__„!J P.O. Box 3. Mattituck. New York 11952
4 `�'"�"`` PHONE (631) 298-1588 FAX (631) 298-1588
SCALE: 1"=30' DATE: JUNE 09, 2006 N. Y. S. LIG NO. 50227 maintaining the records of Robert J. Hennessy
S.C.T.M. NO. DISTRICT: 1000 SECTION: 35 BLOCK: 3 LOT(S):P/012.6&12.7 O \Y.'
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SUFFOLK COUNTY DEPARTMENT OF HEALTH;:ERV CES ONLY r0 r,
LISTED HER
APPROVAL OF CONSTRUCTED Y':c> K5 FUi THE OFFSE;
A SINGLE FAMILY RESIDENCE NOT /NTENL
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Dante JUN D I Liu' H.S.Ref.No.7 -
SURVEY OF:
TM Imo*POW and WSW supply hcisti4 Et ibis tccatick c....-..)ueen MAP OF:
insxcIsor d$n owned by this DePaf TIem or other aunties anti round to
be satisfactory FOR A MAXIMUM F._„6„ BEDROOMS. FILED:
AiSITUATED AT
Walter J.NNbert. . 1- TOWN OF: SO tf%Af yg1EW?'^• �BrMlt73r:21'rit SUFFOLK
..-----____ — ....... _. -----'— -- FINAL SURVEY 5-22-07
FILE # 26—.