HomeMy WebLinkAboutNicolini, Tony • 1
O, �FFol4=co
�
G`
ELIZABETH A. NEVILLE ��� Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
REGISTRAR OF VITAL STATISTICS r Southold, New York 11971
MARRIAGE OFFICER � y,. ��,1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER '/O1 .���.11� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,•01
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2446 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0197
Name Of Owner NICOLINI, TONY
Mailing Address 1 855 EUGENE'S ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 730 THE CRESCENT
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 2 lot 29.000
Cross Street THE GREENWAY
Building Permit Number Cross Reference:
Issue Date: 10/30/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,„„
„i ofFolit•
02q(1,
ELIZABETH A. NEVILLE1 Town Hall, 53095 Main Road
TOWN CLERK ; y • P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Q �'$ Southold, New York 11971
MARRIAGE OFFICER : y �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =_ 1O4( #001
,1� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ����'��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 26, 2000
Transmitted herewith is a copy of application No. 2534 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Schembri Homes Inc. for Tony Nicolini
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells, buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
r'1
-
Signature
r'
C U
Dated
OFFICE OF THE TOWN CLERKI �VUtir
TOWN OF SOUTHOLD ; �J Ql/ 1 Application No S
T),
i7
•
FJ. ABE'fH A.NEWT LF,TOWN CLERK
P.O.BOX 1179 lO Construction
SOUTHOLD,NEW YORK 11971 v rn
fit Alteration
Telephone Oe" $10.00
$10.00 -Residential
(631) 765-1800 -- -Ph-Ph /;, .1' $25.00 -Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee .$
DATE 1Dlas-Ao
APPLICANT NAME: ,4tL7X71 ,e/ /1-6/06=S l
APPLICANT ADDRESS: 22(./)- jU e'QU ji/ /e-M-1.)
/Al 6 g/U 1v
SEPTIC VCESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION- l
N Z%-1 L� N i wI C7 u J 1 u,� r7 Q,
LOCATION. MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: MSS LZ�oc- L� 4J
Cor 4 C o - #-A/ If 93s--
OWNER
3�OWNER PROPERTY ADDRESS: ' 13a CAS
TELEPHONE NUMBER OF CONTACT PERSON: '7 --.9 p(i 3
TAX MAP NO. : Section /000 Block `3b-(3 Lot /
CROSS STREET: 1-14 1.01A-4
BUILDING PERMIT NUMBER CROSS REFERENC :
Ale
r irte),/
fi
► -
Sig lire of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
.
,, JOB No. 00-51
TAX I.D. No. 1000-30-02-29
NN.41141111111111'
VA4NT
106,0
106.4
THF CR
R=395.00' L=88 00. ESCFNT
106.0 1 !e0,j
EX
14 i
"� 104.9
%,1I t�� P
LP (cf �
I
)SEPTIC i
- = LOT 29 ? SEPCI
LOT 27
VACANTse. OCC RES PW
In
PROPOSED
11 SINGLE FAMILY 10"0'
y FF 107,2
\ GAR 105cr) .7 ;-
00
N 7.5 N
W
NOTE: I-
-
et
11 TEST HOLES ON FILE MAP SHOW CLAY w-
{ ANR L SOUTH OF SUBJECT LOT. Z S
21 LEAC*NG-AOOiLS, iST BE BACKFILLED co
M N CLEAN SANDA$D GRAVEL IN
' ACCORDANCE VtICTH SUFFOLK COUNTY .f
HEALTH DEPT STANDARDS.
ti. •
a,
j 106.0 s .:.
k'. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
n;'
PERMIT FOR APPROVAL OF CONSTRUCTION FORA N21.3 104.6
SINGLE FAMILY RE iGE NcE ONLY �V 604,36,
DATE 2�. J
s:y-. . REF. N0. O D b• d )97 RSF
e , .d A
Ni,.:,�r� �'�:�� 4DROOMS
I FOR ti1F.,.��.
EXPIRES T I-;RFZ' Yr.A s= i"1"...01\1 DATE OF APPROVAL
• ELEV IN ASSUAAED DATUM FILE Ml "NO.$ '' *^
.a.wr.L+a.a+arrlrIo►lo1r.aw...ne ws.Wolohan cf Eimation 7209
a efe wLOT 28
wYaictikesEducr rrt9" SURVEY OF:
CsdlRaticoo indlRsl.rfll.rarer elf.lurfhely b the person kg whom R is proffered
. and 000*******�11gr pp minpil Arany sndLsndinp
i. lied .wMam awore..crw. utiona MAP OF PEBBLE BEACH l
r+e..... t....."
°ibe booby Ike°"° "ar"`wa.w««Mo...d
.w w � EAST MARION, TD 14.t 1"
4F.
pP NE iv me albite I .r theft sieve Wee*I prelkoareingtrrr ole Ike Yves ars
Y fors specie to ripM ae4 usE#niiApi gfereursn0)elonddd tg the emotion d
,r,P °.9 loom hulk PP*T1001‘IOW*arkee,*Moo to bull rps,or any other SUFFOLK COUNTY, tatlit YORK
. .4 y DESTIN G.GRAF i p0" °e'
The.�dORN d right at w.yrandrex.a.w.nee of mord,M+�ro,riot shams. SURVEY DATE:N. Aak,.rar�.d. 7129100 SCALE. 'Irrr
,
m '1 4 0 CERTIFIED ONLY TO: `;#
.T-pttf Ia ► N1
fa
�- •mole , . ;� - `., i;-.o.1 73 Visalia Rod s
ins
By cesTINk.-0,1010 st4.iS.UC NO.50067
ti