Loading...
HomeMy WebLinkAboutCimador, Fausto O 0 ELIZABETH A. NEVILLE • Town Hall, 53095 Main Road TOWN CLERK ` o= P.O. Box 1179 % v3 Z REGISTRAR OF VITAL STATISTICS v. n� Southold, New York 11971 ARRIAGE OFFICER �� Fax (631) 765-6145 M RECORDS MANAGEMENT OFFICER '/Q �$ �1� Fax (631) 765-1800 FREEDOM OF INFORMATION OFFICER .���.9" OFFICEOF THETOWNCLERK SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2399 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : FAUSTO R. CIMADOR Address 1 : 395 GILLETTE DRIVE City St Zip EAST MARION NY 11939 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 #R10-00-0037 Name Of Owner CIMADOR, FAUSTO R Mailing Address 1 395 GILLETTE DRIVE City St Zip EASST MARION NY 11939 Property Address 1 1040 GILLETTE DRIVE City St Zip EAST MARION NY 11939 Tax Map No. section 38.00 block 2 lot 11 .000 Cross Street COUNTY ROAD 48 Building Permit Number Cross Reference: Issue Date: 9/13/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) _ 7 3q ,oc„, ELIZABETH A;NEVII ) J 7P- Town Hall, 53095 Main Road TOWN CIER 0 0= P.O. Box 1179 irt Southold, New York 11971 REGISTRAR OF VITAL STATI � GS �,L Fax(631) 765-6145 MA • RECORDS MANAGERIAGEdMENT OFFICER %Y./ +,10' Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER .00 '1�� '%. . OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 1, 2000 Transmitted herewith is a copy of application No. 2488 for a Cesspool/Septic Tank Construction Permit submitted by: Fausto R. Cimador 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: Si ature q('` leo Dated r _ OFFIGIE OF THE TOWN CLERK ,�' �{of__ LK/� _ TOWN OF SOUTHOLD �� '�� `Q Application No. 0 0 ELIZABETH A.NEVILLE,TOWN CLERK % 'yj4 P.O.BOX 1179 Z Construction SOUTHOLD,NEW YORK 11971 ` p MN ; Alteration Telephone --.7-:40/ 0,5� Qroir $10.00 - Residential D(------.(516) 765-1801 - 01 4t ',."° $25.00 -Non-Residential -- +,'' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCT ION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ / DATE e.20 e i�,�jE'I ij _.,,v-t►-C) APPLICANT NAME: 1.,,,,v T, cipfrutdok- ' APPLICANT ADDRESS: LSYS'c (4// ' 0.,-i 1�Wit/`F(9,l/` //.7 //9-.?9 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION OA i e S yr e,---e..;;de A--c e l LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED COySLRUCTION OR ALTERATION: OWNER OF PROPERTY: -/ Qy.S`Le) k, ('N'l e a 6 F OWNER MAILING ADDRESS: 375 60- ff A f , 7L / ki�AJJ/V, //92 9 OWNER PROPERTY ADDRESS: IOLib 321Abz, TELEPHONE NUMBER OF CONTACT PERSON: A1-4•4=).-- r'' i47:7 - //f7 TAX MAP NO. : Section .. 3- Block C%2 Lot // CROSS STREET: '�e,,A' cT2 -</k BUILDING PERMIT NUMBER CROSS REFERENCE: 4 f . /. ..`Lo/ . --#1.:. _ ' Sign- u e •f Applicant RECEIVED BY : 's Office DATE: /tOm r e i Lot numbers refer to "Map of Marion Manor" filed in the Suffolk County File Nof.ce on 2038March 18, 1958 go `�, SURVEY OF PROPERTY , • os yU► °R AT EAST MARION o11. / TOWN OF SO UTHOLD ` V. ,�• SUFFOLK COUNTY, NEW YORK , X`, �� 1000-38-02-11 . ` , ..,R ,`Y .� ,cA21,LE: 1999 1'=30' I ' / Ai'etS del mo1,./... hoc A. s. IA .. _ wt''‘ it i 4� _, . ',, r�` e ‘4. • , 1 ' • •0' SUFFOLK OOUN fY DEPARTMENT OF HEALTh SERVICES FORA U2eiION F CONSPR .� VAL O p;ERDfIIT FOR AYpRO 11;ONLY g/• a µ�5 \ $IIU<iLE FAINlII,Y PISIDWC . ..eist)\ s•;� DATB Iib REP. 1��• � 1 ( .A�aJ-j:.►_'� /_ ApPROVBD ' + it FOR MAXIMUM OF ' �' , .e� AL �� bA'b 113 v. Brown eeney room of QpIRBSTHREBYEARSFROMDATEOFAFPROV S �� Wkr, -----t '� OM.ty'4 Brown loamy fond SM ' l Brown clayey gond SC sAkIEOFNFA , t ' AIMA w.��Qr 00. sq. ft. f.monument toNN r.,-4. `O/ ' �. m + t.. Y Pae'Brown tine to coarse Bond Se, * 'liya 1 am familiar with the STANDARDS FOR APPROVALlin,,. .. .. 1 AIJD CONSTRUCTION OF SUBSURFACE SEWAGE ii,,--y DISPOSAL SYSTEMS FOR,SINGLE FAMILY RESIDENCES R:; and,will abide by the conditions set forth therein and �' 1 11/ �= N.Y.5. l I C. N0. 49618 on tfit pillTl»it t4 construct. '' ' - ANY ALTERATI• OR ADDITION TO THIS SURVEY IS A VIOLATION -4: 1 ' OF SECTION 7 • OF THE NEW YORK STATE EDUCATION 4AW. '�'' YORE, P.C. 1 Thiole locetten of veils and cesspools shown hereon ore t�• EXCEPT AS PE' SECTt01Y 7209-SUBDIVISION 2. ALL RihFIOArION$ ( 16) 7 - `02 ' it *Off+ observations Ona or data obtained from others. HEREON ARE V ID,FOR THIS MAP AND COPIES THERE ON,Y'IF P. 0. 80X 909 It 1 f TEST. HOLE DATA SAID MAP OR* ' ES REAP THE *MESSED SEAL OF IRE 1IN4'VEY©R 1230 TRAVELER SST WHOSE SIONA APPEARS HEREON. 6 4 r fx to * 418E.r�fdrenClttl to assumed datum. SOUTHQLp. N.Y. 11971 wl r 1