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ELIZABETH A. NEVILLE 1�1=CO 4G 0 ; Town Hall, 53095 Main Road
TOWN CLERK % C P.O. Box 1179
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I CI REGISTRAR OF VITAL STATISTICS
Pit t Southold, New York 11971
�� Fax (631) 765-6145
MARRIAGE OFFICER \--%.1 11RECORDS MANAGEMENT OFFICER _ *a�110 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER iNg ����
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2408 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MATTHEW V TAORMINA
Address 1 : 3 MEAD AVENUE
City St Zip MT SINAI NY 11766
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 #R10-00-0055
Name Of Owner TAORMINA, MATTHEW V
Mailing Address 1 3 MEAD AVENUE
City St Zip MT SINAI NY 11766
Property Address 1 1100 WHITE EAGLE DRIVE
City St Zip LAUREL NY 11948
Tax Map No. section 127.00 block 9 lot 17.000
Cross Street CONDOR COURT
Building Permit Number Cross Reference:
Issue Date: 9/20/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
_ (9'01,��o�OStfFO�,�cO
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ELIZABETH A. NEVILLE �/ Town Hall, 53095 Main Road
TOWN CLERK ` o P.O. Box 1179
v, n7 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �Oy � ,'�� Fax (631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER L�*Ql �s i1� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �sel
,,sS
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 18, 2000
Transmitted herewith is a copy of application No. 2497 for a Cesspool/
Septic Tank Construction Permit submitted by:
Matthew V. Taormina •
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
DISAPPROVE
Comments:
•
Signature
f /er.
Dated
' OFFICEOF THE TOWN CLERK '",„ I,,,,"•",,,�' q
TOWN OF SOUTHOLD
,��CJ�FFOlK`+QGy-- Application No. ca07
ELIZABETH A.NEVILLE,TOWN CLERK44'
P.O.BOX 1179 ', Construction b4-..,
SOUTHOLD,NEW YORK 11971 • v fit JV
Alteration )/�
Telephone 00
, 40° 0Q00i/ $10.00 - Residential
(516) 765-1801 -t. 0.�
$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 V/J/C-3 U
APPLICANT NAME: 747,1 tf/�=U v / /ly1-7, ✓7/1
APPLICANT ADDRESS: 3 //1'7//9d /1✓C
//'/1`Sii7,1/. /U.v // 7 6'IS
SEPTIC CESSPOOL Y
DESCRIPTIONE ,� OF PROPOSED CONSTRUCTION OR ALTERATION
/vc CJ Gp-is//vG66,—+
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:/-1-7.1 -f7-7z--',,,J j/,' /i-loc .,,;7,1
OWNER MAILING ADDRESS: 3 7-1-7c--- / /11✓�
'77 - <__S--/;-7,9, ' /(-- P //2,‘C.
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OWNER PROPERTY ADDRESS: //00 4.>A, /e-- Z. .7 / )di
Zvi& / $-) //
TELEPHONE NUMBER OF CONTACT PERSON:432 X76” /‘'2_5--
TAX
,.9$TAX MAP NO. : Section 1 Z-7 Block D 9 Lot / '7
CROSS STREET: -p✓7nlio/
BUILDING PERMIT NUMBER CROSS REFERENCE:
,Srin re of Applicant
RECEIVED BY : 1
9 / To CClerk's Office
DATE: .'
.4A \ SE
Young & Young, Land Surveyors
----- (L)rs in
400 Ostrander Avenue, Riverhead, New York 11901
516-727-2303 EN
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/ Alden N. Young, P.L. d L.S. (1908-1994) I.
,` Howard II. Young, LanSururyor��� /"" �� Thomas C. I/otpsrl, Professional Engineer\"`�oC° " �o John Schnurr, Land Surveyor i
" goo s �� HEALTH DEPARTMENT USE °
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6�O '• �` ( "BEN • WE HEREBY CERTIFY TO MATTHEW V.TAORMINA & .E
�O °j els °� FIDELITY NATIONAL TITLE (TITLE NO. e
qt..; \ �n / 201 5468) THAT THIS SURVEY WAS PREPARED IN ACCORDANCE
9 �j O WITH THE CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY °
J 'y P, ,\ij• / THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND0
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`'o+t' Q a 16 /JOHN SCHNURR. N.Y.S. L.S. NO. 49517 w B4
\ O\ °oil HOWARD W. YOUNG, N.Y.S. L.S. NO. 458934. r
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\\ r� us SURVEY FOR �A:�D• a i
ra .* `is MATTHEW V. TAORMINA
"�r'� *. LOT 17 "GOLDEN VIEW ESTATES" !Y:
�� At Laurel. Town of Southold f .
�6, , Suffolk County, New York s
s i
$. �nN & County Tax Mop Dt.o-tct 1000 section 127 Block 09 tot 17 iel
•
NOTE ��V BUILDING PERMIT PLOT PLAN io
AREA = 40850 SQ. FT. CI
• SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON AUG. 30. 1984 AS MAP NO. 7770 BUILDING PERMIT DATA FEB. 8, 2000 Re
Rio
MAP PREPARED APR. 9, 1996 la• VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) :ll!
• • ELEVATIONS SHOWN HEREON MAY BE FROM MAPS OR SURVEYS ee
PREPARED BY OTHERS AND ARE SUBJECT TO FIELD VERIFICATION. SCALE 1" 50'
Q.4UN
0NENT SET -MONUMENT EOUNO A_STAKE SET A•STAKE FOUND JOB N0. 96-0199 1 OF 1 II:
DWG, NO. 960199