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HomeMy WebLinkAboutPellegrino, Raymond #4gFO�,r o� C ELIZABETH A. NEVILLE • Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 y v. � Southold, New York 11971 , REGISTRAR OF VITAL STATISTICS Fax (631) 765-6145 MARRIAGE OFFICER :�•�,iL �1� RECORDS MANAGEMENT OFFICER "'/Q 44`,. Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER jog �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2269 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : DONALD R CONNOLLY Address 1 : 22 CENTERBARDEN BLVD City St Zip YAPANK NY 11580 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 #R10-96-0076 Name Of Owner PELLEGRINO, RAYMOND Mailing Address 1 45 OREGON AVENUE City St Zip NORTH BABYLON NY 11704 Property Address 1 405 WENDY DRIVE City St Zip LAUREL NY 11948 Tax Map No. section 128.00 block 5 lot 1 .000 Cross Street PECONIC BAY BLVD Building Permit Number Cross Reference: Issue Date: 3/21/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) a.(01IIoil UFFOL it O ' ELIZABETH A. NEVILLE t1 i''0 Gym: Town Hall, 53095 Main Road TOWN CLERK t o r� P.O. Box 1179 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER ', Southold, New York 11971 � Fax(516) 765-6145 RECORDS MANAGEMENT OFFICER �� �� 40�111� Telephone (516) 765-1800 *FREEDOM OF INFORMATION OFFICER =�' O ,s11 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 9, 2000 Transmitted herewith is a copy of application No. 2357 for a Cesspool/ Septic Tank Construction Permit submitted by: Donald R. Connolly for Raymond Pellegrino 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 r ommendations: APPROVE DISAPPROVE Comments: ignature ,/ 3// Dated OFFICE OF THE TOWN CLERK ,t"'COL/ Q:0, OF SOUTHOLD ��' 11`Qu/'_ Application No.,�3 S ELIZABETH A.NEVILLE,TOWN CLERK Y� P.O.BOX 1179 = j ; Construction SOUTHOLD,NEW YORK 11971 FFS Alteration Telephone '0004, �Q�i� $10.00 - Residential (516) 765-1801 1l S,/ $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 3 ) aup--0 APPLICANT NAME: d r, &LD 2. co, N0L_LI Do- i-f1V Qu ��u2� ��5/5�✓S I w<. APPLICANT ADDRESS: Co to-te GGt i Ci19-P1+A-wr w.y, /(Trb SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION _`i/ tl G-[.t== 4,9n7, c.ve-z/L,i y 6<// S/94 c rd/le S ) f,Y( LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: c,y ,,,,,a„) Wel w ` „/o OWNER MAILING ADDRESS: I-1S 0t- Oil ,�}VL � g loA) kI�oy OWNER PROPERTY ADDRESS yd CcJe� ,)>,z L -r12fr iV f /(c(/dam TELEPHONE NUMBER OF CONTACT PERSON: ( 3)) 215- TAX MAP NO..: Section t 2 e Block 11 S Lot U I CROSS STREET: NCO / le -tc_f v BUILDING PERMIT NUMBER CROSS REFERENCE: cote-5i Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: , . el 1064. 043 r SURVEY OF PROPERTY e- 1: w SITUATED AT � • LAUREL o TOWN OF SOUTHOLD , oo eT�� / SUFFOLK COUNTY, NEW YORK a S C. TAX No. 1000-128-05-01 SCALE 1 "=40' MAY 17, 1996 Z FEBRUARY 5, 200 REVISED PLOT PLAN o 44 1;: ' \4 * o AREA = 22,244.79 sq. ft. o0.11,4-ire:-- ---.-.-------.....-•-•-----s-•---f.y \ 1 sumac couNrY DEPAA' 'r OP'REALM sEnvrcEs "``� PExtM1TFOR XNG�.T APPROVAL FOR A 3 CERTIFIED TO n1 AF.StDENCE ONLY i s4:1;1;',,--- '''-_.'4,--::[%,-1..'-,.,-.4,r., ' '3. �x ,� ' RAYMOND PELLEGRINO DATCE (D-g ©z i'i 10 - q(o, 0 ,7c, = r v. APPROVED /6. 4,,,.•_ri,‘;'.. FOR M&X1MUM!OF BEDROOMS • t♦ e k , p d'. X9Td �.s F ;. 1. ELEVATIONS EXISTRIG E VATIONS ttS/E tTO MN ASSUMElk Q v-y��i eq-�Wkk U O: . 10 ' 2..-RE TO FILED MAP FOR TEST HOLE DATA. -- . f, -,p. 415 \ ® •• a"'— 3. MIN SEPTIC TANK CAPACITIES FOR A 1 TO,4 BEDROOM HOUSE_is 1,000 GALLONS. ( cs i3 '0).. • `/ I p_ �,yy ,1 TANK: B' LONG, 4'-,3�'WIDE, 9'-7'.DERh- - ♦ ® �. ® .e ,r'4-.'MINIMUM LZACHUlG SYSTEM FOR A I(Tb 4"BEG OOM HOUSE(M'3061 eq ft SIDEWALL AREA. IMM...... <V �. �/� 110'0-- x. °pk 1 POOL: 12' DEEP, B' die. �� • / d., \ - .•�•• 1° PROPOSED EXPANSION POOL 1��i ` • • ... / ® jP • f PROPOSED LEACHING POOL I ;99 , 6`• � " EM PROPOSED-3TIC w« E' • 5. ZLOCATKNI OF WELLS AND cERAENTI s M"111 HEREON ARE FROM FIELD ,. ♦ ATKNIS AND/OR DATA OBTARIED FIfOM 01HER5. i •`O ��' 5 6. ZONING USE DISTINCT R-40 (b .•O �t0 7. S.C.D.H.S. REFERENCE No. R10-46-0076 ' v41 A .0? '00 �w� .6.1,1 _ y z :1) •• 1,t, PREPARED IN ACCORD N iff • • TEST HOLE DATA :..�'` ,•,us' �y STA LAND • t TEST HOLE DUG BY McDONALD GEOSCIENCE ON MAY 14, 1996 • l4 cecpH A.1/,,.,, 1• ►`0 40, eI'♦SOI a 0' ,, -..A... +1*1!1. `�Ni. 4o+w mom way ow ., •Jf • '. %IX L.,211.41. R.aaaf r ` `D w�+`_.`"" 1` 1 BROWN LOAMY SNOA'Y� Ar/. �+� f �a { 3. ' Fr ix"���� . ' N.Y.S. Lic. No. 49668 UNAUMORP D ALTETMTION OR ADOnON it • a TO THIS SURVEY IS A VOLITION OF •....../ �°~ . •• PILE OFOOTI FOIE EDUCATOR10972 9 OF THE NEW YORK STATE • Joseph A. Ingegno t� ,n COURSE SAND COPESme OF PIS SURVEY R�NM ORS d `, _ TEMBOSSED SVC O T Land Surveyor \/ 14.4' C:1 �p =mom fsTNIPMF°11 MD ON MS&ILE TO THE SALAGENCY NM ° Sump - Subdivisions - Site Plan - Construction layout N HEREON.NM 10 THE ASSIGNEES OF TIE lF1pW .e::#1,4 ,, % �A. �_ nn1DN cExTIFx ATIDNS ARF IiDr - PHONE (516)727-2090 Fax (516)722-5093 ;, 1i1�' ,r AND/OR EASEMENTS OF RIGHT OF IF OFFICES LOCATED AT NA1IING AGGRESS �`o.F'L CP ANY. NOT SHOWN ARE NOT GUARANTEED. One Union Square P.O. Box 1931 _.__ 4� Aqueboque, New York 11931 Riverhead, New York 11901 — 20-16