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HomeMy WebLinkAboutBarbato, Salvatore 4oL op ELIZABETH A. NEVILLE ��� d; Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 1 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �� Fax (631) 765-6145 MARRIAGE OFFICER Gy RECORDS MANAGEMENT OFFICER '/Ql a0'ii Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER � OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2301 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : S. BLAZOWSKI/C. HARPER Address 1 : C/O JOHN KENNEDY City St Zip NESCONSET NY 11767 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 #R10-99-0227 Name Of Owner BARBATO, SALVATORE Mailing Address 1 244 LENOX ROAD City St Zip HUNTINGTON STATION NY 11746 Property Address 1 75 CLEARVIEW AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 70.00 block 8 lot 41 .000 Cross Street GARDINERS LANE Building Permit Number Cross Reference: Issue Date: 4/21/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) , ,,,,, ,......„ 9 3 01 1��• ,,vS�FFot,�40 . ELIZABETH A. NEVILLE ��_ y� Town Hall, 53095 Main Road TOWN CLERK % o - P.O. Box 1179 % CI, Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �� MARRIAGE OFFICER ifi ��,11 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ---7491 -toot Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER .. �,,�r�� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: April 19, 2000 Transmitted herewith is a copy of application No. 2389 for a Cesspool/ Septic Tank Construction Permit submitted by: John Kennedy for Susan Blazewski and Catherine Harper . 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: -------- 2 ignatu 1A- 1oo Dated .f ,,, • �l OFFICE OF THE TOWN CLERK ,,''��FFOLK � //ss TOWN OF SOUTHOLD �� `Q _ Application No. ELIZABETH A.NEVII.1 F,TOWN CLERK P.O.BOX 1179 . F. ;'� Construction i/ SOUTHOLD,NEW YORK 11971 � Alteration Telephone '-....0a., fir..; • $10.00 - Residential (516) 765-1801 '\-701t*if.' $25.00 -Non-Residential -...0,0 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE QCs 0 APPLICANT NAME: �S( --)-• \,,:--e..:) 0 SCr. ` QG ,t-i Va-r APPLICANT ADDRESS: 0.. sn 5-9 '''',:kc J - \s cQ�9-i e �1.,r),.,,.� \e, -� z ,.-5 t-C 14�--�f, 11767 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION e Nt. �v- sus Ci. V-- -- S LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 5 A.rws©ve c.--t\i o OWNER MAILING ADDRESS: aL(Lj Le, \O1c�-�cA s MY flit-16 OWNER PROPERTY ADDRESS: 15 `e -e.c,.� d ve' 7 S-'- .. tJ r TELEPHONE NUMBER OF CONTACT PERSON: AY- q".7 1 - 3q 6. TAX MAP NO. : Section eftelii= Block r©''Lot Li ( CROSS STREET: ‘ ,.,e_,.c 1,-- fC-.. --_---i.... .-- ,..0111, '9 BUILDING PERMIT NUMBER CROSS REFERENCE: \ Lathre4nt RECEIVED BY : Town Clerk's Office DATE: TEST BOLE DATA otacam. (TEST 1101E ow 81' fi ems¢w OMOBER la /9n) 1 SURVEY OF 19 *74..r law!.r LMAp�.. >a OP • FAIRVYEi1f PARK • `" lif °' '°,;d sEcIIU v ova ..*PAZ.p,1,I.9,o,A,,,,.. �' i1tE N9. SSBB F{EO AWIKT B. 1961 s1TLMT$D AT ` PINE NECK • for TOWN OF SOUTHOLD TTT p•,o,,, . SUFFOLK COUNTY, NEW YORK lk� .• .S 7: 22.50. !: S.C. TAX No. 1000-70-08-41 R 6 SCA11E 1".40' 73<7 Tno q1 10 �..1 i, v OCTOBER 7, t999 a -. .r •�� 51 DECEMBER 9, 1999 REVISED AS PER S.CD.M.S.NOTICE < u. •-!i Mrledt 9.2000 REVISED 511E PIAN DoT AREA . 21,345.30 991. ft. - 1+- z 4*`04 0.490 a0. N z�,T.J �� J CERTIFIED TO: (ii - i GANL'f TOPAZ ABSTRACT CORPORATION SUSAN BLAZOWSKI CATHERINE HARPER 8 L 1 T-9E 1 TO AIM=Iglu K uYR 1.000 9A1 ^ b J A. TIw M * A l 194181801118108181 NO.40ISML ARA. 6 if f ,___, er...soma roa /�, o �.A" r` - . %/WOW 11�•190. a, r�" „a 0� 1 dna' MPIINVIIIS WIC VW a .'�1 4. anA . V�9 hili 9110x11 MLROOI/i ROI fIGO q.. < igiljal 14..i--.4. • a -c 041E ww.,vnF99r1 9IR-. � � SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES " ', is Qr' PENce leOr IA 46."'�4 3 PERAUT FOR APPROVAL OF CONSTRUCTION FOR A "ooan I FAMILY RESIDENCE ONLY . r -r : B CJ ] O y R 8 n DATE ' Lb / 1. ;v•.N• O -l'-�` � �' ,.fi"'u.o Mry ° ft M APPROVED ��I aI�1 �f Yoo CO,CFOR MAXIMUM OF :70 rr.. 6 •T BEMS THREE YEARS FROM DATE OF APPROVAL ...ow mor d- 110.00. *Air Nit+1.' , O CLEA PTS 3 .`F 1y1 , r N. - ,,� su ev MIA ta°r°°`" 4of mo, t .J• it`.:.',_ 1r sP•-t+tM.r- a.aw_ COWMAN 49 99•0 ,OHNE 000799-9999f..(or)iv-1722 Pliffp,0,e, • . 1,...„,,,,,., ,....4-,,,„m„.....: .., , : . f •