HomeMy WebLinkAboutLomangino, Susan •
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ELIZABETH A. NEVILLE ��_ ¶ ; Town Hall, 53095 Main Road
TOWN CLERK 1 o P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER ` Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER `: q01 �o , Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .08°���
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2307 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : TORKELSON BUILDERS
Address 1 : PO BOX 1475
City St Zip SOUTHOLD NY 11971
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 #R10-00-0070
Name Of Owner LOMANGINO, SUSAN
Mailing Address 1 327 GREENLAWN ROAD
City St Zip GREENLAWN NY 0000
Property Address 1 OLD MAIN ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 122.00 block 7 lot 8.006
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 5/01/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH;A.NEV .I2 8 2 e/ 0 1 Town Hall, 53095 Main Road
TOWN CLER g P.O. Box 1179
IVY t
Southold, New York 11971
REGISTRAR OF VITAL TATISTIGS a Fax(631) 765-6145
MARRIAGE OFFIQER N,4,6
1
RECORDS MANAGEME`ii' � - _ : Ql 6�� 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: April 28, 2000
Transmitted herewith is a copy of application No. 2395 for a Cesspool/
Septic Tank Construction Permit submitted by:
Torkelson Builders for Susan Lomangimo
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:
j2
Signa re
Sf i /da
Dated
- A
S.
OFFICE OF THE TOWN CLERK ,►'t o {oLK
TOWN OF SOUTHOLD •��`► �I Application Noo� 1��
ELIZABETH A.NEVILLE,TOWN CLERK ` Construction
P.O.BOX 1179 :
SOUTHOLD,NEW YORK 11971 Alteration
Telephone 0 Or/
$10.00 - Residential
(516) 765-1801 '_' 1 ,► '� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 6> )- ibu
APPLICANT NAME: /0 2 X(s7--- L.i)&rei
APPLICANT ADDRESS: Q. O • & I Icor
( (57(
SEPTIC I CESSPOOL I
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION I6- Gt--)
° S(
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 5125 fJ?,-) Z_Uhk 06/w0
OWNER MAILING ADDRESS: 3c-? G�(.-sEh3 w (2�
OWNER PROPERTY ADDRESS: SLY] }11/ 1//k) ( O
b- OTT IT vac - Y 11 c;f2
TELEPHONE NUMBER OF CONTACT PERSON: C3)- ?CI"- `1000
TAX MAP NO. : Section /,)2 Block 0-7 Lot
CROSS STREET: Yv\y *J go
BUILDING PERMIT NUMBER CROSS REFERENCE:
J/ inat re of Applicant
g u
RECEIVED BY: / 1-ALL-E---1�
Town Clerk's fice
DATE: �/i /G!/
99
SURVEY OFA PORTION OF PROPERTY
4I 0. ko,, AT MATTITUCK
d TOWN OF MATTITUCK
' �,d'''' o SUFFOLK COUNTY, NEW YORK
~`� " 1000-122-07-8.6
m
S� i
FEB. 29, 2000
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A ta
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ti" i oin
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2Oc m
2
ARLA..64.2 seep
4 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 1
ti PERMIT FOR APPROVAL OF DONS RUCTIO i FOR A
•. .\ , 1 SING FAMILY WOMEN=ONLY i
SCALE: 1"=400' \ TATE ).-I .
• I o a iii-pa70 i
OP. / \ APPROVED .
• ptI¢ 4 �il - FOR MAXIMUM OP 4 BEDROOMS
2' "` e pgG �� � EXPIRES THREE YRgRSFROM DATE OF APPROVAL
Q' r
_2 • a - ' 11 I SCALE: 1"=50' - --- '
444, "41 ' , v 5 '
, 'moo 1 � A
1 / 1
y
con! S FRAM FIVE EASTERN TOWNS 6- a �, A ?p_
I r MAPS ,3 D. I S
with the STANDARDS FOR APPROVAL ^` •'i �. { ,SF-QF NEW jo
:TION OF SUBSURFACE SEWAGE `r' \ {esfbering :I-I--
�/��� `P�,`'''M�rr° P� I
ITEMS FOR SINGLE FAMILY RESIDENCES ' o 1 o o 4 3
by the conditions set Forth there.n and �4 0 0� o it
4Q,
t tt construct. o- t'i �'"'�12, � S° (2*4 iii *.„vee-►
I) saw,,, Deb' \\CK gP �,,. O
cE' wells and cesspools shown hereon are J)'- " /proms SSGPB ' 9R �N/���• • e, ..�
bsar ations and or data obtained From others hse FR ij111« LIC. NO. 49618
d OR ADDITION TO THIS SURVEY IS A VIOLATION _ / IECONIC S •te•+r•IRS, P.C.
79 lig- THE NEW YORK STATE EDUCATION LAW - 631) 765 5020 F-AX.(631) 765-1797 { I
SECTION 720_9-SUBDIVISION`2 _A L CRT IIFICA TIONS • /o'`O P. 0 BOX 909
�0 1230 TRAVELER STREET
fl.'o."po..l SOUTHOLD, N.Y. 11971 0 0—1 0 1
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