HomeMy WebLinkAboutLavagetto, Paolo i„
ELIZABETH A. NEVILLE t , y• am►; Town Hall, 53095 Main Road
TOWN CLERK ; co) P.O. Box 1179
REGISTRAR OF VITAL STATISTICS V.
Southold, New York 11971
MARRIAGE OFFICER 1 Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER 45*o a0����1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER \_�1 4 *as,
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2153 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : CHRISTINE JACOBSON
Address 1 : 51 LINDA LANE WEST
City St Zip RIVERHEAD NY 11901
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 # R10-99-0024
Name Of Owner LAVAGETTO, PAOLO
Mailing Address 1 SOUVIRON, HAYDEE
1150 OAK DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 MEADOWBEACH LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 111 .00 block 10 lot 21 .000
Cross Street LITTLE PECONIC BAY BLVD
Building Permit Number Cross Reference:
Issue Date: 10/01/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEV hE,'fJ J.DEPT. e�O y
,, Town Hall, 53095 Main Road
TOWN CLERK lp\41V OF SOUT1-1 {
P.O. Box 1179
REGISTRAR OF VITAL'STATISTICS v. Southold, New York 11971
MARRIAGE OFFICER
Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER Wfs _,O• � Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER =cl Jig *i/
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 14, 1999
Transmitted herewith is a copy of application No. 2239 for a Cesspool/
Septic Tank Construction Permit submitted by:
Christine Jacobsen for Paolo Lavagetto & Haydee A. Souviron
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:
ignature ]
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Dated
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OFFICE OF THE TOWN CLERK r1••.
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TOWN OF SO __ Application No. 39
UfHOLD •
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 : Construction
SOUTHOLD,NEW YORK 11971 a .T
Alteration
Telephone �,j- �Q�•.•• $10.00 - Residential LK
(516) 7 65-1801 . 4j •
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��' $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 q - 14- q9
APPLICANT NAME: Christine Jacobsen (agent)
APPLICANT ADDRESS: 51 Linda Lane West
•
Riverhead, NY 11901
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION New 1560 square ft.
one story framed residence with cellar and a 500 square ft. attached
2 car garage. 360 sqare ft. atached porch, 80a square ft. attached deck,
10 ' X 20 ' seperate storage shed.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Paolo Lavagetto & Haydee A. Souviron
OWNER MAILING ADDRESS: 1150 Oak Dr.
Southold, NY 11971
OWNER PROPERTY ADDRESS: Meadowbeach Ln & Vanston Rd.
Nassau Point, Southold
TELEPHONE NUMBER OF CONTACT PERSON: Christine Jacobsen 208-0898
TAX MAP NO. : Section 111 Block 10 Lot 21 (agent)
CROSS STREET: Little Peconic Bay Rd.
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY : S
'Down Cler ' Office
DATE: y/
The locations of we/!s and cesspools 'v '
shown hereon ore from field observations ANY ALTERATION OR ADDITION TO THIS SU4VEY IS A VIOLATION
11) 1 i!_
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and or from data obtained from others.
OF SECT7ON 7209 OF THE 209 -awls STATE EDUCATION.. ALL
LAW. OF HEALTH
SERVICES
EXCEPT AS PER SECTIAM 7209-S1.60VVISlQW� ALL CERTFICATIONS SUF�ia000l1KtYl�
hEREON ARE VALD fQR THS AdP AAD CAPES TAEREOJ"OACY/F
SIN+ +4T O, APPEARS SSED SEAL Of' 71€SCNtVEYOR 'MR�R��i�L� e.
ADD!TlONALLY TO COM'LY WITH"SAL'LAW TAE TERM ALTERED BY' NM&VAM1r•Yi iONLY 001.11RICTION FOB A
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY 1999
OF ANOTHER SU4VEYORs MAP. TERMS SUCH AS 'YVSPECTED'AND ��� +" • e. a ,001 •
'BROUGHT-TO-DATE'ARE NOT IN COMPLIANCE WITH 71€LAW. / • //
L CERTIFIED TO' ] ��
HAYDEE A. SOUVIRON •
FIDELITY NATIONAL TITLE INSURANCE COMPANY j Y UPR �.�� VAL
OF NEW YORK
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Pi•eTEST BORING Approved in accordance tiff it SoaReview
1-, ,, o determination dated 6 1'51..41 . .
rBork Brown Sandy
,. 3Loam OL
N.
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�p� •6 s,Q -57,% `� is 0 5 Brown Loamy l om-{en>�er with the STA / OS FOR APPROVAL
"ri �• o. sane SM AND CONSTRUCTION OF = RFACE SEWAGE
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� °pti s� Q (`P) 3.5 — DISPOSAL SYSTEMS F•- GLE FAMILY RESIDENCES
CF-
C3). �M \z`i PaleBrownFin,. and will abide by the co el for h therein and on the�0 ti to coarse sand permit to construct.�3 - //
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`or 3 6 p,Pec...:,,,
g `s "C + SUBJECT TO COVENANTS&RESTRICT!CNS U3E Qt"
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F�IC' SURVEY OFPROPERTY
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SO
t.,° '. ' `a; NASSAU POINT
�'30y TOWN OF SOUTHOLD
PO v�oP, hsc (oma ' A�.W SUFFOLK COUNTY, NY
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3? we sf ��r �,> � 1000 - 111 - 10 - 21
ter, ICI
'SW SALE 1" = 30'W;:
`"+D o�c,4� '� o �—/2.3______-.--7- : 2 'PA JAN 14, 1999
Coad L' /02'. E o� v1 //9a' -m Jan. 22, 1999 (Test Btliing Added)
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\ •;: IIS, N.Y.S. LIC . NO. 496/8
LOT NUMBERS ARE REFERENCED TO 'AMENDED MAPA •'_:'Sd 'I r?Z RS, P.C.
C.° /50' ' OF NASSAU POINT, OWNED BY NASSAU POINT CLUB •51'. ;',�'- "
c.P, iso'+ PROPERTIES, INC. ILED IN THE SUFFOLK CLERKS OFFICE v t. . B'
ELEVATIONS DA a'�ii AREA = 35,141 sq. ft. to tie lines AS MAP NO. 156 ON AUG. 16, 1922 4,. �,..;` . •Y STREET