HomeMy WebLinkAboutFedele, Michael t _
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ELIZABETH A.NEVILLE .Z�� y1NTown Hall, 53095 Main Road
TOWN CLERK c , P.O. Box 1179
C.4 Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS , Fax (516) 765-1823
MARRIAGE OFFICER �,yAGEMENT OFFICER ��1. ��� Telephone (516) 765-1800
FREEDOM ORECORDS F INFORMATION IOFF CER 9" P
01‘.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2051 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GERALD SIMONE - GENDOT ASSOC.
Address 1 : P.O. BOX 534
City St Zip WADING RIVER NY 11792
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 #R19-99-0051
Name Of Owner FEDELE, MICHAEL AND MARIA
Mailing Address 1 12 BERNARD LANE
City St Zip COMMACK NY 11725
Property Address 1 FANNING ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 117.00 block 4 lot 24.000
Cross Street FRED STREET
Building Permit Number Cross Reference:
Issue Date: 4/16/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE �0 °yam, + Town Hall, 53095 Main Road
TOWN CLERK ,' o ...4
�` P.O. Box 1179
N Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS # Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER iyf 0 ('. Telephone (516) 765-1800
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FREEDOM OF INFORMATION OFFICER °I lig
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 6, 1999
Transmitted herewith is a copy of application No. 2133 for a Cesspool/
Septic Tank Construction Permit submitted by:
Gendot Associates (Simone) for Michael and Maria Fedele
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 reccomendations:
APPROVE
DISAPPROVE
Comments:
ignatur
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Dated
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OFFICE OF THE TOWN CLERK ,,,,""
Town of Southold '
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Judith T. Terry, Town Clerk �'� 0� 0�/�. Application No 3 3
Town Hall, 53095 Main Road •
P. O. Box 1179 s ; Construction -�
Southold, New York 11971 1.51 . : Alteration
TelephoneQ�_' $10.00 - Residential
(516) 765-1801
• ,,,, $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee '$ /D•oo
DATE 43/(G&J)do APPLICANT NAME: �er� fR SSae,
APPLICANT ADDRESS: .Q••
Wad n9ycr f-y• 09Q
SEPTIC CESSPOOL •�f
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
NIG
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: m ;choeloaybria i erlele
OWNER MAILING ADDRESS: /a Prr c rc,C
(rm m ctrk, r) • 11 ,705
OWNER PROPERTY ADDRESS: Fan r) J ��
TELEPHONE NUMBER OF CONTACT PERSON: 11q3-0 ) (�
TAX MAP NO. : Section J) '7 Block L Lot c:2
CROSS STREET: rredZ-F.
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sig - ure of Applicant
RECEIVED BY: �Q
Town Clerk's Office •
DATE:
LOT ARIA-,s 20,894 SQ.FT.
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F.F.rei.EV. s 51.0'
GAR.ELE P.s 4q.0'
• NOW OR FORMERLY CARUSO
NOTE:LOCATIONS OF ADJOINERS WELLS VACANT
AND CESSPOOLS BY OTHERS AND
ARE NOT GUARANTEED.
ACT. 107.24' j��1 I
S.83'IT 40'E. DEED 108.7!' I
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PZRMIT FOR APPROVALt{e,Rl-IE 5 LANES
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SU CIIZ FAMILY 4 . ,I, . o' , .
•:ATE- 3--(S-9- m. , ,�. ,•' . #-e�. r•
EXCAVATION INSPECTION l c%...tuirttU
PIRMAXDr UMOP' _— .;-'fit• ; , S FOR SANITARY SYSTEM
A BY HEALTH DEPARTMENT
PROM DATE OF APPROVAL ;#
JOB NO. 99-32 FILE NO. 710 F
SHOWN HER FRM OT SHILL RUN ONLY TO TIE PIRSDW
STRUCTURES TO THE PROPERTY POR WHOM THE SURVEY IS ►li
INS ARE FOR A SPECIFIC FUR- PARED, AND ON HIS*ON SURVEYED FOR�ICitAEL and , +T
ALP
°OAND USE AND THEREFORE THE TIRE OOAMMIY, OONLRNMl1 w
` ARE NOT MINDED TO GUIDE THE TAL AGENCY AND LENDING INERT.
. °RRCTION OF FENCES, RETAINING TUTION LISTED HEREON, AND TO I
NMS, POOLS, PATIOS, PLANTING THE ASSIGNEES OF THE LENDING.
ARIAS, ADDITION TO BUILDINGS INSTITUTION. GUARANTEES ARE LAttR 9 1999
'UMW C INRCONENUCTION. NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUSSEQUSNT SITUATED AT
JNAUTTIO*IZED ALTERATION OR OWNERS. NEW SUFFOLK
ADDITION 10 DES SURVEY IS F SOUTFsOLD,SUFFCLK� I
•I0tAT10N OF SUTTON 7209 OF COPIES OF NS SURVEY MAP NOT TOWN OF
HE NAV YORK STATE EDUCATION SEARING THE LANb SURVEYOR'S ''' 8,':ri I
AW. 1NI ID SEAL oft eM110 11s Mt SCALE 1" = 30' . •I" 2-94109 .NOT BE CONSIDERED TO Tel
Avg
OF NSW FILED MAP NO. DATE
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GUARANTEED ONLY TO ''���.TRAIyC, �'f YO TAX MAP NO. 1000-117-4-24 (REF. ONLY) DISK 194
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p.) - ti 0, HAROLD F. TRANCHON JR. P.C.
* oo , "'" ,- t� LAND SURVEYOR
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ate. / �!:994. J,p� 1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 11792
e v f' aE. NO. 048992 516-929-4695
. . ,,. w F TRlMhIt ON JR. I.IC. NO.. 211,15.-E—�