HomeMy WebLinkAboutPagano, Vincent ole' FO/
ELIZABETH A. NEVILLE $�`Z` yam►`, Town Hall, 53095 Main Road
TOWN CLERK % p _'� P.O. Box 1179
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% coZ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS n1 1 Fax(516) 765-6145
MARRIAGE OFFICER `
RECORDS MANAGEMENT OFFICER `� 0 /�/ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER '� 4. �` "
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2122 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DONALD WILCENSKI
Address 1 : 38705 ROUTE 25
City St Zip PECONIC NY 11958
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 #R10-99-0043
Name Of Owner PAGANO, VINCENT & DIANE
Mailing Address 1 898 CONNETQUOT AVENUE
City St Zip ISLIP TERRACE NY 11752
Property Address 1 2465 FAIRWAY DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 5 lot 14.022
Cross Street GREENWAY
Building Permit Number Cross Reference:
Issue Date: 7/28/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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(� Rm 1, 53095 Main Road
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ELIZABETH A. NEVILLE ,I°�O f @ L5 0 V E 1.O. Box 1179
TOWN CLERK ;
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OFFICE OF THE TOWN CLERK ,wFFO[K ,I
TOWN OF SOUTHOLD ,iO Cov Application No. a��
ELIZABETH A.NEVILLE,TOWN CLERK / ' �
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P.O.BOX 1179 L Construction AC
SOUTHOLD,NEW YORK 11971 O T
Alteration
Telephone ,j- �Q�'�•� $10.00 - Residential
(516) 765-1801 �l � $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 U,, ,b,
APPLICANT NAME:
tN"oQ � � , ` C'C vk
APPLICANT ADDRESS: R $71 a „ -Lc
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
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OWNER OF PROPERTY: _ -
OWNER MAILING ADDRESS: cCi8 C Ick)
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I s l p .9 Terrace 91152
OWNER PROPERTY ADDRESS: 24Co'V
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TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /0 ? Block 5— Lot 2-I--
CROSS
ZCROSS STREET: <-e
BUILDING PERMIT NUMBER CROS REFERENCE:
Signe of Applicant
RECEIVED BY:
/Tr97 Clerk's Office
DATE: 7// 7
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.
SURVEY OF LOT # 22 SEPTIC, DETAIL Test Hole
MA1 OF "FAIRWAY FARMS" not to scale 4atalne°
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FILED.JAN 15, Ic114 AS FILE #6066 at nlan cede
eiTUATE: GUTGHOGUE
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TOWN OF SOUTHOLD a.z ° 5SUFFOLK COUNTY, NY
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SURVEYED 04-28-94 °
AMENDED 05-20-94
AMENDED 06-15-44
SUFFOLK COUNTY TAX# OO e
1000- IO9 - 5 - 14.22
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SUFFOLK COUNTY DEPT. • - --_
RIO-99-0106 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONS I RUCTION FOR A N
CERTIFIED TO: DINGLE FAMILY RESIDENCE ONLY Ground
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DONALD WILGENSKI DATE 0-1.�_- C HS: - NO. Rto-•' -00`1�j W , I E
APPROVED__,__ % ' -`
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FOR MAXIMUM OF 4.134)OMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL �.
Lot #12 Lot #2l
Dwelling Dwelling
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Lot #24
Dwelling 05,
S89°12'10"E 200.00'
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\\ 8'wide easement for
drainage swaIe
Lot #I4 qj N89 12'1
Dwelling 92) 0"W 175.00'
Green Way
ree Lot #n Lot 015
Dwelling Dwe'Ilno
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NOTES: ;* 'fC- ! �` ...........E.....,,.
. ... .. . . ......`o _L"' Q .....■ MONUMENT FOUND
• SPIKE FOUND •(�SFp O�2'41 4,C)/,4o,, w....sr... ....
•
..... ...........r
_ LAND Sv i' `•
; ; l HEDGE • _
AREA = 43,866 SF OR 1.01 ACRES • '
JOHN C. EHLERS LAND SURVEYOR
GRAPHIC, SCALE: 1"= 50' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
' RIVEREEAD,N.Y.11901
--- 369-8288 Fax 369-8287 REF.D:UOBS\99-166B