HomeMy WebLinkAboutGarotalo, Eugene FOL4
ELIZABETH A.NEVILLE )
.v �( . Town Hall, 53095 Main Road
TOWN CLERK �� ?�� P.O. Box 1179
c%) Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER Z t ���{ Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER ` Ol
FREEDOM OF INFORMATION OFFICER
�z .•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2002 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JOHN BERTANI BUILDERS
Address 1 : 1380 OAKWOOD DRIVE
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 #R10-97-74
Name Of Owner EUGENE GAROTALO
Mailing Address 1 621 MARCIN STREET
City St Zip VENICE FL 34292
Property Address 1 WATERSEDGE WAY
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 5 lot 57.000
Cross Street RAMBLER ROAD
Building Permit Number Cross Reference:
Issue Date: 2/18/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
[ ( CEO \Y L '
02 0 &,
FEB _ 9 1999of F
,•N -
ELIZABETIE O t-1— *k% Town Hall, 53095 Main Road
TO QU
�P THOLD 0 P.O. Box 1179
ti 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS rr, Fax (516) 765-1823
MARRIAGE OFFICER Z ti
RECORDS MANAGEMENT OFFICER %\- I Telephone (516) 765-1800
=
FREEDOM OF INFORMATION OFFICER �f�1 4).
',I6.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 9, 1999
Transmitted herewith is a copy of application No. 2086 for a Cesspool/
Septic Tank Construction Permit submitted by:
Bertani Builder for Eugene Garotalo •
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 reyommendations:
APPROVE
DISAPPROVE
Comments:
ignature
14
Dated
r
OFFICE OF THE TOWN CLERK �''''�FFour '
TOWN OF SOUTHOLD , Q� 'QG= Application No.,�d
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
Alteration /
�`rO ��'�•' $10.00 - Residential
Telephone %
(516) 765-1801 "1 �,,o $25.00 -Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION RECEI11/rn
for FEB n 1999
CONSTRUCTION or ALTERATION PERMIT
(own ClerK Southold
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE la • ) 1y?
APPLICANT NAME: (Ix- E±. Y�co-Fv-1 o
APPLICANT ADDRESS: 1 3fv Occ-k-e z2o vas 1V'
S r L o( lam /till /( / .
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Or-4_ ` mrl dt,crel(ind
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: e 6 rt J
OWNER MAILING ADDRESS:
Ven ce- 3 /-
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACTPERSON: 5
TAX MAP NO. : Section Block 01-- Lot S'?
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
, dr
f,,
Signature of Applicant
RECEIVED BY: /
Town Clerk's Office
DATE: 021 �f /
1 am familiar with the STANDARDS FOR APPROVAL The locations o/ we//s and cesspoo/s ANY ALTERATION OR AL V71aV ro nos SURVEY IS A VIOLATION 1
AND CONSTRUCTION OF SUBSURFACE SEWAGE OF SECTION 7209 OF THE PEW YORK STATE EDUCATION LAW
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES shown hereon ore from field observations ExcEPT AS PER SECTION r209-SUBDIViSION Z.ALL OERTFICATIp
and will abide bythe conditions set forth therein and on the Cod or from dole obtained from others. tEHEOI ARE VALID FOR THE AMP AND COPES THEREOF OILY F
rt
• permit to constrct. NNOSSAO SOW A OR COAES BEAR 17E IMPRESSED SEAL OF THE w
t AgYTATMALLV TO COI LY MTTH SAID LAW TAE TER*ALTERED 81
AW/ST BE WED BY ANY AAD ALL SURVEYORS uTL/ZA A COPY
1111111 OF ANOTHER SURVEYORS MAP. MAE RICH AS INSPECTED'AND
• T.iuFFOI IC COUNTY DEPARTMENT OF HEALTH SERVICES
a
•
"' �O PLIRMIT FOR AZ+PQOVAL OF CONSTRUCTION TOR A
�/ .' s DEC 2G 19�i V�SmENNceONLY
q T DATE R •gy
c ��,�` N ' APPROVED
96,..e.�S [��/ FOR MAXIMUM OF a_BEDROOMS
66-1-yo.
FO/1� awe/ �`V EXPIRES THREE YEARS FROM DATE OF APPROVAL
•
Ash -
�,� v/o't P/ P I(^r" a?..oa'Certr.L'e ih E rd 7i t +2rA
Q F• so'r a
00
o ee ,�' ,,>P',4�; „ i. SURVEY OF
��° `� e ' '5 LOT 6
v o \� FROM MAP OF
` ,/ ,; 's91 " TERRY WATERS "
O �° So ��' �' �. FILED DEC. 29, 1958,FILE NO 2901
i I\ a If 7 -AT-
Co . 1 hso I w
o _ o
VIEW
a,
TOWN OF SOUTHOLD
A
'- .- SUFFOLK COUNTY, N.Y.
a �, / TEST BORING';;25;94' 1000�- 88- 05- 57
:.) .1 (J ---___:„..e.,/ " O DARK BROWN LOAM P/v Scale 1"= 40'
S / 1�� O P e Oct. 30, 1996
0'4 BROWN SANDY LOAM
'"*/44'd. 2 / t n`') W `-is
l n ,�• A z OL Jan. 28 /997/PLOP. b0 )
/\� y 1 4. O 0 BROW CLAYEY SAND April 23, 1997(Wei added) Q
.� SC
/ \\ .'e`r� A (/ ;�A)10 V .T3� PALE AMOWNf7+E t ,. :3CCYi'>';.. ,r-:".7,,,C;rir ....e'-71 137 f
TO COARSE SAPD i y t�L
} ', /1.4,4,. ��A: \ \.,' -
19 O i.. N/-S�..Air"..".„4i+e tee' �� WATER N PALE BROWN S,�G"OF I‘,1":-#0,,
�f�/yO
,� 'S/2%r /� FINE TO COARSE SAAR `` :N,.7.Mei 'P
„d /;pk--- t w.�J SW o �F
x`/4.4. / 2/' =T�*ti//kid. Ns. _ i ;:j* *
N
f C /i r 1-=a, // , A i� • . LIC. NO. 496/8
k i .ells,. Ate.
- PE 7: 't'' , P.C.
A.14 ELEVATIONS ARE REFERENCED TO N.G.V.D. (516) `'v� 1t
A AREA = 19,712 SQ.FT. t0 tie line 1230 BTRAVELER STREET
SOUTHOLD, N.Y. 11971
96-254