HomeMy WebLinkAboutPilles, Esther /N
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ELIZABETH A.NEVILLE I O Gy Town Hall, 53095 Main Road
TOWN CLERK o r P.O. Box 1179
N 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER = y
RECORDS MANAGEMENT OFFICER tiff) .a�� Telephone (516) 765-1800
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FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1937 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN BERTANI BUILDER INC
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 #R10-98-0132
Name Of Owner ESTHER PILLES
Mailing Address 1 BREITSTADT COURT
City St Zip SOUTHOLD NY 11971
Property Address 1 CLIPPER DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 4 lot 17.005
Cross Street HARBOR LIGHTS DRIVE
Building Permit Number Cross Reference:
Issue Date: 9/28/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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7F32
ELIZABETH A.NEVILLE t. � t; Town Hall, 53095 Main Road
TOWN CLERK p .G P.O. Box 1179
y Z 4 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS V O 47$ Fax(516) 765-1823
MARRIAGE OFFICER : ?i 1
RECORDS MANAGEMENT OFFICER "�/� ��I�i� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 00°a
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 24, 1998
Transmitted herewith is a copy of application No. 2014 for a Cesspool/
Septic Tank Construction Permit submitted by:
John Bertani Builder for Esther C. Pilles
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 re mmendations:
APPROVE
DISAPPROVE
Comments:
4t/ -11 e
ign
Dated
•
• OFFICE OF THE TOWN CLERK 0°1'4006%." -�
TOWN OF SOUTHOLD ; GApplication No.'''0
FI d7ABETH A.NEVILLE,TOWN CLERK k
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
i , Alteration
• $10.00 - Residential c/
Telephone V._
j' •kO� _
(516) 765-1801 - �l �,0° $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 Y)9?))
APPLICANT NAME: �h�r ?/ _n� �d J—r�
APPLICANT ADDRESS: CJtCU 7 )c►_ 9'
�cn� f�of� Asy
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 0, ',`,,
OWNER MAILING ADDRESS: {&'(_ h (-j' fn� c'jc�, IT-1 )lel !
OWNER PROPERTY ADDRESS: CLecr
11 {1(
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 161 Block C '[ Lot IT
CROSS STREET: 146, tio:r Ul
BUILDING PERMIT NUMBER CROSS REFERENCE:
(/_cC,_ rJ . Ae.thu it'
Signature of Applicant
RECEIVED
RECEIVED BY:
S 1998 k's Office
DATE:
Southold Town Ca,rk.
CP. ,'\ .
1 i
imorMNIIMMOSINIMIMminimommIMINIL
1
� well over /00'
1�� well over /5O' S Ut COUP FART T TH SERVICES
y�� ' i�+c A�ovat,tortiatrat4Ci:
i• 1KfR AQ �ti <� �NGLi wAMIi,Y E1NLY
�• 1 DATE �-1� -� rp
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4+ '$ APPROVED
AI, q� ` O (0/. POR MAXIMUM OR :�• OOMS
141:5 \0ti' ��' s �`2`, �O EXPIRES THREE YEARS FROM DATE OF APPROVAL
v'e Q ase(Y oo.�
CP •
. o �.
'/ ,1� • rho t., ANY ALTERATION OR ADDITION TO THIS SURVEY/s A VIOLATlav
sy. P 'S-. k /S OF SECTION 7209 OF TIE AEW YORK STATE EDUCATION LAW,
1 Q`� ,�• CL eS EXCEPT AS PER SECTION 2. ALL CERTFICATIONS
`�� k ___ q. fit,, �� sS �' IEREOW ARE VALD FOR TMS AMP AAD COPIES THEREOF OILY F
JP �• `� WHOSE SA?NA TUBE APPEARS HEREOSAID MAP OR COPES BEAR TIE N. SEAL O" THE SLRVEYOR
a
Q p, OT • I ADDITIONALLY TO COMPLY MOTH SAID LAN' THE TERN/ 'ALTERED BY'
[�� c �r 'y O MUST BE USED BY ANY AND ALL SURVEYORS UTAUZNB A COPY
`�/ �j �. OF ANOTHER SURVEYOR'S MAP. TFina SUCH AS yHSPECTEir AND
`r 0� ,(')- a S�'p R, ,o a t� 'RROU HT-TO-DATE"ARE NOT SI CONPUMICE WITH THE LAE
Q h� /�� ys,Vii
, �1 �h •" e / am familiar with the STANDARDS FOR APPROVAL
` Q' AND CONSTRUCTION OF SUBSURFACE SEWAGE
�� ® k 0- + ti0 �� r DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
CZ ‘01 C"
and will abide bythe conditions set forth therein and on the
0(- ��� S' permit to constrct.
so
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a,
if •�' d-I' J e SURVEY OF PROPERT K _�w
•h)67 A T BA YVIEW -;_11 "y\
N.. TOWN OF SOUTHOL44 kg' SUFFOLK COUNTY, N )
1000 79 04 17.5 _
\ Q = _
�, �, �\ PPS �' SCALE: 1" 40'
\ A k. AUG. 31, 1998
�e s,>. _
33 •3•' The locations of wells and cesspoo/s
�` shown hereon are from field observations
,y 0
If.- and or from data obtained from others. �P���� M E�r.r yO�
Ili
d+ C' NOTE' LOT NUMBERS REFER TO MAP OF HARBOR I 41 ^ ii(. N. S. LIG NO. 49618
,�, \ LIGHT ESTATES SEC. FOUR FiCED MAR. l 1984 ••fj�
��6 IN THE SUFFOLK COUNTY CLERK'S OFFICE p "7), s "=' :''��SORS••:, ,
44, 'v.. AS MAP NO. 7703 (5161 o5Q.�Q%,
` Q, ELEVA TIONS ARE REFERENCED P. O. 1°I e^ I- %�` !.S�'.
AREA = 42,082 sq. ft. '� TO AN ASSUMED DATUM. sOUTHOLD, •. 11971 ET
98 - 292