HomeMy WebLinkAboutFasolino, Hubert ,/I/IIMii�i
Town Hall, 53095 Main Road
JUDITH T. TERRY Z
TOWN CLERK T • P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ` Fax 516 765 1823
MARRIAGE OFFICER t$:8)004.,, 1 ( )
O ��Q ,1' Tel (516) 765-1801
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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. 689 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : HUBERT C. FASOLINO
Address 1 : 1715 61ST STREET
City St Zip BROOKLYN NY 11204
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 11/7/90.
Name Of Owner FASOLINO, HUBERT AND ACHILLE
Mailing Address 1 1715 61ST STREET
City St Zip BROOKLYN NY 11204
Property Address 1 DUCK POND ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 83.00 block 4 lot 2.000
Cross Street OLIVIA LANE
Building Permit Number Cross Reference:
Issue Date: 3/20/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
t CE r RECEIVED
•
e i i
MAR 19 �
?
. _\ Town Clary %Tam$Hall, 53095 Main Road
P.O. Box 1179
, i y Southold, New York 11971
JUDITH T.TERRY ;r'j TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: March 8, 1991
Transmitted herewith is a copy of application No. 709 for a Cesspool/
Septic Tank Construction Permit submitted by:
Hubert C. Fasolino
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 p�
DISAPPROVE nn
Comments: n . �, �1JjQ ) 1-
131rk � �- ittordit2tfr.
A Ac\t,
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Signatur
Ze\
Dated
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OFFICE OF THE TOWN CLERKcwF 101
Town of Southold �� '" " V c
Application No.
Judith T. Terry, Town Clerk Fr
Town Hall 53095 Main Road o _ ; -- Construction
P. O. Box 1179 r• ,
Southold, New York 11971 0• ct44. .i. 7 Alteration
Telephone xit Residential .
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE Mc h 8.1 VIC( )
APPLICANT NAME: 4..k.Ae'r- - C. F ,oj11c
APPLICANT ADDRESS: fl IS.-. C0191
tJV/ 11-3-01-1
SEPTIC ✓ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
lierx ,a) 6->e_t___e_eCH)e
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: f1..ibei- •rA O lino I f - CisSotino
OWNER MAILING ADDRESS: fl - G2151-
V-6 I
5T-
131 K 1yn v.)`) 10,0 LI
OWNER PROPERTY ADDRESS: e",-c-c_ G( Lp..) J.y -mow 0E- b
TELEPHONE NUMBER OF CONTACT PERSON:ac, ( 31R - 33)-12-6I (pr 2,32.-2:7
-)
TAX MAP NO. : Section 8,3Block , py Lot Z.
CROSS STREET: OL U Ilq (.1,6.11/4 �
BUILDING PERMIT NUMBER CROSS REFERENCE:_.
WOW
oho X519°� CM
isse Sella
Signature of Applicant
RECEIVED BY: butz --
To n Clerk's Office
DATE: 3 �7�
------jillelr.
t
r .
~ _ PLEASE NOTE—
Sanitary sy stem is not to be
VERTICAL I PARK AR EA placed under driveway area.
SAND I
L DRAIN
EASEMENT
ACCESS EASEMENT TO VERTICAL SAND DRAIN
S. 39°00100"E. 160. 53'
IDRAINAGE . 49_9 s1k EASEMENT
N
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1L Imo'
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IN10� LOT 2 to
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LOT I ID 7 LOT 3
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L149_ I 49.7 296.08' 'eP,
Jk.1
/- N. 39°00 0011 W. 160.53 Err
s" DUCK POND ROAD 5o.9
il:'.';i:LE FAMlL\tr ' ELLl'1�NNC3' \L`Y
CERTIFIED TO : rYPIPES TV,.O vziARS FROM DATE OF P=' 0v:1:.
COMMONWEALTH LAND TITLE .
INSURANCE COMPANY.
TITLE NO. X627 - 794 S SURVEY OF ;
ACHILLE FASOLINO L O T 2
HUBERT FASO LINO
P-pw•din—a.nc.w a» a "MAP OF WOODBINE MANOR"
standards for tido sumo a astabishod
Ay tho LJALS end approved Now
r°nS� dAT CUTCHOGUE FLED DECEMBER
8239
for ouch us*by The TMs Assoolbon
The w - TOWN OF• SOUTHOLD
melon for Mb olid noe muaankifia SUFgf LK COUNTY, N. Y.
a the standsdr of flu&Wolf Canty 10 8 - 04 - 02
Deptrooent ofifeelih masa Scale 1" = 50'
99
The bastions of web and aa�
a0c Nowa a bire r Ms IAJune 12, 1
aea.waam end or INN GYM a�*Oa Ga Oct. 18, 1 f990(b.o lL)
ELEVATIONS ARE REFERENCED TO ASSUIED DATIAI
AREA = 40,133 sq. ft.
\_nND s,----
.;)
�,,� h�\ p6 SUFFOLK COUNTY DEPARTMENT OP HEALTH SERVICES
vi.c� .��` N-Y-Sly L> lSIO. 49618 FOR APPROVAL OF CONSTRUCTION ONLY
NI ,SC RV I�GIRS,ti P G / �E 19 DATENOV 07 1990 - REP.No. aI • '
(.P.56765 -,',50?0-, ^:ti',s - ''
MAIN.54401 , --/..0.,r APPROVED _ A
SCUTHOLD; N.Y. 11971 firm _
87 - 468
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