HomeMy WebLinkAboutScaramucci (2) Town Hall, 53095 Main Road
® �•�" P.O. Box 1179
i�� Southold, New York 11971
JUDITH T.TERRY ��
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TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS
OFFICE
pOyyF��THE STQOWN n�CrLEEnRK
SOUTHOLD WAST EWATERF DIML PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 338 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SCARAMUCCI, JOHN
Address 1: BOX 1403
Address 2:
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY HEALTH
DEPARTMENT.
Name Of Owner SCARAMUCCI, ORLANDO
Mailing Address 1 68 MOREWOOD OAKS
Mailing Address 2
City St Zip PORT WASHINGTON NY 11050
Property Address 1 50 YOUNGS AVENUE
Property Address 2
City St Zip MATTITUCK NY 11952
Tax Map No. section 141. 00 block 1 lot 38. 000
Cross Street SHIRLEY ROAD
Building Permit Number Cross Reference:
Issue Date: 5/13/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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TOWN OF SOUTHOLD = qi rr' P.O. Box 728
-�� tri Southold, New York 11971
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JUDITH T.TERRY TELEPHONE
TowN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 340- for a
CONSTRUCTION ALTERATION Permit for_a cesspool or septic system
submitted byl i 1 4(:o 4 (o .e,- i L - _i c 4,4 ,
ici
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
drea04;Zemeillaml°• ‘.51
Judith T. Terry
Southold Town Clerk
* * * * * * * * *
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE - x
DISAPPROVE -
COMMENTS: et" A . 4 t.a -L 9- o,.l c o.c y ,a.a
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Signature
S1i,182
Date
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OFFICE OF THE TOWN CLERK
Town of Southold °
Judith T. Terry, Town Clerk . Application No.-3Y 2—
Town Hall, 53095 Main Road --AtConstruction
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P. O. Box 1179 P
Southold, New York 11971 '40---47. 1‘‘"�' Alteration
Residential
Telephone _(516) 765-1801 '" Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee
DATE 5�! /kt
APPLICANT NAME: 6carL,ct.wt .A.eG
APPLICANT ADDRESS: 'a( 1403
illieh4ic-l6 iv , . // 9S Z
SEPTIC ✓CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /114UJ
IU 2 r71-,7i/by �25 10 e,H7 c e._
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: O,2. (4vo 5cu.rzgw��e�c
OWNER MAILING ADDRESS: c a6' )/Ylonew10- od ph-gs
?dr-t- t i N 5 20 ilJ. f(ocrO
OWNER PROPERTY ADDRESS: 50 yo,4,,,gs
494 ►' e%
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section (it Block QI Lot 03g•-•
CROSS STREET: 61/v;rt,I ei ,
BUILDING PERMIT NUMBER CROSS REFERENCE:
1111 Signature of Applicant
RECEIVED BY: {�,c_ez� d
REC erk's Office
flown
DATE: M8:t ^ 1,988
Town Clerk Southold
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SURVEY FOR
SUTiOLK COUNTY DEPARTMENT OF HEALTH SERVICE! ORLANDO SCARAMUCCI
FEB. I, 1986
FOR/ PROVAL OF CONSTRUCTION ONLY AT MATTITUCK DATE SEPT. 16,1987
e.,/, --47 . i •, TOWN OF SOUTHOLD SCALE I 50'
DATE H6 NO "`,�— %� SUFFOLK COUNTY, NEW YORK NO 87-1036
' ,�%/�.'/ • ./ NUNAUTNONIZUD ALTERATION OR ADDITION TO THIS GUARANTfe.I OF NEW
APPROVED I J ,�[JJ�_�
SURVEY IS A VIOLATION OF SECTION 7209 OF THE
NEW 0000 STATE EDUCATION LAW ORLA b ••P-• CIA°
\ M COPIES OF THIS SURVEY NOT SEAANG THE LAND r°,fir `OG 9,�•
SURVEYORS IED SEAL OR EMBOSSED SEAL SHALL
NOT NC CONSIDERED TO NE A VALID TRUE COPY
RGUANANTLES INDICATED HEREON SHALL RUN ONLY TO
HEALTH DEPARTMENT-DATA FOR APPROvAL TO CONSTRUCT THE PERSON FOR WHOM THE SONNET IS PREPARED O
AND B'HIS BEHALF TO THE TITLE COMPANY,GOVERN-. r(4={�,
it
N NEAREST WRVS MAIN MI • *SOURCE OF WATER PRIMITE�PURLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED `
K SUFF CO TAX NAP DIST ITJOO SECTION 141 BEDCR OL_LOT 038 HEREON,AND TO THE ASSIGNEES CF THE LENDING
NTNERC ARE IAO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE
OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT // �'O 45893 -
N THE WATER SUPPLY AMD SEWAGE DISPOSAL SYSTEM FOR THIS RESIDE NcE OWNERS ni,`
WILL CONFORM TO THE STAN/DARDS OF,THE SUFFOLK COUNTY DEPARTMENT •DISTANCES SHOWN HEREON FROM PROPERTY LINES `rf�
OF HEALTH SERVICES /[SIL TO EXISTING STRUCTURES ARE FOR A SPECIFIC
APPLICANT, {/F C.d.'-N:tG'T7h R!i[- PURPOSE AND ARE NOT TO BE USED TO ESTABLISH __
. •14,3 SL'a 4/7//,r,Ga' 0•OWERTY LINE! OR FOR THE ERECTION OF FENCES `/
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n?ref-j; ti'•i 11412 OTL , 2.9S'-fik,v YOUNG & YOUNG400 OSTRANDER AVENUE
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NOTE• ■=MONUMENT =STAKE 1,-;7„,>•'` �.NT L
OFES I A L ENGINEER 45
I H ANDALDEN LAND
W YSURVEYORUNGPRO N Y.SSLION CENSE NO 128
` HOWARD W YOUNG, LAND SURVEYOR
.111E LOCATION tlWELLIW),SERIC TANK(!T)R[CSSFOOISILPI SHOWN HEREON NYS LICENSE NO 45893 MAR 1 I331)
ARE FNOM FIELD DRSERIWTIONS MA)OR DATA ONTAIW0 FROM OTHER!
BRAND'S i SONS INC. Z S.
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