HomeMy WebLinkAboutPalumbo (2) / OOsufFU(� 0
V 00
JUDITH T.TERRY ������ y1 Town Hall, 53095 Mair Road
TOWN CLERK y z ; P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS O
MARRIAGE OFFICER � 0��1�' Fax (516)765-1823
RECORDS MANAGEMENT OFFICER 49.` 1 *�of�/ Fax
(516) 765-1800
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. 1400 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : FRANK N. PALUMBO
Address 1 : 2555 YOUNGS AVENUE - 17A
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R-10-95-43
Name Of Owner PALUMBO, FRANK N.
Mailing Address 1 2555 YOUNGS AVENUE - 17A
City St Zip SOUTHOLD NY 11971
Property Address 1 3200 SOUND DRIVE
City St Zip GREENPORT NY 11944
Tax Map No. section 33.00 block 1 lot 7.000
Cross Street WESTWOOD LANE
Building Permit Number Cross Reference:
Issue Date: 10/17/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
l
JUDITH T.TERRY , ® Town Hall,53095 Main Road
TOWN CLERK t P.O.Box 1179
REGISTRAR OF VITAL STATISTICS ` ��, Southold,New York Roo
1 Fax(516)765-1823
MARRIAGE OFFICER #4, .1
RECORDS MANAGEMENT OFFICER ®`Q �if��� Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER
�••�
OFFICE OF THE TOWN CLERK f 0 C_ #
TOWN OF SOUTHOLD
TO: Southold Town Building Department OCT 1ey'
p 21995 if
FROM: Linda J. Cooper, Southold Town Clerk's Office 13�
DATED: October 12, 1995 TOWN !
Transmitted herewith is a copy of application No. 1454 for a Cesspool/
Septic Tank Construction Permit submitted by:
Frank N. Palumbo
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
DISAPPROVE
Comments: r ,fc /e A1 134o_ cS
Signature
/0 Date
OFFICE OF THE TOWN CLERK ,,,'"""
Town of Southold /c fl L1I
Judith T. Terry, Town Clerk ,' �� c Application No./V3
Town Hall, 53095 Main Road Construction
P. 0. Box 1179
Southold, New York 11971 Alteration
Telephone =,0,� �0�/'�� $10.00 - Residential L
(516) 765-1801 (41
••� �� ,, $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 q
APPLICANT NAME: 641-0/ - /()' PAtoi3.4
APPLICANT ADDRESS: 2SIT YO it AVEr /74
.S oL-b , 4). . //97(
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/k ) Si ' -E F744(w _,b1ki61(//� - 2- R-eag # kr tAW
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER -OF PROPERTY: FM-Vie.- Air- P,�(JRB®
OWNER MAILING ADDRESS: 2 T %Y/l/6-3 AVE- /7-4
Sovi/fel.-P, )/q7/
OWNER PROPERTY ADDRESS: 32-0,0 -s'ol/,i/��) �,L/V1
C7 �/ll/>a'6 ,&1 f! //g y-`f-
TELEPHONE NUMBER OF CONTACT PERSON: S/6-- 7
TAX MAP NO. : Section Block / Lot 7
CROSS STREET: �JJ riE0J D 6
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: AZ/ AZA,_,2..-e-<_-(2_,
Town Clerk's Office
DATE: �� -e' / "c>5._- 9
5—
. .
. . , •
, .
. _
. . . .
. .
, . .
. . .
. ' . .• . .
_ . . .
.
SUFFOLK CO.-HEALTH DEPT,APPROVAL
-
.
H.S. NO.
• I'
-- •
. ,
, •
' .
, .
- ' STATEMENT OF INTENT
_ - TriE WATER SUPPLY AND SEWAGE DISPOSAL
_
-
SYSTEMS FOR THIS RESIDENCE WILL
-
CONFORM TO THE STANDARDS OF THE
, ".--- " c--.----r-•--A t '--- t •'-', ,:---
, ---,----. - -;.k-.-- r f../..---- -- SUFFOLK CO DEPT OF HEALTH SFR-I/ICES.
-1.: (si T.11-CONSULTANI
APPLICANT
r! .... ........
S
--- - /
-- :3 4 T• SUFFOLK COUNTY.'OttittAl4P4ON "LY 11963
‘N-. ..... .,- .' D_EP
5.16-363T 636QF HEALTH
3 5- / ,:.--' L":-----:t.:/="C."..._ •.1. SERVICES.- FOr? APPROVAL FOR
/ 1
- -• - . 45 7— - - / CONSTRUCTION ONLY
,..,-...er.i." St./..Z1/..f.-F•r".-:7 .-z•-..-7):0. 1329 NORTH SEA NO.
DATE:
- / - • r $' t/--• - H.S.REF.
- • ,..35:5 - ../..---1 f----/-•..-.i. •,. ,...1 ,,t 1 -•,/ f;,-- ---, .....,4 ..,_ iv --- .
' - -. APPROVED
../„..-,.. ,. ; -• . • 5- V
: .\ '- 5 - ( -:'4
--• , • \.
.•
. .
,-,:e2,;•_1 .0. -..--....„ / SUFFOLK CO.TAX M SIGNATION.
-4-..... 5.:: a.a": .--: : j•-••!"
, ...•.,^'A - •
_ _,,, _co,•..ZA3
' *,AA t4. \/1
\ -----...., • -.a fi DIST SECT BLOCK PCL.VIVIADDRESS
. •
OWNERS .
j
. i----1
' . 1 I .:::,•:,z".7 `-"f,'Zii7c7.:f- -4'.'"...
•
I I
. t
..1./.;•L`...d. [n • / , _ -
72
- )0 . _ -
:----.,__.2,0•_i , ibr'd Z 7 Groad - -
- ._ ' ,---; &base __,./. o DEED.L. ......" '.- P
\ — I
1 -.7 :LI
9,•.• .
TEST HOLE STAMP
_ :4 ________ • I
, ,__ ,.,7 .."...::Z M.:weed matneal Of aolVon
„ 'Va.,:;7.;-..-- MC.AirVOy IS a meal=of
---------,___./I, -----'..' .•
.‘... r.I.u..
- Salim 7208 el tho new Volt SW*
• :i r.
,-----44';----i 1---1 •:—
. -. ,. :i5° E..Lara.
^ -1-79a r. 1° ' C.,g 0:2 Cmass Allis army mo to A.Ae.a
A 1 4----
ls c,—_ - -
....1 0 ia-1-
' the[Ana=Am.*.hmo AI.AI.
- / . %)-- , - -
. ..... mboseul assithall oc4 to=sugared
to boa tekl OW MIL
. 'q-------A . .134-'- .. - -. Lit M -
. - -
,.......,
.... — ... „r^i ,,T,4,,,,. . .
• - . I=P--... - c........kamdt,...e.uun
, - ca .j. . .
onoto.p...........th.,....,
, <-1.,, . _, ,......r . , ' ISpnprOlicialliblealOtto .
- ..r,... .1.1 /,,,,, _1,..
- . ,
, -
- 3
_'' ?..1-co• fo.c.c.,,,,.......i.a.msa
_ • -1
1 " ( I4 , _ - 1,-.-.14:c•-,-.- ,:c•-,-. *.: 7.'"'•?:." ' -.I% ,.' ' untrostegoonsatwacosoi ,
. • 41, ' -11: ' b ' r. - ,„ . totwasammoithetsessoginsi. •
f's4 P 4 • , %, e. ,./ - "
.n.....,-,e---.r.es. sr•nottmsferatio
,.
" tr ,a9 .5
.. , „ ..1 ..
, . 5 . . , ..
. '
L3.1
Sr- --_--..,?..."... r I • 1 =.....
- ,
. 111=. SEAL
i Va ir• , CO2
CS) _
_ , , ;""..:.:z•-:' -- . & \ \ ........
: ..,co.,7-000
el;? 1E!':
- , -, \ ' _
1--..-',.: _ ,
' ..: ..-
- . 's•
/ 1 C..-.
• z".7t.-71/e.4 e:-.1 .2c,.i. .:1,a 'S 4:=1
S.:•••• ...26, -..
. -... --*----,... --:,............... ..:. „
/ '' .s-.. /..--
/ -...-.
/ --',, ....
• RODERICK VAN TUYL:P.c. . - -
. 2.:,, ;c1.......... 7.:-.........„;t-' =,..1 .
•° 4'o 6 4.t'
,4'4. •I.S 25 fl,,
`,/ --...,_ . ''::••
• ----.•\• :-.7----------..„.....„. . -.
, - r I.:/-el LICENSED LAND SURVEYORS C.....1
1.4a
.'" GREENPORT NEW YORK
' - --- .... -„. .
'TY IOST MIST • . .
•
. . • -• -- ......- • ,
..• . .... . .-...-' 1..t°-1-A2:: .': —
"
,
•
. .
'1 .
••••
. - ...
( S.