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HomeMy WebLinkAboutPassanante or JUDITH T.TERRY ; r Town Hall,53095 Main Road TOWN CLERK ed2 tP.O.Box 1179 � Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER � - ® �� Fax(516)765-1823 RECORDS MANAGEMENT OFFICER + .• Telephone(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. 1394 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : KEVIN PAUL Address 1 : 75 RAILROAD AVENUE City St Zip SAYVILLE NY 11782 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. #R10-95-0058 Name Of Owner PASSANANTE, FRANK Mailing Address 1 3 RENOWN STREET City St Zip LAKE GROVE NY 11755 Property Address 1 SOUNDVIEW ROAD City St Zip ORIENT NY 11957 Tax Map No. section 15.00 block 3 lot 4.000 Cross Street THREE WATERS LANE Building Permit Number Cross Reference: Issue Date: 9/21/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) .10001 • g,v %%004 0.41s, F .0 JUDITH T.TERRY Town Hall 53095 Main Road TOWN CLERK k cog `tom. P.O.Box 1179 ' Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ,,: �1 Fax(516)765-1823 MARRIAGE OFFICER r �,, RECORDS MANAGEMENT OFFICER rid ' ��,, Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK Iu TOWN OF SOUTHOLD r, SES 9 TO: Southold Town Building Department 929_92j FROM: Linda J. Cooper, Southold Town Clerk's Office BLDG. DEPT DATED: September 20, 1995 __TOWN OF SOUTHOLD j Transmitted herewith is a copy of application No. 1447 for a Cesspool/ Septic Tank Construction Permit submitted by: Kevin Paul for Frank Passanante 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: �' �k F &C�f'U /elO- p t/ Si.na ur- 9/ % 9� Date. • `1 OFFICE OF THE TOWN CLERK �";i:FDLA"r� Town of Southold c,�C.. _ 1-•� - Terry, Town Clerk ',r'_;/ 1 " yr `�, • ' i own Hall, 53095 Alain 'Road r � ! �i �-�' % Application Nod/ P. O. Box 1179 (Ti t�;`l .t 4i-• 1i, Construction �� Southold, New York 1 1971 U; ,,, ,.:.... :•;., . .;- e �G ....... ••••••',%.‘v-A4,' Alteration Telephone 'al •�`� �b ,CRcsiricntial (516) 765- 1301 . „ v • • • • Non-Residential TOWN OF SOUTHOLD • • • . t, SOUTHOLD WASTEWATER DISPOSAL DISTRICT • • APPLICA TION , • . for • CONSTRUCTION or ALTERATION PERMIT • SEPTIC TANK or CESSPOOL • Permit No.• - Fee $ • • DATE • ' APPLICANT NAME: • APPLICANT ADDRESS: ' ANL • •a SEPTIC DG CESSPOOL DESCRIPtJp N OF PROPOSED CONSTRUCTION OR ALTERATION �: `� • ' 2 • LOCATION MAP: • Must be attached hereto before permit may be issued. . ` •''` LOCATION OF PROPOSED CONSTRUCTION. OR ALTERATION: • OWNER OF PROPERTY: II stA ! f., NTS • • OWNER MAILING ADDRESS: - f cr. OWNi . N`1 ! 1155 ',F'•, ER PROPERTY ADDRESS:, • • TELEPHONE NUMBER OF CONTACT PERSON: • 5'20 2.pt • ci TAX MAP NO. . Section Block Lot ', . CROSS STREET: • t. `'� (. WE — - BUILDING PERMIT NUMBER CROSS REFERENCE:,. • • • • .:• • •. . . sir;.c of , Applicant RECEIVED BY: , ; own C.1 r•k's Office • r DATE: • r , • i;'irniiTa'trk�• i. r .• i_ ., • a • • • •i'n �.yP { . 7:R k''.�t M',Y1".i'44'4:it'l;t44,ews.,,r i f,''a.'.'••tin .0'r •.a.•,. • i ,:a „ . '(•ice {!,••'l a. s;.- ,.. 'a�•��•�,. ,�,, 1 S. 0 1 6i 4 ' . _ * ....r.czwit i.0. HEALTH DEPT. AP?ROVAL ' J A ir; F r"' �' "% r. �-. H S. N O. A. O. ��- I2 I-- _t 1--, I I ' ► L. ,..._-, 11 I MAY 26 1995 .-,div. 4'EYE:-',":-;. i ,,----_ r., )7: � ` �_ \ 4' ' 20� }\a`'.- � r- = �f i ' ;� 1C`—_Yt', ~� �`� �'�``U F —t=— _'1 ��. ; S.C. DEPT. OF - !HEALTH SERVICES ,) -J WELL. _ � 5 �%: -' ,� i �/ Q �, s • STATEMENT OF INTENT 03 LA. Dip 1 E i • i THE WATER SUPPLY AND SEWAGE DISPOSAL \ . co 8d J ° �wtc. SYSTEMS FOR THIS RESIDENCE WILL �. --- -- -- - ---+-- — r:__� ___ - - CONFORM' TO THE STANDARDS OF THE p. • m 3 i I L$�eENT OF TH °� p --, SUFFOL p CO DEPT. 0 HEALTH RVICES. PPL C A APPROVALAPPROVALAPPROVALAPPROVAL OF CONSTRUCTIONI� �� ' '' 1 � ', N3L.E FAMILYRESIDENCE ONLY . II'. . '' SQ +'' rrUND VIEWi2.0/2.4). t �-{`; � 2 2 199 a r0-9j-( co ti { ( SUFFOLK COUNTY DEPT. OF HEALTH ' ' (1- DA SERVICES - FOR APPROVAL FOR I ',:`C �' '� �r r r CONSTRUCTION ONLY 1 ! 325.0 Tt? INCLY. END OF CU2VEI 1 APPRO t DATE. ��i S7B 30 e. f0;};0 io C{3 ht.To"T3i12 E WATE1~3 LANE r EXPM S THREE YEA.:-74'P ...... , TE '. .' t: H. S. REF NO. LCJ-- ©� ,,./\--_PIZOP_ t�/�, "(10" - i APPROVED I > �por°ved�,-in accordance with o evie n( .` \`� y I N ; SUFFOLK CO TAX MAP DESIGNATION: - - \/ BI 1 a :deter mtnaLion dated I ; - DIST SECT. BLOCK PCL. , i, i I IQ00 015 3 24 WELL.% t o SCALE -50 =I ; \` \, t tai AREA= 12,500 5Q F-7. OWNERS ADDRESS: �j r � j:;}:'MOh.4'JM i�T 3 REh10WN �T, I — LAf_E GROVE,KIN, 1 1755 ' I MOP. ' 4�• 1 I i I '30 \ TEL. 585-58G7 1• ` { VACA :T ' DEED: L. P. \ _m TEST HOLE I STAMP 1 - \ � ` F20 M FILE D MAP) Unaulf,or¢ed alteration oredfitttoq �•\ to this survey is a violation of �y•� Section 7208 of the New York State �-7 I ` •\ `� Tt}PSQIL i Education Lett NI T 0-7 Copies of this survey map not hearing 76 TO C PSL. ,ter � � �'? `\/�` ✓� 0 �~; _ the land surveyor's mketl seat or d` .r• Q t T 51-10‘,../N- r--T C'r E1 E1 3 LOAM y -- --- - -- --- (' I, fU�_t�j }-� }z 1 „�,, �}`J n {- j�Tom; embossed seal shall not be considered ,� -- - -- „ - - to be a valid true copy. .� •- MAP 0) 0121''ENT 5Y TH •�e1A-5 C,'JNE PILED 1N YNE L s /o EXP`K,. �i -,- )Sr (i S )FF, �' CL,EQf['= OFFICE A5 MAP h10.2777, CLAY `nd,cated horoon shall rur C�' Z:::1:fir v.:,cm 1',o survey F::Lc 1:3''‘ ` �,�- 2 ELEV IOt,IS rzEFEQ TO MEN',1 �Ef• L�VcL. — ____7,0'!::,,,,..: :.tcicgsncyend _ I I'� _.:hereon and f -M7-7- _ € Il OVirn�E-AJ 30�• UTIL'T ' 100.0 } LINE I:_u.er:: -."- ,:notend,.ng,nsti- i i 1 I-:,on C_. _ s cro not transferable I io add,lara,ins:,,:lions or subsequent I �POLE G•�S. 1 1 1 I w,ers i i SAND i SEAL MAC' raMer.1�GL- MAY I2, IQ7E ; I GRAVEL ee F /U �'�i ....E.--NZ 1✓iI�*}'_s A(ls f, 0t i 1 . •�Q- �PCK A_ LO ,VAC•) (VAC-) ,,Vft�.; € i I ' -i Oar '� G IA AS SU QV EYED FEE• 24,1995 - 11 � y,-:,-,,,-.._`; r- ,t: i RODERICK VAN TUYL, P.C. - •-�` jj ' 01711 I\s I' VhY" 'N c1 - - -1-\n.' I !C- Ve V . ^oFg2-, t°e� LUt•"t� ,ti_ F:i_`� MAP ti•,:. 3,44� t 20 ' i LICENSED LAND SURVEYORS • N GREENPORT NEW YORK I f IIntA . i