HomeMy WebLinkAboutPeracine OFFICE OF THE TOWN CLERK c.OFOU(l,"
Town of Southold
xk`iGy
Judith T. Terry, Town Clerk :.�.� L
Town Hall, 53095 Main Road 9 g- � '
P. O. Box 1179 .�O �<yw$� � �
qF
Southold, New York 11971 `a0
I.
Telephone l ,,,
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 175 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Nicola Peracine
ADDRESS: 226 Buffalo Avenue
Medford, New York 11763
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New single family dwelling with sanitary system.
APPROVED as approved by Suffolk County Health Dept.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Nicola Peracine
OWNER MAILING ADDRESS: 226 Buffalo Avenue
Medford, New York 11763
OWNER PROPERTY ADDRESS: Olivia Lane
Cutchogue, New York
TAX MAP NO. : Section 83 Block 4 Lot 6
CROSS STREET: Duck Pond Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. Terry,,
Southold Town Clerk
DATE : June 8, 1987
(TOWN SEAL)
i
F U .
�"'11. k " �. • Town Hall, 53095 Main Road
„rr P.O. Box 1179
Southold, New York 11971
JUDITH T. TERRY TELEPHONY
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 8, 1987
Nicola Peracine
226 Buffalo Avenue
Medford, New York '11763
RE: Olivia Lane
Cutchogue, New York
Enclosed 'herewith is the Construction, Alteration or Modification
Permit for a Septic Tank or Cesspool System for which you applied.
Please be advised that each owner of real property operating an
on-site sewage disposal system, such as a septic tank or cesspool must,
prior to such operation, possess in the name of the owner an Operation
Permit for the system. The Operation Permit is issued by the Town
Clerk's Office.
The fee for an Operation Permit is ten dollars ($10. 00) for
residential use and twenty-five dollars ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly ?tours,
rI
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT /Ijc -
Q 1
op /ti...... -
II 1.16 r 71-gr ;• Y •1987 1(
�� fief ; mt, li� -
�`f,-,-, , �, ' .�
� '''� =�[1,,,,,z; ''�� BLDG. DEPT.
" ,Y; TOOMJ OF SOUTHOLD
_��• `' T61,—.'a'm�$ Town Hall, 53095 Main Road
.P „� r1 P.O. Box 728
-� ��� r►rr Southold, New York 1 1971
af
JUDITH T TERRY - TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK `
TOWN OF SOUTHOLD
May 27, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 177 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Nicola Peracine
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.
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 - ✓
DISAPPROVE -
COMMENTS: cP.o rt ( 4 \ 0.1 1
\CA:at,. j??...........,0„.S-
Signature
( 1t/ 7
Date
•
t
OFFICE OF THE TOWN CLERK - % \\V.\\V.�C/�' +D
Town of Southold , Application No. /77
Judith T. Terry, Town Clerk �� .t
Town Hall, 53095 Main Road i x r, M
' Construction
En �f= � ��� �. � r
P. O. Box 1179 �. .0: ' *• ;
Alteration
Southold, New, York 11971
01 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
$/E)
DATE — z7- g7
APPLICANT NAME: An POI A Pig '` Q el Aire
-
APPLICANT ADDRESS: 4 :l•6 igi/ Fi4 I a
/41a -,v& d , ,Y• 1f76r
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: AV/ NOLI-
OWNER MAILING ADDRESS: ; 1 (i3VFfu/ t
ice' e-J6 / 441.117g3
OWNER PROPERTY ADDRESS: OLIVIA LA MEI eI-re ffo6 c'E
AIY- ( I 9 3
574 -
TELEPHONE NUMBER OF CONTACT PERSON: Ay S-4 - / 3 at/
TAX MAP NO. : Section g 3 Block Lr Lot 6
CROSS STREET: beeK PD/VA X®/¢'b. •
-
BUILDING PERMIT NUMBER CROSS REFERENCE,:
41144 GAtef-a-
Signature of Applicant
RECEIVED BY:
Town C e rk's Of'ice
DATE: m
J
7K - a PETER ZUHOSKI
JV is
( VACANT ) 1/�
253 .24 ' -S.40°27 25 E. III. 85' . 1 N t�7� w
fndt 100.8 1>frA
man ® we« s e')�� 1�
(p�, I4 1 leo ' , �� YY
f P Lr r i.
!/ ES isenn�ti�� ,,,
. ic v Ls i/5701/4.1- 1 O Al'.
+� P� E R T I C A L Tho gator asr I
t •
L� �� SAN D Soma for Shis rnsldnnra svi0 w.rum • id
1 standards of tho Suffolkaunty [xrpuA.
T 6 I �` �- i.�Z DR AIN mord of Hoalth &rvice.
fy W
—.1/c' l j' W _ ( VACANT )
cc o /L-iNOL !i (C J' ACtiIAlt'
> o T. G b)(11.--71-2A c0
o ,4)Cb FL)I:0 1 ti'=s . i 1 7c. 5
' 2 r 1.
. (n 4.oN 6-/ilia• J1..i
.
2.0.5
. ,, -- )Howe 1i ( S-LI - IS2 `1
�t
390.00 ' /100.3 srlr ,.:.
R A I N A G E EASEMENT 1-----..f7'a 4
OT 8 LOT 9 ,pi.ar4/. '10.4440 'ctilt'—t-7--,v..7)
k'
VACANT ) I ( VACANT) ��R Rs
2r'j
SURVEY OF 198?
Se p
,' 7',' 1. r -Mil E:L�:r_ ,�� ►;d LY " L O T� so,p,
il., ,, •? „ MAP OF WOODBINE MANOR
FILED DEC . 15 , 1986 FILE NO . 8239
AT - CUTCHOGUE
? , 479 SQ .FT. TOWN OF SOUTHOLD
SUFFOLK COUNTY , N . Y .•
COUNTY DEPARTMENT OF HEALTH SERVICES 1000 - 8 3 - 0 4 0 6
R APPROVAL OF CONSTRUCTION ONLY SC A L E I " = 5 0'
G�6/' 7 (,j 'FEB. 26 1987
AMP,1 -2 — REF. NO) r ;.t�� / 1 l
1 7-.D 61-411Z-4 11111.eaffir *-- 9 o
II
IIIP
8 7 - 1 45
N /0/ F JOSEPH ZUH0: ;KI
\ , ,.
S. 40 °251OO11E _
, 98_74 s> F- — t
W _ Z
- w
0 ti Z / .I -
ON '' a
W 0 0
0
Z w eho/'o'Sr p p Ri uc a..7; 7
z a IQ®,
►- Q Pi's' T
' _1 0 5.39°0O'OOl E : o: " v L 0
0 25.00 ,, ,• -,�„ �_ "'c•f
4 Q: 9 8.1 BT ��. `.' _ �.. — c r, ,'
.. 11.• .' se, .j- ' 'Cl-‘ C ^� f �
Q w _ Jtk Jt(' y
i
> > , o O i, �i U
-O
J a o N \ {=I .f ,
C
r o
€ z 98.0 1
98.8____ f. .1,____N .39° 0 01 0011 W. sef '
I Stt-
20' WIDE i k `
oI '
O LOT '7I ('
,
ELEVATIONS ARE REFERENCED an I ( VACANT )
,�!
VF
TO AN ASSUMED DATUM . a �U –9v
2.6 1%
��
Vi Sit IIG?E'F
• -SIRES TWO YE/ i►L
-'' DUCK POND ROAD
AREA = 6 '- ,
co LANDS'.
(4
`14, i?( A..I^,C�, SUFFOI'
r. 20 O F R .
..z.-4.,„-
-.Ss _
NA # ,'N.Y. S . LIC. NO . 49668 DATE `.'_
ellb
'9 do . . -. Q' Prepared in accordance with the minks=P E C ON I C �Fr ,,:, S aENGINEERS , P. C . standards for title surveys as established by AP?I;O\ 'U_
the L.I.A.L.S. and approved and adopted '
( 516 ) 765 - 5 0 2 0 for such use by The New York State Land
P. O. BOX 909 Title Association.
MAIN ROAD -
SOUTHOLD , N. Y. 11971 '