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HomeMy WebLinkAboutPetrucci (2) pry?p ( 31 JUDITH T. TERRY ' F; Town Hall, 53095 Main Road tZ P.O. Box 1179 TOWN CLERK ® fir q, REGISTRAR OF VITAL STATISTICS .�` Southold, New York 11971 c� O i� Fax (516) 765-1823 MARRIAGE OFFICER i® j/e1� Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 825 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : BRUCE AND BARBARA PETRUCCI Address 1 : 2140 BAYSHORE ROAD City St Zip GREENPORT NY 11944 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 4/8/92. Name Of Owner PETRUCCI, BRUCE AND BARBARA Mailing Address 1 2140 BAYSHORE ROAD City St Zip GREENPORT NY 11944 Property Address 1 BURGUNDY COURT CHARDONNAY WOODS ESTATES City St Zip SOUTHOLD NY 11971 Tax Map No. section 51 .00 block 3 lot 3.013 Cross Street SOUND VIEW AVENUE Building Permit Number Cross Reference: Issue Date: 5/01/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) telliii "' Vii...!=::s ?,,M 1)� Os �9./ �� ��r` Town Hall, 53095 Main Road JUDITH T. TERRY o `� 4� P.O. Box 1179 TOWN CLERK 'N: C) f�i , 1...,;11.5 .�� ,44 �� n, : y Southold, New York 11971 �� ��� Fax 516) 765-1823 £ � o c �_- �® �®��� Telephone (516) 765-1801 ,274,40 '' LG. PF OFFICE OF THE TOWN CLERK TOWN OF wou't owJ TOWN OF SOUTHOLD To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office - Dated: April 13, 1992 Transmitted herewith is a copy of application No. 847 for a Cesspool/ Septic Tank Construction Permit submitted by: - Bruce & Barbara Petrucci = • 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 Dc • DISAPPROVE Comments: o--, Sci to . . A\ SVI\1..... \CO,: CNA- L......, Signature ‘A \11\\,I-- . Dated U1.1 t7 JUDITH T. TERRY r w;.,1 . • r`'r" Town Hall, 53095 Main Road TOWN CLERK t+ter_;' 1 � "; r , h P.O. Box 1179 REGISTRAR OF VITAL STATISTICS C.C1 '._ Southold, New Yor11971 �7 ,..� " � j.; Fax (516) 765-1823 MARRIAGE OFFICERf >=Vin, Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office Dated: April 13, 1992 Transmitted herewith is a copy of application No. 847 for a Cesspool/ Septic Tank Construction Permit submitted by: Bruce & Barbara Petrucci • 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: Signature Dated 1 ,OFFICE OF THE TOWN CLERK SWFJ(y,;• Town of Southold �, _ ‘ O Application Nog Town Clerk Judith T. Terry, �.:. Town Hall, 53095Main Road o - • Construction P. 0. Box 1179 ' �� ' y Southold, New York 11971 Alteration Telephone Z �1��✓ Residential V (516) 765-1801 1-101' Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE (Apr, \ 3 I eta l �-- APPLICANT NAME: YUC 2. clncl gvloQvC_ PeltUc C i APPLICANT ADDRESS: ,- ysbie Road veei1o\t*, .y \\(1414 SEPTIC CESSPOOL ✓ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION k- W .1kM � ( � � >ti �LCI � G LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: eyconct, (6.c1v01/4 RAY occ OWNER MAILING ADDRESS: LAs1.-)0(c oac4 CreenrY , N y 119Lk 4 OWNER PROPERTY ADDRESS: Lky \J it Cou_vc - Ctr,avclovwc,y mods tke.s Sou , M1\0.11 TELEPHONE NUMBER OF CONTACT PERSON: 5tlp-1-1-1'1- Cj53L-} TAX MAP NO. : Section Ocj 1 00 Block 03.®D Lot co 3, 013 _ CROSS STREET: Cx,layick �1nC�v�on�o �1 BUILDING PERMIT NUMBER CROSS REFERENCE:_ !! Signature of Applicant • RECEIVED BY: tail`, '"5z_,1 To -n Clerk's Office' DATE: 11 1 ? , i q q m/o Chardonnay Woods Q Southold { Al Filed September 28, 1989 as Map No 8822 t' PARCEL ZONED A A. BO RESIDENCE AREA OF PLOT 4o,000 4•/- S.F. S.F. PROP, 1st FLOOR 1 s A( 00.OS'30" E. PROP. 2nd FLOOR 4.4.e S,F, 3LB3' S.F. PROP. BASEMENT 1.--,, c, PROP. GARAGE a S.F, ,ASSUMED .DATUM. ,----6a THERE-ARE NO SURFACE NA TERS fig° IVI THIN 300 FEET OF THIS PARCEL. 06-• THERE ARE NO WELLS WI THIN 100 �c�'• FEET OF THIS PARCEL. <a,.... (LOT /4�GP � AREA = 40,000 SF. or 0.918 ARCES — Unauthorized alteration or addition to a survey map bearing a Proless+onal Land �9• Surveyor sSea/+s a violation of Section 7209,Sub Section 2,of the New York State O JC t, Education Lew i3rz��E QE�QJGC 1 O LOT A Guarantees or certifications indicated fiction signify that this survey was prepared m J Z 1 ao gLaV SILO C.E Qccordance with the existing"Code of Practice"for Land Surveys adopted by the ESS Cr)°? p. �� b4 1 New York State Association o!Professional Land Surveyors" Said guarantees or C"'t 12E�a Po{LT �`' 9�_ - �m beto shall run o opa y,the person for wham the nd survey's ng and on his / 1A behalf,to the title company,governmental agency,end institutionlendmglisted /� S 1 V ¢„— S. 4 PeeP ^ 2Q ` I hereon and the assignees of the lending institution Guarantees or cerb/ications are ...It L.,. not transferable to additional rnstitu(+oris lir subsequent owners _ A= 44.55'42' + 4 .� ti ATER SUPPLY AND SEWAGE DISPOSAL R = Sv.v� I k Copies from the"ORIGINAL of this survey prop not marked with an ORIGINAL"of HS FOR THIS RESIDENCE WILL CONFORM /l 6 SO / 11V. L =..'2/ the Surveyor's'REDGIN INKED seal or EMBOSSED seal shall not be considered E STANDARDS AND SPECIFICATIONS OF a to be a valid true copy ES�K COUNTY DEPARTMENT OF HEAL TN o* .o�E 5T ''''ilk i�•i v r O n T/ _'-'C� a..e- 5 1 o yP oc QA 5 4j�9 i`P, 1 APPLICANT'S SIGNATURE Z., •�1 ' `fin' V ' =20'27 30' t[w (� n t R=/75.00' d.7 h.. L =62.49' / So' S0T 3734(X Low` - b�� v S io't3boE2.00' • - • S. 1937DO' W. /. agnLsc373r1,°'5'711011 1P' ; Ai� �� ItrrSau;� Ft1�Ur a�� c LOT /zro �� b 0 COUNTY TAX MAP NO 1000 - 051,00 - 03 00 - 003 0/3 CERTIFIEDTOP,R0�E PET RuGL1 :UFFOLK COUNTY DEPT, OF HEAL TH SERVICES �nR»e 12 P R U c-1 1 FOR APPROVAL OF CONSTRUCTION ONLY Po PERS A>35Teo�T DAT H.S. R f-, NO,/IL ' _ APPROVED+C /SL'\�� nL>'ti� • SINGLE FAMILY DWELLING ONLY SURVEY OF LANDATc EXPIRES 3 YEARS FROM DATE OFAPFa�J�W'f�L.. NORTH SOUTHOLD 1 lO7�f ID,t�� TOWN OF � II SOUTHOLD 114,,,,,„....-;:n4 L.,7441r + SUFFOLK COUNTY NEW YORK /hereby certify that this map was made Edward A. Bullock, Jr. BY: EA.B APR 2 1992 CHABLIS PA TH from an ectua/surveycompleted by me on Professional Land Surveyor&Engineer DRAWN: J•P.S 02/23/89 fao ws�E1 `(6d,+,,,,,GitQ Q...95..S. . . as Mew Avenue Pon Jatior Station SCALE. I"= 40' N Y P L s No 49214 New Yortt-473 11776, FILE NO: /000 - 5I 3 - 3.3 S.0 DEPT. 'F NYS PE No 651a-473 6332 HFAI TH SFRVIr.Fc ,UFFOLK BLUEPRINTING - •