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HomeMy WebLinkAboutPosillico (2) _ r,,edef Eat JUDITH T. TERRYvv Town Hall, 53095 Main Road TOWN CLERK �� ® P.O.(. Box 1179 Southold, New York 11971 • c1� • REGISTRAR OF VITAL STATISTICS � Fax (516) 765-1823 MARRIAGE OFFICER tt)® 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. 1020 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : POSILLICO CONSTRUCTION CO. INC Address 1 : 31 TENNYSON AVENUE City St Zip WESTBURY NY 11590 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED. Name Of Owner POSILLICO CONSTRUCTION CO. INC Mailing Address 1 31 TENNYSON AVNEUE City St Zip WESTBURY NY 11590 Property Address 1 2390 KERWIN BLVD City St Zip GREENPORT NY 11944 Tax Map No. section 53.00 block 4 lot 44.008 Cross Street SAGE SPUR Building Permit Number Cross Reference: Issue Date: 7/08/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) ®��FFOLK ®�__` /6 01-0 ,� � a �� ; JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK 3® Fr, t, P.O. Box 1179 REGISTRAR OF VITAL STATISTICS . CP . Southold, New York 11971 : Fax (516) 765-1823 MARRIAGE OFFICER " ® ®bV r =___4i 1 o • Telephone (516) 765-1801 ro ~ ` p` OFFICE OF THE TOWN CLERK 19 1 TOWN OF SOUTHOLD ---ALBLDG. DEPT. i �'.�'-C4-Id�F --99-r464®C•itho _ ._ Town Building Department FROM: Linda J. Cooper, Southold- Town Clerk's Office DATED: June 28, 1993 Transmitted herewith is a copy of application No. 1049 for a Cesspool/ Septic Tank Construction Permit submitted by: Posillico Construction Co. Inc. • 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 reco endations: APPROVE DISAPPROVE Comments: ./",. _ ... ' - ,,-71.44,7-elf( WNW JUL 8 J Signature a ' 14(14:1 e; .,//' 73 OFFICE OF THE TOWN CLERK S�3\\FFD Town of Southold �DG Application No. /v 567O�® Judith T. Terry, Town Clerk � ✓ Town Hall, 53095 Main Road _ $10.00 - Residential p. O. Box 1179 u's _. r $25.00 - Non-Residential -' ash. �"- .� • Southold, New York 11971 ®�'����` Telephone ®.(J �� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION forRMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ 1D •00 DATE Tu41/4/6 2 $} l�i � 3 OWNER NAME: PD6 l LLl C,r)ti)S i Q-UCa Ic J f O. Jk\e, • OWNER MAILING ADDRESS: (J ? Tg1Ull1yS6/3 A !(E. . t o P.y b JU LJ t,5- ?0 OWNER PROPERTY ADDRESS : al390 i2 -0 I J iS L(. a Q.f,E0 PORT, khd q '+4 OWNER TELEPHONE NUMBER: L57(0 ' ?) 33 - to(o o TAX MAP NO. : Section L53 , OO Block 4- Lot 44, ©OS CROSS STREET: \tj'14�f• ,3PU� TYPE OF SYSTEM: Septic Tank ✓ New I/ Existing Cesspool '� New / Existing Residential y Non-Residential DATE OF PREVIOUS PUMP-OUT: LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) / • Signat•re if ' pplicant RECEIVED BY: Town Clerk's Office DATE: - a ' - .3x"--',• . _ :It—•.r .w,pr t tr• 1 _ - �'�l^r�^ ,•.•% '.wF:.s{,„tr;,,,, l2.5"•;:= - ty ,> -npe ,!Sy -C5'' ^ - MFF •? .?�- :, P T,atpa - SUF HEALTH• En„ OVi 9 . �; : _ _ - _ � . t; - uS. (�s: \t,r '''�.l'- dSpT l .-CR tJ '-�c'- • ' 'w- 'r«� 1t _ - • l :> . %• � q�,"' eyti, ', f t: " ., -�y N� G ,( tiF�- _ �^adY's t 'rfi tom" T4ti� .,ti't'4 µi _ - '''' - - S.ru!Y .a„ ./ -. f � - '!- 4 JUN 993` t- _ �•w `� ,vltY. 1T._ .rS,. } . f- r.`•¢r✓, .tn cue _ - _ J `:rr<+'�, i''. •r .'r"t, :STA r, :. _ - TEMENT'OF INTENT: • . �� - - S.C. DEPT. OF • �;:::�s• ! f THE WATER SUPPLY AND SEWAGE DISPOSAL r HEALTH rte- _ EA TH SERVICES E a�� S �o' f ,- ,;, ; � : .,='=r 130liLEVACLI3: =J SYSTE -F - -- �;:=";; _ .. � _ - , MS; ` OR ,'J'HIS-":RESfQE�+iCE �WILL -_ ,. , �; ,, 'CONFORM- TO -THE STANDARDS , .o l - `i7 , 'x,•. a� _ - S_UF,FOL-K�'40:,DEPT:"OF`ii• T, '` ,t4 _ �=� >`=' . . , i, - - - ,., _ HEALTH SERVICES:'' r r P ,1,1::::_ _ ti:v-• - �, � . iZT`( 'APP ,ca �tT a` y-;-,. _ fix• •t�'s� SURVEYED `s: _ :`' S' ,bV/; !:,,I;',,:.21: C _-s °� SUFFOLK COUNTYr 7:5,:APieliT!:."..,.OFa• ;•HEACTFi`0+ ' 4-`Ns� N :: f - - ;� SERVICES`T— FPROVALFOR: :: ` F1` : ;Lk '.j: ; (IPDI ivs t, ii 4 CONSTRUCTIONON', Jt � i',�. - LYY_ �� _ _'`��^�,. �` _ .r ,:z�'z- �± .-` __ - - � --- V - DA ' : Y `�,- t H.S.:REF.NO.: 3'- 1 B"'` ;A251-i�ti • o1!ir.�t34~ APPROVED:'* - _ _ _s obi :of-. ,OUTHG� ; N. _ " :,: - SUFFOLK CO:TAX MAPsDESIGNATION: = . _ DIST, SECT_ ` ,BLOCK •PCL. 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