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HomeMy WebLinkAboutPosillico (5) JUDITH T. TERRY j Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 REGISTRAR OF VITAL STATISTICSI3r2t .�` Southold, New York 11971 MARRIAGE OFFICER ® I ,;�1 Fax (516) 765-1823 4�® v�°�� Telephone (516) 765-1801 sz 0- OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 904 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 SINGEL FAMILY DWELLING WITH SANITARY SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT ON8/13/92. Name Of Owner POSILLICO CONSTRUCTION CO. INC Mailing Address 1 31 TENNYSON AVENUE City St Zip WESTBURY NY 11590 Property Address 1 KERWIN BLVD. City St Zip GREENPORT NY 11944 Tax Map No. section 53.00 block 4 lot 44.025 Cross Street AUGUST LANE Building Permit Number Cross Reference: Issue Date: 9/14/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) F ��i. &War 9'6 6/ i416 261992 -�� JUDITH T. TERR � Town Hall, 53095 Main Road TOWN CLERK TOWN Of SOUTHOLD HOLD '� P.O. Box 1179 �`� °�""u��' • Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MkRRIAGE OFFICER ® Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: AUGUST 26,1992 Transmitted herewith is a copy of application No. 928 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 recommendations: APPROVE p� DISAPPROVE Comments: ( � OA>. N 1:. I c,., \16-;-/"..0A. ..(1)ez.ov Gt.A,CS--• Signature 481 ` \ck�. Dated ., ,. f �I�I OFFICE OF THE TOWN CLERK c1-F01,- Town of Southold 0��� ` CSG Judith T. Terry, Town Clerk +�,•�. =d, i Application No. Town Hall, 53095 Main Road "X ; Construction P. O. Box 1179 0� , Southold, New York 11971 Alteration Telephone / �u1 xlt � � Residential (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 .$ DATE V/a C/1�� APPLICANT NAME: CSS/G L/Co C®.vSiJjUG%/cpiJ CO. .27/VC- APPLICANT ADDRESS:3/ 7 .14/. 1� .rij 64)6.57,/3 C, 2 SEPTIC ✓ CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION (cc94.4.5 oCT-c', or ,-Siti 6 z: y Tv .G/= 4c 751 /422oe F 7 ,S2..z3®iv/.s/cvrJ LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ) S/GL/(- C otisvci7cvv Cv OWNER MAILING ADDRESS:3/ ./.�4/4/x5 • GI1 _s7-43 c2/7Y //-5 10 • OWNER PROPERTY ADDRESS: (c)�,jj,? a A-&'7dv//il ,l3Lc'o ' 4v40s7 /,4, J TELEPHONE NUMBER OF CONTACT PERSON: (s%G) 333 -0666 TAX MAP NO. : Section S3 Block Z71 Lot Vy, 02.E • _ CROSS STREET: v4vsiLi/Ale BUILDING PERMIT NUMBER CROSS REFERENCE:. RECEIVED Signature•of Applicant RECEIVED p •� Cerk's �i ffice DATE: Southold Town Clerk SUFFOLK CO HEALTH DEPT APPROVAL H S NO ' /,c.' . 64; - \. fI t� S�.so nrff4{ I' STATEMENT OF INTENT L zEy .a-,_ o' •to S_3a°O 1 : THE WATER SUPPLY AND SEWAGE DISPOSAL X` .`S� (G,/` --S'��°dp•F O '5"9. \,\ SYSTEMS FOR THIS RESIDENCE WILL i /4) _ CONFORM TO THE STANDARDS OF THE •?•' ,Z `d 1Cr SUFFOLK O DEPT�F,H ALTH SERVICES. y 1ti 41 - M APPLICANT th, . hs• --. 4) I SUFFOLK COUNTY DEPT OF HEALTH rh -- (23j /( T SERVICES - FOR APPROVAL FOR L,. . q, I --• „c:ca,".- I 3 Z' CONSTRUCTION ONLY `d\�" , cnr vous� I DATE U( 1 � T I.j .1 (l'J..4.7 r1 t) � icy 7.) r -� 1 L z" oecc H.S REF NO Y <_ ,- •) I Q, - 4 . h�Q --- - - O \;\ FL APPROVED �FW-��.trr cr '-E-,rte th ��;� I j `i aAv.zs.o I / `_ 4 <GTI. 9/c 'cam o a- . w tf- SUFFOLK CO TAX MAP DESIGNATION r`'. 2 • snrr: (6 DIST. SECT BLOCK PCL ` Z N.4;i° 09" 40Iw-- ^- - _ 3A-�.S6 -� a �5v,lc_E So'r--f., oo� 53 Y 4�.ZS OW 8.;_ cvRY6lL ns9.l1 _ --- -- - - ADDRESS AUi T 4/ S$6 562. , OWNERS 3 TE'r./2,1YS0N AWS. 1. , Yves-rouR.}, h/. Y. 11,E 9a PLEASE NOTE PLEASE 333- 066(4 �, `� Sanitary system is not to be DEED L .ti; P. 6 I placed under driveway area. , TEST HOLE STAMP rf/r1C<9,1j �� ..,"Gt1 J/ i {YG60K7�,' I . Aft"' '+r�cr' :m lc S9+n I�'p� 3}y��p� (�-�( 7,��I 9i .*,zlc"rh,sr•my�n:orn,F.,',q _ EYCP TIO INSPECTS M1Y i c•1Ef�E Lh:,a,tl_=•,•tavor'S in<ri c..'r'o (�J BmCJ_,CC„,,�,'JIt rwt Fn co�.1,-.'C M. P 0_f- L o_ r / Y o. 23 // b be a vnnd truo troy ' / I , '] L/�� [./y ��+-+ — \r`j 1. MY t0 t^n D,rr. �� ..A V G V 7 - [—+�1c. 4� l., „ f=,Z.C.:.1.:, 15 r•, �...l Erg-rn nn•- �• 1 , ,1a 1 i zL " _�rrr����a JULY zz, (99l -1s7ty, ^• " • � � ' .,' SciPr i-r- COu,vrY Fite No. 9107) t:' ` � _ I'J..GIbpT:Or s, n. Ar � to,C • SINGLE FAMILY DWELLING ONLY °•r.. giA 90 1992 Ag 5HA.V10414Q Ur EXPIRES 3 YEARS FROM DATE OF APPROVAL SEAL 770 wt,/ Sou_ rh'0 4` Ai. 7: DEPT.OF %a <i cw+\ ,'\ HEALTH SERVICES cam g0 SL?... - t�UF_'VGY�G JUL, V l.¢ :c�9z o 1,:Y.I ", �I'�� �0 5/L L i C o C©Nsrr.,UcT/ohf Co. RODERICK VAN TUYL,P.C. 1%( 'V ` co� /`e / • LICENSED LAND SURVEYORS ,�'LA^ID`'% C, i GREENPORT NEW YORK + •tl Lecv.4 FO:- r.1 IP' • J /�