HomeMy WebLinkAboutSparacino (2) ,'"
JUDITH T.TERRY ; •
Town Hall,53095 Main Road
TOWN CLERK @g, g P.O.Box 1179
,
REGISTRAR OF VITAL STATISTICS -V o �� Southold,New York 11971
MARRIAGE OFFICER Fax
(Sa �I� Fax(516)765-1823
RECORDS MANAGEMENT OFFICER ®4Q ED •„'I�� 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. 1265 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : STEPHEN SPARACINO
Address 1 : P. O. BOX 1300
City St Zip ROCKY POINT NY 11778
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. #93-S0-86
Name Of Owner SPARACINO, STEPHEN
Mailing Address 1 P. O. BOX 1300
City St Zip ROCKY POINT NY 11778
Property Address 1 WILLIS CREEK DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 17 lot 17.014
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 12/20/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
/326 2
,'/$i®���1 0619►®4.1-
:
�1 '$ 6''
JUDITH T. TERRY :
OFGFICE OF THE TOWN CLEcK ��rfZn ••
Town of Southold G��, ., ` ✓
Judith T. Terry, Town Clerk-' �;'fi(3,1 ':,-.14 Application No/d//
Town Hall, 53095 Alain Road j �"` �'i, -�
P. O. Box 1 179
ti-, 17..-`' „,---§, Construction ��
Southold, New York 11971 O.' �Xi�' `� Altera-;":, ,07./ tion
Telephone ' -'/ .1,14 ' 1 Residential
(516) 765- 1301 . i,.tria
Non-Residential
• TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL7DIST,R,! -
dr--
APPLICATION
iI • 026
• for �3 L '-_I k , =--
, -fir-- _
WN OF
CONSTRUCTION or ALTERATION PeR�,jj•J” 5�--- �3
�
SEPTIC TANK or CESSPOOL
Permit No.
•
Fee $
DATE 'c?‘ ' 9&
APPLICANT NAME: 71' °
•
APPLICANT ADDRESS:
SEPTIC / CESSPOOL ' -
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
A.e-a.) tui Figii2 ,+'•, - i s
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
•
OWNER OF PROPERTY: "i jr j
OWNER MAILING ADDRESS: 0 Ar. 30Z)
/✓_ % L 1, //
OWNER PROPERTY ADDRESS:
1/1 Ar . e_ ,e,. o . /1%
TELEPHONE NUMBER OF CONTACT. PERSON:0 -,/ 59 2 '
TAX MAP NO. : Section //S.-- Block
Lot / , /1 •
CROSS STREET: J. . D '
ir
,r
BUILDING PERMIT NUMBER CROSS REFERENCE
•
/✓LrV "/., /.
flgnatune a f Applicant
rs� !%, RECEIVED BY:
Town Cleric's Office
DATE: RECEIVED
DEC 1 4 1994 w
)
•
town Clerk , ,
}
•
----,---- --- ----------"--
,y
j, o ` Young & Young, Land
d y. 400 Ostrander Avenue, Riverhead,
Vuun9 SUFFOLK COUNTY DI PARTMENT OF HEALTH SERVICES rt 516-727-2303
:/,„. SING LLE 1okon,3uW ONLY a; 1
s
pang fie NOV 01 1994In
�� H.S.Ret.N0. 9 3 S 0-�� o Alden if. Young, Professional Engineer
o �� Howard W. Young, Land Su
il,lwl� ) The sewage disposal and waiP1 SUp facilities l £ 00 Thomas C. Wolpert, Professional
at tills lo:a IQfl have DEPART:
osn inspected and/or I Occi Xenneth F. Abruzzo, Land SL
` EoOFw.rmq certified by rills Department��(or`other agencies `3 I W x te-
1• and found to to Satisfactory, ` ` - W m 11 11
Duueorgillg a . ^�-.�.�+ , IBJ
l/A-alb _/
S phen A.Costa,P.E.,Chlet ��ee
:- OMee of Water and Wastewater Mane tit a - o`K y • ' _ -
oat 05,E t 24..7, s- tp OP\yEN `O `
N'75 `/ StoN¢
. NI CD1 1 Q
1 Z •
2
( 0,,,,-,„1, / 8)•: I.,
Zac
^'F'"o F "3 ". .:::- ---ir" /� ` SUFFOLK COUNTY DEPARTMENT OF HEALTH SE
Q krt
! 36' 6� • CO\44 / 4- 1 "I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CC
7 \f. •
\\\ F\ SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND
'_ �a 00.y,% ¢�� / t W ' SET FORTH THEREIN AND ON TH PER IT TO CONSTRUCT'
C:4 CO41 " — e� m
l',,
_ 'j6 S @2''d a5 COJ50.p go e°4<R64\\�)V 'sGQ A� ? I APPLICANTS SIGNATURE ) , d '� LI`a,`-
0 <o o \s\00.y a,N GF`•\i y4 l r 1 /
Q 7a -1 ` ' • m gS 00 ;,, f N tyv`60j G O° i APPUCANT. •� O
ti 5: ' W -°,1 p60� v,v,,Zgi, �!'s tQo \\` •b co od 1I` S/E�Fn/ 'S'i '/iGN / —f
W= ti j r NAyo m �„Ot p6C0. 3Z• J& qq; 3 7 STREET ADDRESS 8qt� W,LL I 5 Ci /\ P,
z x T s Or / co• /I,,
kJg l!2 D �f- yy C t CITY ANTI%TO Ckr STATE' All./•
f a w =� v ,ZOO S 1
.1;) z T o i O^ 0 / _ J TELEPHONE NUMBER: a9 8_57/s
oS os 2y it h 0 zi
��/
`• N as N ( D�,� f Nili _ 3 SURVEY FOR:
L 15' t STEPHEN SPARACINO a ELAINI
•
rOi `NAre ”- 50°':' tge LOT NO. 14, "HARBOR VIEW AT MI
o • 231 ? oo •;
.
z £i.C ` At: MATTITUC K Town of: SC
s x2d
05 W Fo� Suffolk County, New York
°s,4
- °F 1
tn 15 �Fy'�F Suff. Co. Tax Map: 11000 , 115
W t
I I _ District Section
CERTIFIED TO:
' a
OF NE,1 STEPHEN SPARACINO
Z �� ELAINE SPARACINO "
i *Q/p�W• }� 0P* STG ASSOCIATES, INC
3 os� w °tit'�
Not t = "i' . I w
I ■'MONUMENT FOUND ♦=STAKE FOUND I'� )v.111•
\\ Q
"12. SUBDIVISION MAP FILED IN THE OFFICE j l�\589�Ci DA
_ I) OF THE CLERK OF SUFFOLK COUNTY ON SC
}a ' AUG 21, 19974 AS FILE N0.88 0 _ • �SFtLAId�S9' JO
- 3 FIRM ZONE A4 BASE EL = 8 0 SH
.w