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HomeMy WebLinkAboutGallano, Hauetto ,4',00.., OLK/1D_ = (4, JUDITH T. TERRY ; :1G : Town Hall, 53095 Main Road TOWN CLERK v T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS s, IP • Southold, New York 11971 MARRIAGE OFFICER Vv � Fax (516) 765-1823 _,r` ��Q �' Fax (516) 765-1801 : 14 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 788 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MARTIN KOSMYNKA Address 1 : P. O. BOX 628 City St Zip RIDGE NY 11961 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 2/19/91 . Name Of Owner GALLANO, HAUETTO Mailing Address 1 21-56 38TH STREET City St Zip ASTORIA NY 11105 Property Address 1 PINE TREE ROAD City St Zip CUTCHOGUE NY 11935 Tax Map No. section 98.00 block 1 lot 11 .002 Cross Street REDWOOD ROAD Building Permit Number Cross Reference: Issue Date: 12/17/91 Judith T. Terry Southold Town Clerk • (TOWN SEAL 1_ . .---/ & ,r ,,.0 civFoL�rt. iftf *C4 JUDITH T. TERRY % .k• C Town Hall, 53095 Main Road TOWN CLERK ` 0 T P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS .. Cr) * Southold, New York 11971 MARRIAGE OFFICER 120s �% Fax (516) 765-1823 *0 ������� Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK \ `,\ TOWN OF SOUTHOLD 'lrs as = t To: Southold Town Code Enforcement Officer , 6 -� From: Linda Cooper, Southold Town Clerk's Office Dated: December 6, 1991 Transmitted herewith is a copy of application No. 809 for a Cesspool/ Septic Tank Construction Permit submitted by: Martin Koxynka for Hauetto Gallano 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 X DISAPPROVE `� .� Comments: 4,0 A.,6,dl�t .r►`tt., 6.1 cary,v141 a.,......1 p,�,. met...A ‘mi %,..4.114 e....,..x...\ 0 . try, 41 et\co \i,;...i-INA, Jl..02.d4L Signature NOW Dated ,�VACN\ DEC 1710 'fawn Clerk 9Iun okf S. II OFFICE OF THE TOWN CLERK Oc��WFO(, /,• Town of Southold �, { �O 9 Judith T. Terry, Town Clerk `r.., . Application No. �� Town Hall, 53095 Main Road o !�; . =L� • k '4•.: Construction P. O. Box 1179 ��. ` t Southold, New York 11971 Alteration Telephone 7°1r t 0_��" 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 1),C 1 / 9 9/ APPLICANT NAME: Amery,Li A/. .5,„)„!,e47 APPLICANT ADDRESS: Pa Icy 61( i f 2 9tt' �►�,.0 f�� %7 j jt N.y // V /! SEPTIC CESSPOOL e_..----- DESCRIPTION —DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Phrui £,v' " Pflf'1y hkci %s LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: //, � UG'7"7U 6IlLL/51- 0 OWNER MAILING ADDRESS: ,� /- 56 IS 7/4" 57-xe-,z,r7 /97T�iej,g A)Er✓ )'0 RX /1/© C OWNER PROPERTY ADDRESS: F/ n,'E TSE € IS''P CuTC/fOGuG/ /t/. v TELEPHONE NUMBER OF CONTACT PERSON: '-zL/ • //,2 C2 ,20 TAX MAP NO. : Section iaaV Block Lr G Lot 69/104:2,1 • _ CROSS STREET: if,45--,o uido 4 1'0 BUILDING PERMIT NUMBER CROSS REFERENCE:.. -----,464/t r , Signature of Applicant RECEIVED BY: Towin Clerk's Office DATE: /c2-- 7 72 AITLE NO: BUILDER'S NO. • (z)c X.c• ' i• FLOATS A/O .• Zo • 1• G x, ,S'/7- K//G.C� �E•O 3x/S• I `I A/"='ROx//i rezy R•4/N,.. vv .r ..e / 45-0 GG/. )40.:.'s 4/C li ! �� I o„ 1 8 %— To GR.00E . IGoT 6 �V, QpF-. - , s .......11.1111111111111114/1-----1-............ftftw' _ v �l zs' 3F .- i/� v./ DEG / k 1 t! // N / �\ .tj °0 / / 6r- t 4 OG \, .., — _ __z I. Ifs �� I O Ai Q\� ••-...".•=',c.„0,,,v 0 Q i V r ! K . ji i 1„1,....,.o �1 ti I ,z' PROP 1‘ Q • mcl GJ / • 0 \\-.Ni�v c.• . /. L/ �0 ,V v SAA/Oy 0 •2 y / iso 0/ ! aos6y Pict- - SSE ..sw 'r e.0.....z/ \ r. - I¢ Fo-e ..r...,.. X-SSc7 r�Bo / e Z�P,• O C2 &e Z 4) 1` 4R/✓"w',y 4.1n/. t� .n EL_(//S 5.e....0.3 r 0 /1 f y Oik..1z ../ G✓LS i� a.- 83.22 go 3 -off /pR- ' o0�eN Y✓E�c. �s p,b774 rice ':,' T�/ST• /000 • P// j 3 r/ //j SECT: 98 D '-5 PN �iFfOiU( COUNTY DEPAR1 fOF/WEALTH SERVICES. . • AREA = .. 5G2. ,c-'T y�/• � p' E DF NEW y ` P4pL �� t. •� H. "Unauthorized alteration t= additionf VA1.nO4rLQ 'fRt.rn'9'1n��rrir that Chis _ _ ,/� �.�Y� B 9� to a survey r*+ap beanng a ncensed ;��rpv +vas pVert, Led�193-IacRcu:[n�Cla�In Vw the e+cict- C 4 ,,Y•r' IED` 'I (and surveyor's seal is a violation o= zrfil lyr daz�}Ceatayurvevs adopted Z * section 7209, sub division.,,,,,til e New York State u: Of•ro. * � _A 'r - 7 - ew York State Education �a • ur . urs. Sart •r-•.• • sit all It j-3,it F NOTE run tot pe o to -• . . , } to "Coo es iron. the origin Ip 6 r1 pre area, and - 1,�[r� 'V c •• •t' ,a l to eve mad not marker!' 4ifflU air riT ..::71 r ,s..,,-; �'''' is no ♦ eooanyi I of the land surveyor's[,ern �[ �listed v�hereon, 6and � tyo(the - n= t �b ••� f�riveway areG'sae seal shall not tie conslli'� RES TVM©i+�iEiA C\-sCrRlz-11f"=jJ pre popfatrhe lending �i .. •�`'� S to be valid Cody." additional institutions o b Sa • • •nam • SURVE iF OT z/-q i?1-71 p , , ; Approved In accordance •.i n •1,��. - Barrett nnsera,�Bee'kiiu ^' h'�. » c19of� rtrrrrliA.tlfin dated t'Ct1 c� l L-�4 = • "'- -�--------'-_' _ Consulting Engineers and Land Surveyors MAP OF//�--4 SS-q CJ ' 3i''"-i.s' Consulting Engineers& Land Survey tis ` C F'iGerD MA.¢GN e , /9.35" .c7c - N..1/79) LOCATED IN ' a.-"-'.'C 7 '4J D,c 125 CHURCH STREET 1001 M1DULE COUNTRY RD.' :-2:-;"- • - .SO[iT.yO4„p , S'!/,c'..=OG.••'C CO., /V,y, MALVERNE,N,Y. 11565 RIDGE,N.Y. 11961 PLOT PLAN - (5161599.3663 (516)924-3230 .J.4N. z9, %990 ., LOCATION - SCALE 1 IN. = QpF�' JOB NO. -..39�'' , FINAL ,....i 5 0 `(. 1/ 9/ SyEer 42,_- - °