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HomeMy WebLinkAboutGargani, Regina • e •''''•` .10 40 JUDITH T. TERRY % •Z* .4 It z Town Hall, 53095 Main Road TOWN CLERK T P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS si.f �� Southold, New York 11971 MARRIAGE OFFICER 0 s or Fax (516) 765-1823 rl + �1D I� Telephone (516) 765-1801 1� 1/ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1041 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : BENNETT ORLOWSKI JR. Address 1 : P. O. BOX 297 City St Zip CUTCHOGUE NY 11935 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 3/24/93. SCHD REF. 92-S0-60 Name Of Owner GARGANI, REGINA Mailing Address 1 58 SOUND ROAD City St Zip GREENPORT NY 11944 Property Address 1 EAST GILLETTE DRIVE City St Zip EAST MARION NY 11939 Tax Map No. section 38.00 block 4 lot 20.000 Cross Street CLEAVES POINT ROAD Building Permit Number Cross Reference: Issue Date: 8/27/93 Judith T. Terry • Southold Town Clerk (TOWN SEAL) C0f O K c°am► JUDITH T. TERRY % Z Town Hall, 53095 Main Road TOWN CLERK t T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Q �' � Fax (516) 765-1823 _ ! .�1� r Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD • � � ��� AUG 2 6 ;gg3 TO: Southold Town Building Department ; FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: August 26, 1993 Transmitted herewith is a copy of application No. 1072 for a Cesspool/ Septic Tank Construction Permit submitted by: Bennett Orlowski Jr. for Regina Gargani 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 9 Comments: / i � ii.> fC1 ,/ 40 _ ��� %. � .. .?-cSO4,r //po Signature Dated "7/' • n OFFICE OF THE TOWN CLERKF ��, `Town of Southold Q�L1 f�(,��, Judith T. Terry, Town Clerk v, Application No. /G 7.2 Town Hall, 53095 Main Road ~ C ..BSc: Ta .f".: P. O. Box 1179 v7 us- , rn Construction Southold, New York 11971 tti .. qtr O �} •Q- Alteration Telephone �l x 7b 1� Residential (516) 765- 1301 ,J.ill9 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT . APPLICATION • • • for • CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. • Fee .$ • • DATE APPLICANT NAME: • se__, • \( ,,� APPLICANT ADDRESS: 12/01 SEPTIC CESSPOOL_ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION • LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ' • OWNER MAILING ADDRES it OWNER. PROPERTY ADDRESS. • • TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : SectionBlock < Lot CROSS STREE 371G,/ _ BUILDING PERMIT NUMBER CROSS REFERENCE:-. • 416 4, 7- Signa ire of Applicant RECEIVED BY: if own Clerk's Office DATE: g root. SUFFOLK CO.HEALTH DEPT.APPROVAL POLL-{ MAP 4F PROP H.S. NO. 9Z-50-60 I W> ••t rlpprnrefl is accontanre with Lcoard oI Re%irw I SU( VEYE0 2 . NLR 1r�� ii ��`- _ � � /\ /� (� f` { <lE•ttKtltiltatianda�ed A • I f--__a_Es.. " ':h 1,._..)10 I l)C li ,`C G I N 1 A -A f G f"''�NI 1 SINGLEFAMILY DWELL/LI ONLY To fre Mr-4 a(47 f ( — - -- --— —-- —-- - t ES Tt�Rt;E YEI�'IS FRa" i E OF avgt 1. u pc�► RFK L�PT'- AT APPROVIIE L STATEME OF I TENT f-_... _ - S0' ------I '� r EASE' MAf210 hl I THE WATER SUPP AND EWAGE DISPOSAL r I _ TOWN OF �OUTHOLD, N.Y. I ' t -- SYSTEMS FOR THIS RESIDENCE/ WILL pc{ N.63.23�(�-E. I O I+i n CONFORM TO E ANI RDS OF THE p ,, N N. °2— 'E. — `_..--+_„!�-_ ti/ N SUFFOLK / (7X.- / iA R•VICES. 414 W :S `S. li N APPLICANT � ‘,#-7-7.-2....2/- T I} u1 2 ',v 1 ii 2 i SUFFOLK COUNTY DEPT. OF EALTH ozivR_, GAg- i • y' SERVICES - FOR APPROVAL FOR II / i CONSTRUCTION O.N1..Y 12, l eJ.I w O POOL ,Y DATE:W iL 4 TaJ.3 30' Nb o w Li ` H.s NO7 • 9 54--,,-6° -...I F— I.,./ r z i I D I APP6 • __1 to , �. In / � ( C• O I SUFFOLK CO.TAX MAP DESIGNATION: 77” Z. j Lli rs4 •`� DIST. SECT. BLOCK PCL. l - d U `, at l* U to of / OWNERS ADDRESS: �� ! 'I `S2F11C SYSTEM I. / Q ti > iQ I co 5 8 souND ROAD .1 -.• ' !' ,t..I w �/ L5REE1JPOf2T NY)1944 •„l l tti SCALE-30JI ' q4, z o 6_._ 23`3_._ i locoIv < / AREA•10,000 5 A OF ^Q cc' Q•MONUMENT �-►� 089y OZ 1 te, iy 1 ti. C) PIPE DEED: L. P. 120_1 C v TEST HOLE STAMP. Din I /VA GAN .� 46 -, O ,. !=-ccm>erer'a inked seal ct :o< t Q Fi , ', POOL (SEE - _azvela u.d seal shad not be oon:Fic,..; .w: tta myM. e,LSt E ?•nese aA Indented hereon ,7> 1 °` We:..1 '-r,a the Parson for wham then .,;ti 1 T I TL 1 N O. 141.5--114 9 O AY} tired.and on his behalf to e mtY povernmsntel I rtetion Listed h sc:a 3 C NOTES a SEAL I.LOT JI0`5•REFER.10 MAP OF MARION MANOR;F' 0 t N THE SUFE C!J.CLE21C5 OFFICE A5 MAP NQ.203$, pFNE' GUARANTEUV TO FIRST AMt;IelGA141 W Z. E!EVATio 15 2GRER TO Nlegt! SfiA LEVEL. AMENOE_D JULY SCI 199t. __-_-- _—. 8d� .�w`C yq Y6 • - _ — Sk.PT. Z,1�4'�. TITLE - IN.5t712A1,1CB COMPAi+fY ©A yooP . tiAr A5 SUfIvEcfe� %rorfZ7,1 5�� h G n�A>Z V3_1993. a'`��' I; t — -- ROD�FRICK v...�. YL.P. �6 e� h yc:c •,- t� G o ; �� �.,” ( un .Ly,t z5gti�,`" ik •a LICENSED LAND SURVEYORS _ t' N y--)� ' c�'CAND`'J GREENPORT NEW YORK 'E-'.YAE qtr '.1,•> • 1