HomeMy WebLinkAboutVillani, Alex ie
ELIZABETH A.NEVILLE ,'s00 t\ Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
t ti 2
Prt
Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS
000 MARRIAGE OFFICER : 1i .0 Telephone
Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ; �a���� Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2820 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ALEX VILLANI
Address 1 : PO BOX 956
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-02-0034
Name Of Owner VILLANI, ALEX
Mailing Address 1 PO BOX 956
City St Zip MATTITUCK NY 11952
Property Address 1 1735 BREAKWATER ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 8 lot 20.006
Cross Street
Building Permit Number Cross Reference:
Issue Date: 6/21/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
. #,IPktf F04 ":„ 62 q c.16
ELIZABETH A. NEVILLE e��. G'l ; Town Hall, 53095 Main Road
Wo
TON CLERK - . P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v vi:). 4:1�,,�� Fax (631) 765 6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER =__ 0.1 $ '0i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department , ' y 17 2602
FROM: Linda J. Cooper, Southold Town Clerk's Office , t'
DATED: May 17, 2002 —"`
Transmitted herewith is a copy of application No. 2921 for a Cesspool/Septic Tank Construction
Permit submitted by:
Alex& Stephanie Villani
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: vi► - _ _ �insa_
..-
7fr4. 4:19/
Signature
403//7702.
Dated
,,,,,,,,,
4
'
OFFICE OF THE TOWN CLERK *II'
Oi j/`/Q►. - c?
TOWN
TOWN OF SOUTHOLD • �l =` Application N o�7
ELIZABETH A.NEVILLE,TOWN CLERK �1
P.O.BOX 1179 ;L Construction t/
SOUTHOLD,NEW YORK 11971 Z
Alteration
•, $10.00 - Residential v
Telephone ����•��
(516) 765-1801 = 1 ��'• $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE fV1OJ Jp 1oO 2--
)
APPLICANT NAME: A I .e x A . a vizi g e- Vi‘
l (a
APPLICANT ADDRESS: 19, I .TJX q S 6
Aka n-hx1', IU t) f I Cl S
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION Aes OR ALTER TION:OWNER OF PROPERTY : Aand Skpk.rtie vl I I a�
I
OWNER MAILING ADDRESS: p0 So)( 956,
Aka.-f itir;J< , lU 119 S
OWNER PROPERTY ADDRESS: 1735 r3reapa119S2
g Q/tia--iSvck- ,
TELEPHONE NUMBER OF CONTACT PERSON: (4031- 2.1g- Lf-03(.,
TAX MAPNO. : Section 106 Block9-0 g` Lot J
CROSS STREET: - N 1 A
BUILDING PERMIT NUMBER CROSS REFERENCE:
• ju (j1,3
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
" .1-11L. _- .__ _... . ,.
..... . .
.
_ _
II III II IN LIu Il,11•111L1 4. ilVu6uJ 1+61 lilIIIIUIdlIIakauJYiYuYJlliYdllLb ileaaIu„usllelVllvul_..�.. VIU__I11 "._ L. ..1_ .. .,. ... .-._ _
' •
SURVEY OF LOT 2 N
SUBDIVISION MAP FOR
ANTHONY DRIS .4 HELEN DRIS � ' Sr����Y
FILED MAP #SC R5 W E r ID. ,_ �'
SITUATE: MATTITUG�G 6 ,� � , � r rF:l'.'1.'";''',,'•.-, ��fl
Fe's�'% � , �,:"� �
TOWN: SOUTHOLD ^_ yr - 4
SUFFOLKCOUNTY, NY S , : 4 C`';"4-';':':"''''"' Q S
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SURVEYED 03-15-0I �'” `'L, •-7�
AMENDED 02-01-02 l'.,13.!
SGT# 1000 - IO6 - 8 - 20.6 ��__1:,.! F _
I
.`F . pa p °m
CERTIFIED TO: �"4 "` v yr
ALEX A. VILLANI [1 � °
STEPHANIE VILLANIk,
COMMONWEALTH LAND TITLE ° ° Y
INSURANCE COMPANY _ " , Fat �`
"°°
no visible well m rQ
v /°/° in this area a
-� EL=54 IT�\a S88047'00'B 680.72'
e`, °/ /' 4
*$ O \ °/ N \ EL=43 ;`
cs '� N °/ EXCAVA
Test Hole �� I. N'. \� �a�o% — O AINNSPEGT3 REQ i ^N"
_ 2e �irAw s� tv
Filed Mop ct.o �°
dark —!, 0 °�°�'°'° ..TM DEPARTFvI , T N ro .o�
oow °
lam O 6. N c.,
say
M
so�h S Lot # i-� lY
ay cloy 4
2.6' PLEASE
grey o s - NOTE
Test O �'+ �^
cloy 5, 42 Hale It is the applicant's responsibility to C_T1 �\
_ ° Proposed 0 O^�-
ry GorR^oped Drive;vay I ,
maintain adequate sanitary distance
osh �ropossead Sepbboble
° Q 0 y between all water supply aid sev� N`
clove material and backfill
so°� c -L'''
-- o N with lean materlol disposal facilities.
-,; s c)_ „ •
D 'n EL=52 . \� - - - 0
GROUND 20 fl 3 o N88°47'00"W 295.17' W -_ y _'
WATER
reylsh Q O / e
aw° 3 woad °°e N22°7 ��
clayey c, �, IQ, a.
sa° 25 ,c3-F �s o °'00 e.
v ,
brown
cl °s 253 6 3oe �,
8' ��� v
9 9 o no visible well EL=44
3� q L®t
a in this area �.
vacant o��� % i E.
Ai'`� G. Ey
- i__ __ _ t .t. 0 t . ,
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NOTES: ;<� ��.R_ O •
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A STAKE
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AREA = 2.3645 ACRES SOUTRHOLD TOWN ZONE R 80 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
GRAPHIC SCALE I"- 60' RIVERHEAD,N.Y. 11901
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