HomeMy WebLinkAboutPosillico (3) 6 fe.•
ELIZABETH A.NEVILLE ���' Town Hall, 53095 Main Road
TOWN CLERK ; y $ P.O. Box 1179
Pri,REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �_�®� $'0.0i� Telephone (631) 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. 2558 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED 'TO:
Name : POSILLICO CONSTRUCTION CO
Address 1 : 31 TENNYSON AVENUE
City St Zip WESTBURY NY 11590
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 #R10-00-0256
Name Of Owner POSILLICO CONSTRUCTION CO
Mailing Address 1 31 TENNYSON AVENUE
City St Zip WESTBURY NY 11590
Property Address 1 1705 KERWIN BLVD
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block 4 lot 44.012
Cross Street BAYSHORE ROAD
Building Permit Number Cross Reference:
Issue Date: 5/01/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
OTIC55
ELIZABETH A.NEVILLE �$1 izt Town Hall, 53095 Main Road
TOWN CLERK
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS * ` Southold, New York 11971
MARRIAGE OFFICER :® 0 Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ���® '2Z,, � �el Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 18, 2001
Transmitted herewith is a copy of application No. 2646 for a Cesspool/Septic Tank Construction
Permit submitted by:
Posillico Construction
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:
Signature
Dated
OFFICE OF THE TOWN CLERK c\c,IFJ(%-
Town of Southold �. ':. CD ���/
. Application No. l0
Judith T. Terry, Town Clerk +� •�*•:•. � PP
Town Hall, 53095 Main Road o L• ,.,; ,,,;r,.,:' '—
cn ,' ;'�,rs Construction �
P. 0. Box ]179 ,t--;;. # :'
Southold, New York 11971 '� Alteration
Telephone :1 * Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT EC E 1 V E D
SEPTIC TANK or CESSPOOL APR 18 2001
•
,064fragiu g..,wn Clerk
Permit No.
Fee $
DATE Og/0 /
APPLICANT NAME: R)52/4-2-0
APPLICANT ADDRESS: 3j `7,e")/5c- �ve j/jf'sI.4e �2 /i" //SIO
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 44W
574 T,, 3 Lea c S Pz,z,6 ` ,/t/e chyle
Pe 5) j.e-"ce.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: R)5I/l7?j 66.454-14« Ufr.
OWNER MAILING ADDRESS: 31
//S9c
OWNER PROPERTY ADDRESS: I7o 5 k-ev-14.,,), 13/1L
Ci -eh fzv N //,Vg
TELEPHONE NUMBER OF CONTACT PERSON: (5 /0 333- O66�
TAX MAP NO. : Section 5 -2) Block L' Lot e.:/?_
CROSS STREET: Bay L .e let)jc
BUILDING PERMIT NUMBER CROSS REFERENCE:.
•
Signatut - of Applicant •
RECEIVED BY:
Town Clerk's Office
DATE:
::: f'; C.
1 BOTTOM LP 5.6 2--EX-POOLS 3'IN DEPTH
6] GRADE ABOVE LP 11.0
EXISTING GRADE SHOWNAS 10.0 rri ri ,... t=")
Al -A--MI ..&.--
Al
i ( •-•-•.......pb„. " ' ' A::2"
cn 00
PROPOSED '
' ' retVen,,.. : SAtlir TAftilt.;,:aciSYILir",,..:,.,_ ._ .. , ApPROVED It% A 'r-
•
, Unauthorized alteration or addition to this document is a wolation of Section 7209 i ''
of the New York State Education Law SURVEY OF. • , .-'
' Certifications indicated hereon shall run only to the person for whom it is prepared i LOT 10 . ,.,
• and on his behalf to the Titte Company,Govemmental Agency and Lending 1 - .,
Institutions listeti hereon,and to the assignees of the Lending Institution or ,
, MAP OF AUGUST ACRES SECTION 1
- ' Copies of this document not beanng the professionars inked seal or embossed , ARSHAMOMAQUE, TOWN OF SOUTHOLD 4, __
/ -1.3,e_ F N.Eiry ,_ seal shall not be considered a valid true copy. ;
. Cri.
-r,e_ The offse4s j or dimensions)shown hereon from structures to the property lines are
for a specific purpose arid use and therefore are not intended,to guide the erection of - 1 SUFFOLK COUNTY, NEW YORK ,_ ,,„,
fences,retaining walls,pools,patios,planting areas,addition to buildings,or any other I ' '.:!..`"1.1.:
': .--;,'!1';If,'-fl
DESTiN G.GRAF "r
construction
I a- (X, The existence of right of ways and/or easements of record;if any,not shown are I SURVEY DATE: 6/28/00 SCALE.,1"=56i .--".,
11. 10..i.
,
.
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