HomeMy WebLinkAboutPalmenteri ELIZABETH A. NEVILLE �/�3� . ? `` ��; Town Hall, 53095 Main Road
TOWN CLERK ; e, a ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
,j, Southold, New York 11971
MARRIAGE OFFICER ®� , ,C��,1�� Fax(631) 765-6145
EggRECORDS MANAGEMENT OFFICER � �'
- ®fir ���01' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �. •1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2550 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOSEPH & ELLEN PALMENTERI
Address 1 : 30 MEADOW DRIVE
City St Zip ALBERTSON NY 11507
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 #R10-00-0201
Name Of Owner PALMENTERI, JOSEPH & ELLEN
Mailing Address 1 30 MEADOW DRIVE
City St Zip ALBERTSON NY 11507
Property Address 1 65 FOUR WINDS COURT
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 6 lot 13.031
Cross Street AVENUE OF TREES
Building Permit Number Cross Reference:
Issue Date: 4/17/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
46 ,..-•.40 cQ5'
��,ice ofFol��
ELIZABETH A.NEVILLE et-* �d I Town Hall, 53095 Main Road
TOWN CLERK ; t P. O. Box 1179
REGISTRAR OF VITAL STATISTICS % t Southold, New York 11971
MARRIAGE OFFICER �� `��,1�� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �® c- �i Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 0 **O.°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD _
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 5, 2001
Transmitted herewith is a copy of application No. 2638 for a Cesspool/Septic Tank Construction
Permit submitted by:
Joseph &Ellen Palmenteri
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:
S' afore
L `d
Dated
t
OFFICE OF THE TOWN CLERK ,,•''IInt*.
*Q Application No. r/' 3
TOWN OF SOUTHOLD '.• Gy �lp J
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 �,FO Construction
SOUTHOLD,NEW YORK 11971fri v rn,,; Alteration
Tele hone • O,y,, re' $10.00 - Residential
p
(63t) 765-1800 = ,•� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT -
SEPTIC TANK or CESSPOOL 4. E CE I V E D
APR 5 200
Permit No.
urroo 4 (Town Clerk
Fee *$
DATE 9- S-o /
APPLICANT NAME: J D f-e)OA 5/k Iv /"a- knseiu*f2�
APPLICANT ADDRESS: 3c / ?e/1,9Ow D, /U€.
/9L//S.tr f1'o w y //a 7
SEPTIC ✓ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /1hii I '(./JQ
Neui
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: JT s,90A d- 1/feu
OWNER MAILING ADDRESS: 30 (/1,evai) Vigv
i9L & -fsa ti Al //r a 7
OWNER PROPERTY ADDRESS. //amu '/fit
_Co. s/ 0 /4 )
TELEPHONE NUMBER OF CONTACT PERSON: 576 ` V? t/- VT/9
TAX MAP NO. : Section /DOG Block Lot D6 -/�, 3
CROSS STREET: au-E.A.,-Luz_ (10-1—CKA.Z.ZJ
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
.
RECEIVED BY:
T•wn Clerk's Office
DATE: 4/ 151())
al
SURVEY OF
TM 1000-088-06-13.31 LOT#/ 29 6
SURVEYED 8 MAY, 2000
FILED AUG. 23, 1995 9729
MAP OF ANGEL SHORES SCALE 1"=-30" \'
SITUATE AREA= 30,253 SF
BAYVIEW, OR
TOWN OF SOU THOLD 0.695 ACRES
GUARANTEED TO SUFFOLK COUNTY, N. Y.
JOSEPH PALMENTERI ZONED AC
ELLEN PALMENTERI SURVEYED FOR JOSEPH PALMENTERI
FIDELITY NATIONAL TITLE INS. co. ELLEN PALMENTERI
1 , 1 _ _ 1 ALL UTILITIES BELOW GROUND
LOT 28
H .
----� ; y:..:1_2_,,,,,. -`' VACANT LOT 27
RESIDENCE
SET S 58' O1' 20:".-)F • 161.97'
CM a SET
CAI
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O
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W
LOT 30
UNDER CONSTRUCTION
C � W
85'
c 0 50" SET BACK l
m v-r-d s PROPOSED -2 STORY CAPAGc ? - '
_ ' - 4 BEDROOM \ .
WO H RESIDENCE
1
T 1
Q N PROPOSED 1 iu s 0
Z SEPTIC fl � .
,-,..-TANK ow W Q 00
C etc, cW p m 10
ID o - p co •
�`� R=c......."
' a k oL= .27' ir; ms
PROPOSED (n
CESSPOOL
FD N 60' 19' 20"W 129.25' um
SET
.
r___ __ Wim_ WM
FOR s C.D.H.s. USE ONLY FOUR WINDS C O UR T
WM
VACANT
_-... . ... VACANT
rE T': 1 GUARANTEES INDICATED HERE ON SHALL RUN
X `;• ' .13 C ONLY TO THE PERSON FOR WHOM THE SURVEY
PC 944 9 11-41 IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY,
71J 0
�d sa C LENDING INSTITUTION IF LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION.
S UI 0 0 ( -3 °" GUARANTEES ARE NOT TRANSFERABLE TO
c. r 9 ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
TEST HOLE DATA
p® „, UNAUTHORIZED ALTERATION OR ADDITION TO THIS
I rn L 1 TEST HOLE/!3 IN LOT 27 ON SAID FILE MAP SURVEY IS A VIOLATION OF SECTION 7209 OF
. _¢,° f,:: , "i. ci 4 (APPROX. 305'SOUTH & WEST OF LOT,/4) 7HE NEW YORK STATE EDUCATION LAW.
0 IT5 EXISTING GRADE
r> 0 ng ` � COPIES OF THIS SURVEY AMP NOT BEARING
en ..< r.•. " \ /`\"\ \� LOAM THE LAND SURVEYORS EMBOSSED SEAL SHALL
?� ^-9 j• NOT BE CONSIDERED TO BE A VALID TRUE
n : 0 COPY.
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7 G t-- T SAND GRAVEL
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f ° ( !f�Ill> ' , �• 1 VA rt •,,.1 �t SURVEYED BY
h U+ DP'f ti:.;.'AIA .,Jtri .:3'IiJ
0 i €� 1� ,-J 3 A�_ ,• I7' GROUND WATER
CI
STANLEY J. lSA,�CSEN, JR.
C, . -, P.O. BOX 294
L`� 'U :: w:? 11��? NEW SUFFOLK, N.Y 11956
< I o0 a 631 73 '-58 5
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EN I. L NO SUR- '.
NYS L C. NO 49273' c r
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