HomeMy WebLinkAboutRomano OFF®Q�
ELIZABETH A.NEVILLE ��,��®�® t` }�®� Town Hall, 53095 Main Road
TOWN CLERK ® + w P.O. Box 1179
r" Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS ` ", '
MARRIAGE OFFICER ®mo +1t% Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �__ aMi �� �i 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. 2739 R Residential X Non-Residential
Fee $ 10.00 ' Septic X Cesspool
PERMIT ISSUED TO:
Name : ANTHONY & NORMA ROMANO
Address 1 : 4 ARTHUR AVENUE
City St Zip ROCKY POINT NY 11778
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 #R10-01-0149
Name Of Owner ROMANO, ANTHONY & NORMA
Mailing Address 1 4 ARTHUR AVENUE
City St Zip ROCKY POINT NY 11778
Property Address 1 BROWER ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 107.00 block 8 lot 34.000
Cross Street GRAND AVENUE
Building Permit Number Cross Reference:
Issue Date: 2/20/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•-•
0, ofFott 02 237
ELIZABETH A.NEVILLE ��o j ` Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
�,
REGISTRAR OF VITAL STATISTICS t Southold, New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Fax
�or, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD (a
5.) tEr“ IEli
TO: Southold Town Building Department II''
FROM: Linda J. Cooper, Southold Town Clerk's Office
TOWN:If-
DATED:
If DATED: January 29, 2002
Transmitted herewith is a copy of application No. 2833 for a Cesspool/Septic Tank Construction
Permit submitted by:
Anthony& Norma Romano
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
r /
Comments: I �
Signature`
0/ jo o2_-
Dated
lir'?
a I,,,........,,�,'.
�') OFFICE OF THE TOWN CLERK ,s'' t ^ r
TOWN OF SOUTHOLD �''•0���1 O `�G Application No.o�V J3
ELIZABETH A.NEVILLE,TOWN CLERK `' . , •
P.O.BOX 1179 , Construction '�
SOUTHOLD,NEW YORK 11971 ;® • T ,
Alteration
Telephone . ����' �r':;
• $10.00 -Residential
(631) 765-1800
> $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RECEIVED
APPLICATION
for JAV 2 8o '
CONSTRUCTION or ALTERATION PERMIT Southold Town Clerk
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE f`" )4 ' 0
APPLICANT NAME: egg/ a . ®iOte,44 4 lev/fArrz)
APPLICANT ADDRESS: 11 Ae-- ,4z&
SEPTIC ./CESSPOOL ./ '
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
7>i✓ii i'- Fq A' i (,),/ jW ill,,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 144400.1,, NS A fl ro iS'Afv-J
OWNER MAILING ADDRESS: d/ /9°4 Ci-e4--- r' ,r
OWNER PROPERTY ADDRESS: .-de-w--
.
TELEPHONE NUMBER OF CONTACT PERSON:cL. a % " `7I`l /2 4.
TAX MAP NO. : Section ,,1(37 Block 6Z Lot til Li
l�
CROSS STREET: Ca:v,L I,145-
BUILDING
'`5BUILDING PERMIT NUMBER CROSS REFERENCE:
A19-6S-ja ure of Applicant
RECEIVED B ' - '
lir Tiwn Clerk's Office
DATE: a--• 6 •
lit/,4T /Ll,*i/v .-10ST // E. T i'.4--z - ,
1�r ,VACANT cesspool f. 0 cesspool O welt
' ) LOT AREA= 26,713 sq. ft. r
w 'F:Fl_. ELEV.= 25.3 bis _____ I
GAR. ELEV.= 23.3 y w TMr; a;r�,,.....,1v2,,
> >iw 3O
o m I+ BROWER ��+ ROAD ++
4
ITO
N 78'42'40"E l 110.00'
59.46' (22.84.. ' (20.1)
R=50.00' TEST HOLE , At15 a
elr
rri L=78.54' rn o
» a _
SEE SHEET m m 4N
2 OF 2 FOR DETAIL r op, N
R c N 23 —s
v
Z ' !,' rte- o
1. ` 0--. "�/i ' In
— \ //A
175 ,;^I' ( ,
..e-•SED 2 STORY
I
/ / / DWELLING WITH 4 BEDROOMS/ ./ kg /'
�9
i v 20 ��
TEST HOLE BY 19\ ( I
McDONALD GEOSCIENCE ` / �,)
1-25-2001 1
o dark brown sandy loam l2 '� / / ^ry
0.5'
n-
well/ /
brown loamy sand l / / .• it
3' / / / /,.
pt l
o /
pale brown fine °I
,_„„to coarse sand °O"p°OI / / N
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVlIliFOD
16.1' O' o
Rl
8 1hFlet\ WWAL Or CONSTRUCTION FOR A /
17' to cos sand 1 r
INGLE FAMILY RESIDENCE ONLY /
r TRIOI 1DATE �'I l���H.�. RE N , D � b
I APPROVED al / / /
FOR MAXIMUM OF BEDROOMS / / 1 / I ..1..
SHEET 1 OF T
SHEET
txPIRE6 THREE YEARS FROM D(T:. �4PPROVAL / // . A )`: eV
SEPTIC ANKC RY ATHFRS ANTI ARF NMT CO IARANTF'F
SEE ATTACHED SPECIAL CONDITION / A ��
RAIDING PLAT AND/OR PLOT PLAN - �tijy1'0
5-31-2001 TOP CAL INFORMATION ADDED. Ns
��0
DATUM N.G.V.D.
DE aF'FO'!s(OR D0i7ISIONS) SHOWN HTDIk1DN FROM THE STRUCTURES TO THE
FROMM WOO ARE FOR A VIVID FIJI POSE AND USE AND 11IERffORE ARE NOT JOB No. 01-89 FILE No. 759F
INIDITAD TO MOE THE MOON OF FOWL WE SAIWO WALLA,POO!$. MEM
K AN111D ARIA ADomON TO BUILDINGS OR ANY amm CONSIRUCTION.
SURVEYED FOR TONY ROMANO
UHAWHORIEED ALTERATION OR ADDIDON TO THIS SURVEY IS A VIOLA11ON OF SECTION
7200 OF THE NESP MSC C SD►1E MUMS=LM.
OULANANTEOS INQIOATED HEWN SHALL RUN ONLY TO THE,PERSON FOR WHOM THE
suAVey:D pomp.AND-os vas MOW To THE RTE cOHMVIY. oDeA IMI.7+TAL SITUATED AT MATTITUCK
AODICY AND.LENDING = UISTI) FAN.AND TO TIS A OF THE
41 ot1;aWorm=
ARE NOT IAIW ABLE TD ADDIIq .oDm1mDNS TOWN OF SOUTHOLD — SUFFOLK COUNTY N.Y.
COPES OF THIS SURVEY MAP NOT BMA THE LAND SWAMI'S Gip SEN.OR SCALE 1" = 40' DATE 1-17-2001
EMBOSSED SEA.SMT.NOT E CONSM RED 10 BE A VALD TRUE COAT. FILED MAP No. DATE
CERTIFIED ONLY TO: TAX MAP No. (REF ONLY) 1000-107-8-34 DISK 500
HAROLD F. T RA NCHOK JR. P.C.
LAND SURVEYOR
� � 1866 WADING RIVER—MANOR RD. WADING RIVER.
(--10--3-41 F -NEW YORK, 11792
. . LIC. No.-0489,92 631-929-4695
HAROLD F. TRANCHON JR. PENN. LIC. No. 2115—E