HomeMy WebLinkAboutSeverino (2) 4 SOFFotitOe
ELIZABETH A.NEVILLE 4� 10 ` Town Hall, 53095 Main Road
TOWN CLERK ti Z ; P.O. Box 1179
v, t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS `®� ��l`10 Fax (631) 765-6145
MARRIAGE OFFICER ,L
RECORDS MANAGEMENT OFFICER =__-'/®i Kg *a®�i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,i��� 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. 2792 R Residential x Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ANTHONY SEVERINO
Address 1: 10 MEATH AVENUE
City St Zip HUNTINGTON NY 11743
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 #R10-00-0082
Name Of Owner SEVERINO, ANTHONY
Mailing Address 1 10 MEATH AVENUE
City St Zip HUNTINGTON NY 11743
Property Address 1 710 OLD MENHADEN ROAD
City St Zip CUTCHOGUE NY 11935
,Tax Map No. section 111.00 block 4 lot 19.000
Cross Street WUNNEWETA ROAD
Building Permit Number Cross Reference:
Issue Date: 4/04/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
--- • 2 2 2
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ELIZABETH A. NEVILLE ����� # ; Town Hall, 53095 Main Road
TOWN CLERK % - ; P.O. Box 1179
% ay, � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax 47$
Fax (631) 765-6145
MARRIAGE OFFICER - /fi �1
RECORDS MANAGEMENT OFFICER =__"'/®1 ��'�i/ Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ��'� southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SO IDOL•D..._.._.__,____ _
! �'1 r' r,' '-'7 R. 7..71
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TO: Southold Town Building Department
IvIr�R 2 Z 2002 `i ; j,
4
Y
FROM: Linda J. Cooper, Southold Town Clerk's Office-° __
11,',,i'''• ^i fP
DATED: March 21, 2002
Transmitted herewith is a copy of application No. 2887 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Anthony F. Severino
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 v
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. 0
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Signature
DV2.--2,--/0 7
Dated
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OFFICE OF THE TOWN CLERK ''�'CAMI v .
TOWN OF SOUTHOLD ��'�O M`QGy • Application No.;
Fr UABETH A.NEVAJ.F,TOWN CLERK ;k. 4-^
P.O.BOX 1179 Construction
li
SOUTHOLD,NEW YORK 11971 '
cats Alteration
Telephone , oho *II!" . $10.00 -Residential
(631) 765 1800 =_ 1 ,,�'� $25.00 -Non-Residential
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE , 34 /4 2---
APPLICANT NAME: Alifhe,frily -c:)(.3C//6-W/�D
APPLICANT ADDRESS: '7/V 04;9 ) V4cou ,4
a &uQ 7 ity---
SEPTIC CESSPOOL y*
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
./JUG-L 7&' �i9-,X)i Lce ,d 4�eLLr,v 6---
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR AL ER TION:
''
• OWNER OF PROPERTY: ,,�,.� -L�l2itz.AID
OWNER MAILING ADDRESS: /0 W9.104 1,111/-`k_
ic
OWNER PROPERTY ADDRESS: -7/O 2L wciv , c,&4) Raj
cue-
TELEPHONE NUMBER OF CONTACT PERSON: I Cf(.; &7 3 -, 39 7
TAX MAP NO. : Section /11, 00 Block 01' v 0 Lot O/9 pD 0
CROSS STREET: ,4JU}N'2juJc779- /
BUILDING PERMIT NUMBER CROSS REFERENCE:
fti
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f, i IL,24_, ----
Signatu e of Applicant
RECEIVED BY: /� : ••
own Perk s Office
DATE: 5/21/1:, U
,
i TEST HOLE DATA -.
a
PERFORMED BY . McDONALD GEOSCIENCE
EXISTING GRADE
SURVEY OF
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`,�7\�;�\,���,��\\//\\/\. L 0 T 346
IN
La.„1 ' //\// BROWN LOAMY SAND SM MAP OF SECTION D
. x LOT 340 —
LI v.- €"- 4 FD S VACANT —s NASSAU POINT CLUB PROPERTIES, INC.
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`j 'R L� �. s 1 S.S� s`. SITUATE
Z!'�� '-'73 1&!5-
ryv.. 8 •mss, �9-' NASSAU POINT
Q i_...(� Q • TOWN OF SOUTHOLD
�QhN, 60 _ �J ESS O� 1451 PALE BROWN FINE TO MEDIUM SAND SP
JSUFFOLK COUNTY, N. Y.
---62 M WELL 10p,
SURVEYED FOR: ANTHONY F. SEVERINO
----. �ry SHELIA B. SEVER/NO
1.1-5 O
lb LOT 348 N N
GUARANTEES INDICATED HERE ON SHALL RUN RESIDENCE Q,
ONLY TO 7HE PERSON FOR WHOM THE SURVEY
1S PREPARED, AND ON HIS BEHALF TO THE I �Q 17'
7177E COMPANY, GOVERNMENTAL AGENCY, \...
LENDING 1NS717unON, IF LISTED HEREON, AND I FOR S C.D.H.S. USE ONLY TM 1000-111-04-19
TO 7HE ASSIGNEES OF THE LENDING INST77U770N. FM # 806
6
GUARANTEES ARE NOT TRANSFERABLE TO FILED MARCH 24, 1926
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS \ �F� SURVEYED 7 MARCH, 2000
UNAUTHORIZED ALTERA770N OR ADDITION TO THIS /i•o" SCALE 1"=40'
SURVEY IS A VIOLATION OF SECAON 7209 OFIlk\ AREA= 19,324.924 SF
THE NEW YORK STATE EDUCA770N LAW. \___ 0.444 R ACRES
COPIES OF THIS SURVEY MAP NOT BEARING LOT 345 5 U4C •a
17-IE LAND SURVEYORS RESIDENCE wed
s
8
GUARANTEED TO BE CONSIDERED TO I � tD
COPY. 0) z S ® 0, ANTHONY F. SEVERINO
\�'�O O a - -11 \ SHELIA B. SEVERINO
J/ -A �e .SNI p FIDELITY NATIONAL TITLE INS. CO.
c/((, h PROPOSED I 15 0 Q'.,, t1414 1--
6),
w TOWN OF SOUTHOLD
S 0 Z tl ' '
��/. p �2 %° 3 BEDROOMS ,� r- 0 d m NOTE: SURVEYED AS MONUMENTED
i RES ,�
FA
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��i�t �� PROP ry° M QQ to 14
CESSPOOL ��i� SEPTIC as. 'ROE 0 Ce EIC
i TANK / HOL 1 AR`A``G ° Q < -1 tas , gs, ELEVATIONS TAKEN FROM
Ce
CESSPOOL >» O/P��EXPDN.ION�O i ?R CV
a. P. - i ® EAST END TOPOGRAPHIC MAPS
/ AS N 1' �ROPOSEI' . ° SoO 0. = ON RLE WITH THE SUFFOLK COUNTY
/ - �/ �� Q o �P DEPT. OF PUBLIC WORKS
CAI CESSP00[/o .-...ii h Z
86 GES UNDEF s q, ^> > . = 0. , 1 : c
N THAN 15° �4• S - Z. ..\(1-1
4_ ..41` �5; ��V ZONED R-40
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EA/H/D� - SURVEYED BY
STANLEY J. ISAKSEN, JR.
OA D P 0.NE BOX 294
SUFFOLK NY 1 -• %6
rn o v 631 734-58,35
y o NOTE: 1. 5 JULY, 2000 CORRECT L 0 T AREA. 4111,/71"
�/,'Ai .lir �
�° LICEN' I LAND 1 VEYOR
2. 12 JULY, 2000 ADD WM IN STREET NYS IC. NO. < •273
s 3. 18 OCTOBER, 2001 MOVE SANITARY, SHOW WATER SVC. & PROP. WATER SVC. 000883