HomeMy WebLinkAboutAlbino /°40IFFO`at
ELIZABETH A.NEVILLE ��_.® ®��� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �; /',i Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �y�®l 40 0 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. 2966 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ZOUMAS CONTRACTING CORP
Address 1: PO BOX 361
City St Zip WADING RIVER NY 11792
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 #R10-02-0136
Name Of Owner ALBINO, MATTHEW & ALICE
Mailing Address 1 PO BOX 361
City St Zip WADING RIVER NY 11792
Property Address 1 80 GREENWAY WEST
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 1 lot 16.000
Cross Street PARK VIEW LANE
Building Permit Number Cross Reference:
Issue Date: 12/26/02 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
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OFFOUr 702
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ELIZABETH!,A.NEVILLE ,$1 ti G* Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
• Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • Fax(631) 765-6145
MARRIAGE OFFICER ,
RECORDS MANAGEMENT OFFICER `%W®.t `A°�®����, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ��� southoldtown.northfork.net
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1 ;! T i; OFFICE OF THE TOWN CLERK
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ti i DEG I I2002 Jy) TOWN OF SOUTHOLD
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TO: TOW-;' r`�Soi%tho• �d'To �n Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 10, 2002
Transmitted herewith is a copy of application No. 3090 for a Cesspool/Septic Tank Construction
Permit submitted by:
Zoumas Contracting
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.
II
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
A3--///)/;2_
Dated
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OFFICE OF THE TOWN CLERK+
► Application No.�j6�(4
TOWN OF SOUTHOLD •• O5 .`a�"..,
�•�p� Construction
CI 17,',P=[;•{A..BO 1 F,T01Yi`'CLERK ,I.s' 1 ,f J�,:i'�,'
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P.O.BOX 1179 I r•1 ,, <�' ' ! Alteration
SOUTHOLD,D, EW YOR!•. 1197! • D •.13 1' e •
�� V. to .`S. V! i' .
Glx •�
It.%>i";' �`c'�• $10.00 - Resldentia
Telephone 01 d ,�00 $25.00 -Non-Residential
( 51 6) 765-1801 „Il,, ✓
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICA_l ION
• for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee .$
DATE 1 1 O o7-- -
.
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APPLICANT N AA'1 E: 2'0 U<'! '15. 6-NTffi e-TiNG-C-Oft-F•
' �d,Pf3oX 361
APPLICANT ADDRESS: • � ac:iiti.6.',}iiver—NY 11-7-32----'—
'
SEPTIC CESSPOOL ,K
DESCRIPTION ' OF PROPOSED CONSTRUCTION OR ALTERATION
L
LOCATION MAP: Must be attached hereto before permit may be Issued.
LOCATION OF ' PROPOSED CONSTRUCTION OR ALTERATION: • •
- OWNER OF PROPERTY : AI'l w A.^' ALI L l= A-t&i0,0
• OWNER MAILING ADDRESS: .
OWNER PROPERTY ADDRESS : `
fD t"(� (C C) I CU A' ! 1
TELEPHONE NUMBER OF CONTACT PERSON: 5 Z - 1s7o
TAX MAP NO. : Section / BIoc1< Lot,•,,,,_,,,,,
CROSS STREET : • PA(1,16 1)1.-CAki ZA'. •
BUILDING PERMIT NUMBER CROSS REFERENCE: •
i / illIONV ' -,•
•
�1S gnatur- . .licant :;t . ;;}.;A .,
;'.:• RECEIVED BY : Office '
•
DATE
r.:; Town Clerk's
�� VO' \
, "
,,
c TEST HOLE DATA CESSPOOL i_ SURVEY OF
PERFORMED BY McDONALD GEOSCIENCE 1 j LOT 32
27 APRIL, 2001
IN
EXISTING GRADE _ MAP OF GREEN ACRES AT ORIENT
DARK BROWN SANDY LOAM OL _ CESSPOOLS EXIST SITUATE
— 1'
SEPTIC UNDER CONSTRUCTION WELL ORIENT , TOWN OF SOUTHOLD
BROWN LOAMY SAND WITH HEAVY GRAVEL SM S
3" \ \\\\ TANK RESIDENC�
] �Qo /oo� SUFFOLK COUNTY, N. Y.
BROWN FINE TO COARSE SAND WITH HEAVY GRAVEL SW LOT 48 G� cc,5e
0
8' �", 'S0
BROWN FINE TO COARSE SAND SW o 13�- Cosi 0'5' SURVEYED FOR MATTHEW ALBINO
11.5' LOT 33 /o �F \ Nv
c� << EXISTALICE ALBINO
WATER IN BROWN FINE TO COARSE SAND SW cn�,, o0�J`� i
1 - , 00,WELL FD• CM
17' o ,
7G 7 �- wPROPOSED / 00
• Fn ' WELL /, SURVEYED 01 MAY, 2001
UP /P \ /
^ / SCALE 1"=30'
/
S InN. // EXIS AREA= 19,595.961 SF
of -II OA ( ^ O 15 // WA L• OR
> a� ® c el LLL II \ 0 ��� // LOT 49 0.450 ACRES
w t® 0 v► -2 \ l 2�, //
C7 Z / ® 0 A \ ' 1 /
o I, ZONED R-40
I- 0 O A U. , 13T,OToCEC POOL \ 40' J:_i_OSE
RESIDENCE ELEVATIONS TAKEN FROM
PR0
_ w F m -\�,� 1P C PR POSED EAST END TOPO MAPS
NK
v- co z 4t 1 .sPooL `�\� - 3 B ROOM
C o n € 0 w .;j ; RESI ENCS
C� a o O u Ti I OPO SED
Li O �q b N \`,CE�Se, GUARANTEES INDICATED THPERSON FOR RE ON SHALL RUN
M THE SURVEY
CC d J W !s a 1 d >___. LIL#1 / \ IS PREPARED, AND ON HIS BEHALF TO THE
9a1 R O g ! P'OPOSEC� •-�'� 53 TIRE COMPANY, GOVERNMENTAL AGENCY.
8.4 Q E*7 LENDING INSTITUTION, IF LISTED HEREON, AND
a - ?- " 5 o EXON\ 9' ` TO THE ASSIGNEES OF THE LENDING INS77R/77ON.
41C -I Agip N ,,� GUARANTEES ARE NOT TRANSFERABLE TO
I- ® Q CC 1 ----> PR OPOEQ C'-.''AGE r �o ADOl770NAL 1NS771U71ONS OR SUBSEQUENT OWNERS.
U IAL Cn t7 \=.7„.177, W DRI VEWA Y\ UNAUTHORIZED ALTERATION OR ADDITION TO THIS '
A fl RESIDENCE �f \ / ^ SURVEY ISA VIOLA77ON OF SEC710N 7209 OF
EL O , ' 1— \21' C) THE NEW YORK STATE EDUCATION LAW
40'
WI w
id: CC
j n 0. ^ ,_ :4 COPIES OF THIS SURVEY MAP NOT BEARING
a < La CN - � TEST THE LAND SURVEYORS EMBOSSED SEAL SHALL
Io
HOLE / NOT BE CONSIDERED TO BE A VALID TRUE
COPY.
o /
k ►�--
�� 15 \V. 17 O 110'f TO CESSPOOL
FD / _
FOR S.C.D.H.S. USE ONLY CM • SURVEYED BY
0 83:\11 ' 50" E /15. 43' IP FD ,
FM# 3540 ���� �� o so STANLEY J. ISAKSEN, JR.
FILED APRIL 13, 1962 -(0 �0 \ k
TM 1000-015-01-16 1!:\
1�� GP c.) /�A�� /l //E // J o
P.O. BOX 294
l— l V / LA w 0 NEW SUFFOLK, NY 1195°
GUARANTEED TO �0 0 ``skP
516 1734—5835
MATTHEW ALBINO �/
ALICE ALBINO yC.
`� . ..P.7. T
FIDELITY NATIONAL TITLE INS. CO. ICE D LAND SU 1-EYOR
EXIST /
NYS IC. NO. 492 3
RESIDENCEq I RESIDENCE
11 5' T!% CESSPOOL RESIDENCE
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