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HomeMy WebLinkAboutGangitano % ELIZABETH A.NEVILLE ��� '� Town Hall, 53095 Main Road TOWN CLERK ® P.O. Box 1179 Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS � � � MARRIAGE OFFICER t� � Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER � �®1 �®��� 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. 2991 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JENNIFER GANGITANO Address 1: PO BOX 888 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 #R10-02-0203 Name Of Owner GANGITANO, JENNIFER Mailing Address 1 PO Box 888 City St Zip ROCKY POINT NY 11778 Property Address 1 100 SOUTH HARBOR ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 75.00 block 4 lot 30.000 Cross Street ROUTE 25 Building Permit Number cross Reference: Issue Date: 2/18/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) C 2ek "1,0004 ---, C79 ELIZABETH A. NEVILLE laS t Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 % ti 2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS % V' 1 MARRIAGE OFFICER `�°,fiL � Fax Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER = "'/Ql �a��,' Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER���,,��� southoldtown.northfork.net 7:::\r _ L'f?t=-.-A-"- ' I \:i OFFICE OF THE TOWN CLERK V%) }7---- Yt ` 7^ '` '\ TOWN OF SOUTHOLD I, � s •'. T `1,---- ---Southold town uilding Department FR Linda J. Cooper, Southold Town Clerk's Office DATED: December 31, 2002 Transmitted herewith is a copy of application No. 3113 for a Cesspool/Septic Tank Construction Permit submitted by: Jennifer Gangitano 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: .... 4e--(..f:' C...w. ...- --M' - .d'''- - - - -: r .714;4f/ Signature C9/1/6)3/ Dated ✓moi • OFFICE OF TEE TOWN CLERK �I������•��•••��; TOWN OF SOUTHOLD ,��•'OC,uFFOtKcP:• 1 13 FTTlABETHA NEVTT"T"F,TOWN CLERK �� o . • Application No30 P.O.BOX 1179 ; SOUTHOLD,NEW YORK 11971 rn Construction v Alteration 1-) 765 180 ‘‘'b 470.1 4one 70.1 $10.00 - Residential T(G3 ) 765-1800 - �� 'oly $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE /02 d, APPLICANT NAME: //if al✓I�l l /16 APPLICANT ADDRESS: / 1j g-Og ��GG AlifrantWIEZE SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERVTION s iht l\,, LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIO : OWNER OF PROPERTY: /th 'L OWNER MAILING ADDRESS: PON ag fee 7/14d) .N //776 OWNER PROPERTY ADDRESS: /a) Saj • c l o lid TELEPHONE NUMBER OF CONTACT PERSON: (tJ1egi) 7W—W?_7 TAX MAP NO� Block Section 75 J � � Lot 5O sBUILCROSS STREET: - _,,,„„g5-- BUILDING DING PERMIT NUMBER CROSS REFERENCE: rip - 0,72-----94 Si etatur of Applicant _ 9 pp t r RECEIVED BY: Town Clerk's Office DATE: 5', ' \ .4 I . t . J • L&--s-IRUM$ RS REFER TO 'MAP OF MINOR SUBDIVISION OF,.P e, TY ,�UR VEY OF .PR OPER T Y �r " _ SUI i y '"FOR SAL VA TORE CATAPANO' FILED IN THE S&f.��K�- RUNTY , CLERIC S - 3FT1cE, ON JUNE 25, 1992 AS FILE NO. 92 !rFOLA CO i AT SOUT.FIOLD .�N 2062 OCT 17 Ali10: 15 TOWN OF SOUT�I4 D " j,EPT OF HEALTh SERVICES SUFFOLK COUNTY, NEW YORK >�i FiCWASTEWATER TEWATER MG •1400-75-04-30 Penyhov�es SCALE: =50 9rweiirg0' + AUG. 28, 2002 - LOT 3 320,17. SES...«.w.....M.... .o.......,y....,..�.....�....._...�... . . ..._ .._.... ,;;IPPENA:r!O N EA?AP.1111:.ir(*hT4LTHSERVICE:- E STic a_ ts.7 •49`30• a�► • iER1' T POZt APT1t+ OVAL OFGON i tfi7CTION FOR A N 79 _ 31 � SINGLE tAMILV RECEDENCE ONLY • h , f DATE ‘.1-30-OD- 05120 .1tiie b---o -0- tJ APPROVED -L 1.... -- 6_ is u -kk vs FOR MAXIMUM OF E► ' • _ UAW • cil ---\ EXPIRES THREE YEARS FROM DATE OF APPROVAL - LOT 1 z 0 1 � cn °; 4:. ,1 LOT 2 c • L } A Q,Ga-ni ' ' 1 n • i 4 v / A '1 1 Z4') £ -� 231• __ 4_—-- d , ce- �� t 0 '�6 ...► P��P f { 75 t of WAY I� ..,......„.........i 2 l "' X30' i N _ ' ____ 1 R. t ` N 'tet- �' ` `o o p ' cow v 4 s clI icy r_ Ey ii.-1. ' n N 34 r T g 14..*** * y�i B,, 32017'\t 4f NEW Y 1 EL t4.0Ti^E �Eg1 tREEs y�A ��I. mo ��� NOTES: ' of .� 3 11SA I am familiar with the STANDARDS FOR APPROVAL 730 , **** OOR i 41,,,r,b4 AND CONSTRUCTION OF SUBSURFACE SEWAGE •49,Iv W THE OPEN D t t • 4 it DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES S 79 CHURCH OF we.- . �' p and wilt abide by the conditions set forth therein and NCO/F "'E,�i` F�� w,• 4941% Acv on the permit -to construct, `'h,,c` (P p LAND SV�J The location of wells and cesspools shown hereon are .7--q,;,1 N.)'.S. LW. NO, 49618 from field observations and or data obtained from others. PECONIC SVEYORS, P.C. ANY ALTtRATIUN DR ADDITION TO THIS SURVEY IS A VIOLATION (631) 765 - 5020 FAX'C631) 765-1797 Elevations are referenced to an assumed datum, OF SECTION 7EO9 IF fl/E NEW YORK STATE EDUCATION LAW. , , T/t,.i n/..1