Loading...
HomeMy WebLinkAboutPosillico ,II I®OFF®IL�� ELIZABETH A.NEVILLE �� ,� Town Hall, 53095 Main Road TOWN CLERK ® P.O. Box 1179 Southold,irta REGISTRAR OF VITAL STATISTICS New York 11971 MARRIAGE OFFICER ` �, � ��� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER � 11p %, �.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. 2995 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : POSILLICO CONSTRUCTION Address 1: 31 TENNYSON AVENUE City St Zip WESTBURY NY 11590 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 #R10-01-0046 Name Of Owner POSILLICO CONSTRUCTION Mailing Address 1 31 TENNYSON AVENUE City St Zip WESTBURY NY 11590 Property Address 1 2155 CEDAR AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 77.00 block 1 lot 25.000 Cross Street BIRCH AVENUE Building Permit Number Cross Reference: • Issue Date: 2/18/03 Elizabeth A. Neville Southold Town clerk (TOWN SEAL) %ttFF®t c •iO� o O ELIZABETH A.NEVILLE ��� y� Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 y Southold, New York 11971 REGISTRAR OF VITAL STATISTICS � �' Fri MARRIAGE OFFICERgiL Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �__ ! jig �aO�1.1 Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ,��� southoldtown.northfork.net t� , U_ \-ee }UFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD JiXti 2 TO: - Southold Town Building Department i - FRO : .To irida"J. Cooper, Southold Town Clerk's Office DATED: December 31, 2002 Transmitted herewith is a copy of application No. 3116 for a Cesspool/Septic Tank Construction Permit submitted by: Posillico Construction 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: . may.s / • Signature 0//7 3/.3 Dated (*TICE OF THE TOWN CLERK . 'G,`�FOLK/►�� , , TOWN OF SOUTHOLD '�.�� Application No<3 FI I7ABETH A.NEVILLE,TOWN CLERK ,: (4/P.O.BOX 1179 }� Construction SOUTHOLD,NEW YORK 11971 v ^' Alteration Telephone ‘:�®AI � $10.00 -Residential (631) 765-1800 �®l - � ��' $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 I z APPLICANT NAME: Yc9.5; co 644 s AttGhz-.‘ �i_� �r►e. APPLICANT ADDRESS: :3I 7i2A—w ' Wes.Me4 1 ,i/Y //5 9 2 • / SEPTIC V CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION New Cldlz i4 cd /lit g7 l - kat4, SA, 6 ; l "es; LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: V/��%/�'�, G'.a.,sc C� �-y,c_ OWNER MAILING ADDRESS: 31 tenn),/�c- 144514,4t, P-S-1 OWNER PROPERTY ADDRESS: Cev ,4a fold/, Ail)/ TELEPHONE NUMBER OF CONTACT PERSON: 5/6- 333-06 6‘ TAX MAP NO. : Section --7-1 Block 0/ Lot 2S- CROSS STREET: arc . ,4t -2 BUILDING PERMIT NUMBER CROSS REFERENCE: Z re Sigr� of n t'uApplicant RECEIVED BY: Town Clerk's Office DATE: f 'well - r CA r, , f ' SURVEY OF PROPERTY 4j1,,, / ; ,,a AT SOU- THOLD !'( 13 --4, �A�A�.��' �7- A' TOWN OF SOUTHOLD / • / i,r. `'9 SUFFOLK COUNTY, NEW YORK / �/'' / /, F'� • :� �` 1000-77—01 — EXCAVATION INSPECTION REQ 7--<__ t'ic / x i SCALE: 1 "=30 FOR SANITARY SYSTEM `� '= ��4" DEC s, 2000 SY �TH DEP:„' CERTIFIED TO' T \� // \,f �`so-- JAN. 3, 2000 ( well 8 =s. localJons 1 , "� ,./AN. 19, 2001 ( certification 1 JOHN R. DEMPSEY / BRIDGEHAMPTON NA TIONAL BANK •k.„Mor 2�, goal ( e�"o1.�,#,o y) // '� f Apr#/ 4, Zoo/ (rev's'0,1 )P. _ FIDELITY NATIONAL TITLE INSURANCE sts, COMPANY OF NEW YORK z r„ 1�g 1• 0. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES v w .�► r PERMIT FOR Ali PROVAL OF CONSTRUCTION FOR A / o C' �0 0,0�' C i SINGLE FAMILY RESIDENCE ONLY °�` S� i9.� `',�' ,, ,s;� �qcq� DATE NOV 0 9 2001 s Et.l�v.,�2�0 - 0/-0 04 T ti r Cr"? �- F�' of• �'jr APPROVED �� — C.Frri O FOR MAXIMUM OF 4T_BEDROOMS va C iD1 f EXPIRES THREE YEARS FROM DATE OF APPROVAL - r- 2 "r --?r'' �(, f f8 Test Boring1:VO4 ' o 4y � .- r e� -ry �a s �,y �j'LC Approvedin accordance with Board of Review Brown Loamycz r'9C J determination dated JUL 0 6 2001 Sand SM co o S' �� I- 2' n r- II © 4 194 J SUBJECT TO CONVENANTS a RESTRICTIONS LUBERr�a."' P Brawn EZ / PAGE, -79 I— R) r, N -.1. a l8' o cn i' BJ 5c? -A1 `.�S s, yOo _ ____,.. _- NOT� C���\� Pale Brown 11 F to i - J # 1 `elEI*1 . I "b by Dept Health vices Medium Send • S 19'19'30' k/ 45.Q7 CAC MA ')') f 24' - 13$.32' CHAP) w e �;�, -- `, --- 00 Fa PATtON TO BE REMOVED C N -1 .-C.1 -11" 4 ANY AL:T RATION OR ADDITION-TO THIS,SURVEY ISA VIOLATION ( r�- --.1 •-=-�f"3 -O SEETIPN 7209 DF THE NEW YORK STATE EDUCATION LAW- Ui I __ „� _ `� .EdfC'P'f AS`PER SECTION,7E09-U DIVISION 2, ALL CERTIFICATIONS ^” V s •", R t?K 4P VgL10 FOR THIS NAP AND'COPIES THEREOF ONLY JF :_ �� • SAW IMP Old COPIES-BEAR THE IMPRESSED SEAL OF THE SURVEYOR -, • - WHOSE SIGNA TU(2E APPEARS HEREON. t' - :2,1- ; Not c S I am familiar with -the STANDARDS rOR APPROVAL . PPROVAL •: - WELL AND CONSTRUCTION OF SUBSURFACE SEWAGE 0 �'P isa } DISPOSAL -SYSTEMS FOR SINGLE FAMILY RESIDENCESD-WELLING ' i and wttl abide by the conditions set forth therein and DWELLING 1, c P ism' OF Ed ` on the per reit to construct. �� '� y �Q' T. AABp. . G*P ' .,?.‘4 rQ 1• The location of wells and cesspools shown hereon are - ` F _ NOTE: r((� N.Y. , i IC. NO. 49618 from field observations and or data obtained from others. LOT NUMBERS REFER ;TD "MAP DF pOOSE 'ECI '' =%� ` • 'QRS,' " r . BAY ESTATES" FILED; IN THE SUFr0LK � 0631) .5 �� 5` 'iV oX.(631) 765-1797 . Elevations are referenced to an assumed datum. --, ,.,r„ ,,, .------ r-irrYrT nA, /r a n is on