HomeMy WebLinkAboutDaversa '7
ELIZABETH A.NEVILLEt��e®°�° � �� Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER )'� r��, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `_ ® #i°i� Fax
(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. 3002 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : RANIERO DAVERSA
Address 1: 26 REED DRIVE
City St Zip ROSLYN NY 11576
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 #
Name Of Owner DAVERSA, RANIERO
Mailing Address 1 26 REED DRIVE
City St Zip ROSLYN NY 11576
Property Address 1 255 WEST COVE ROAD
City St zip CUTCHOGUE NY 11935
Tax Map No. section 111.00 block 3 lot 3.000
Cross Street HAYWATERS ROAD
Building Permit Number Cross Reference:
Issue Date: 2/18/03 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
4A
, 2
,'�,,„,,, �FFO�,�C®G_
..
ELIZABETH A. NEVILLE ���7 t‘ Town Hall, 53095 Main Road
TOWN CLERK % o - P.O. Box 1179
H Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % 0 1
MARRIAGE OFFICER %`� 1i ����0 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ;VI #001 i Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER � ..�,r� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
\ --TOWN OF SOUTHOLD ----` -- J "
p. \i, te,
,),, ,,
:, :
• . , . , ,
TO: Southold Town Building Department \`\ 6
JAN t $ _r' \
-
FROM: Linda J. Cooper, Southold Town Clerk's Office •
- _�`
DATED: January 16, 2003
Transmitted herewith is a copy of application No. 3124 for a Cesspool/Septic Tank Construction
Permit submitted by:
Raniero &Lidia Daversa
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: ✓ -
77,(4.6. 42,7,,,o, /2,... ......-
Signature
,e)0 63/0.3
Dated
` - °'
;
OFFICE OF THE TOWN CLERK ','. c51F Ujl(n
TOWN OF SOUTHOLD / O `c Application No.3/ 2
ELIZABETH A.NEVILLE,TOWN CLERK O l
P.O.BOX 1179 : r, Construction c/
SOUTHOLD,NEW YORK 11971 , = : ,- _ Z
. rri • Alteration
Telephone O,j� Qom•,', $10.00 - Residential
1 tJf 765-18C ' 01 ��, '
� ' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
.
• for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
co
Fee .$ /o,
DATE -7-04.Lea ry , 02 D o
. APPLICANT NAME: Rolliero ANLJ Lid 10 h/ot. Ve_i SQ
APPLICANT ADDRESS: 02 , lie moo.( b ,r-,
Rosh/ v ,\f '1 //s'&
SEPTIC ✓ CESSPOOLY
DESCRIPTION OF// PROPOSED CONSTRUCTION OR ALTERATION
A°&r� cr W el(i n3 .
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:II
• OWNER OF PROPERTY: ,air) ler AN n ki CLi'&. Oa VPir C 4
OWNER MAILING ADDRESS: ,),,(s, f2pp hr,
f osl Li II, 11 4 / /5- 7(,,
OWNER PROPERTY ADDRESS: 0255 w es 7" Co ve }e00 p(
.T
c� c i46u PJY ( L f
`� �
6-76 -357-
TELEPHONE NUMBER OF CONTACT PERSON: r Rt c VADr&viQnn. v, 8 Pa J
TAX MAP NO. : Section /1) Block 3 Lot 3
CROSS STREET: OQlj�tict.re, e Woad
r'l
BUILDING PERMIT NUMBER CROSS REFERENCE: CP d inG ) 718) F
( 2 '�r-i�� 2*U-e--w
Signature of Applicant
RECEIVED BY: '_
T wn Clerk's Office
DATE: Il(G( c/ 3
•
0"
IM /
1
. .
- .- A
-
-NirdPeo ,--• - ..
.47,...N-. -
7:00174. .iiktilrEsiNVIA: . - •
. '..4:1Z'airiVII'DirWarser4Vida aorOV:ed•INAIWs7!ilg..7_ .
=
=
111014:44A.•
loitrfri-- ,44,06,40 iotoial,wit.
ja. ....
..,.....-
= . Aimicil woos :ye. A AW.- :.-
_.__ ' AttiVii,W1 110 a)10 '240,114 .14
, _•
NI=IMO
-.-,
=-. \ -144kNlia4106 V11-• fre TIM
id61131. 100 10114 .0* '11101
..-=
=
LiI !;7
eft 2 jektlitit 1 --21"'.:"" igA)0001 -"Iv". ' %
_
=
1-4417 :
13011"; .
= .
:=
-
104
t :;;J.'';',.'..;* , *.lt-,•.-a._ \ZIM li'd ''' Or 2 140111116W.:-4\
• ,..-..
-.--.
1 :; ' ;;;;17 k It 6 - 'W.\',A a•PWW
-..-
,a1 1 A ea% tw.
:t... _
lotow-01,,,
=_..
isip
te• wets%
=7 - iii foict‘
= ,:\41 ,
_ ,. wit 0,„.. r4110 sun Itilk s. a,
---,
..--,
-'. i°44. Viiiik 4i. 0 •• ' ° .
•
.t.1
.:- .- +. -----Z !'' ,..4a,444,011Pil$ ...t.----e----17.- ','• . °' 0
=
—
..,;'.
'era ia) COUNTY OF SUFFOLK
.•
=„Trinr. Red Property Ica ScrvIce Agency I . .
‘4:-
o.... II .6. N.I.,.., .... -........ ....... _......,_ gi. ".....n....... .,,,.=--•-•_.... ama Ion ti.re arm C,.../Cinhr Ible.4N I Inn v . .
(;N
---- ma•••••umn ril ..I•ma , . . f A ma• ION
CM=BM M.
1
Milic.. .
-------
- -
af4,
,�
z,,,Y
,' ea)
S.C.T.M. NO. DISTRICT: 1000 SECTION: 111 BLOCK: 3LI413
LOT(S):3
CROAD
7 58
HAY WATER
• 55
LOT 14 54 ELEV. 53.0
n,_ 50 52 26 .00' DR BROWN
wSANDY LOAM 1
4) .
ryDWELL
c BROWN
/ \ NE SILTY SAND 3.5'
NO WELLS
S8go14'S0
/ IN THIS AREA LOT 12 PALE
L T 15 BROWN
FINE
C4 p'ti o D TO
V� f; 02 02 MEDIUM
/ ® 9•a a SAND
a CO
41.1' 40.0 • EL 49.8
1411111:6. EL 49.3 �
0
EL 59.1
n LILg12 "'OPOSED WATER SERVICEe W �, 'o
W.
�. Q ••7 U• pR POs E
= 2 CELLAR G
i = r'e • 164 ' NO WATER —
^Y 17'
/ -.
y O N NZ CARS 291,$ 11-27-02
L 3 �4 0 E 53 0 53.5) 50.0 .
Q
2 • Q // 4: / " or 16
a ik.N ...._ 41111.,Niaggig,"
cNi
O 41g-y
O z THE WATER SUPPLY. WELLS AND CESSPOOL
\ v
h� CO tyg8o0�'30N6 ANDATIONS OR DATA SHOWN
OBTAINEDFROM
FROMFIELD
O THERSSERVA TIONS
EY
Iis 'IP AR A: 23,032.9 S.F. OR 0.53 ACRES ELEVATION DATUM: ASSUMED
U AUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA TION LAW. COPIES OF THIS SURVEY
. \ MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
NLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
VACANT LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
95, NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
/ SURVEY OF: LOT 15 CERTIFIED TO: DAVERSA;
MAP OF: ALONZO JERSEY REVISED
FILED: MAY 9, 1923 AS #763
\ / SITUATED AT: NASSAU POINT
/ TOWN OF: SOUTHOLD KENNETH M. WOYCHUK L.S.
SUFFOLK COUNTY, NEW YORK /r. , 6 Gti
<'T, / Land Surveying and Design
_ ' P.O. Box 3, Mattituck, New York 11952
FILE /1 22-189 SCALE: 1 "=30' DATE: NOV. 20, 2002 PHONE (631) 298-1588 FAX (631) 298-1588
N. Y; S LIC NO y 50227 maintaining the records of Robert J. Hennessy