HomeMy WebLinkAboutCianfrogna - i ,,,,iii,
ELIZABETH A.NEVILLE _ G'y� Town Hall, 53095 Main Road
TOWN CLERK o - P.O.Box 1179
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Southold,New York 11971
REGISTRAR OF VITAL STATISTICS P
MARRIAGE OFFICER
` �' ►� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `�y�Ql $Z' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��,�s" 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. 3106 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MARIE & RON CIANFROGNA
Address 1: 725 MARRATOOKA LANE
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION TO SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #
Name Of Owner CIANFROGNA, RON & MARIA
Mailing Address 1 725 MARRATOOKA LANE
City St Zip MATTITUCK NY 11952
Property Address 1 725 MARRATOOKA LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 4 lot 6.000
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 10/20/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE
.,/,# Gy Town Hall,53095 Main Road
TOWN CLERK o - P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER
:‘44 .` y,L .oll Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ;__`'/Ql �a�iii Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER �������� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 23, 2003
Transmitted herewith is a copy of application No. 3202 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Maria&Ron Cianfrogna (work to be done by L & G Cesspools of East Moriches)
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.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE /jG051 y ,r004--.e)
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. c��
.eoC ,t`.1'C l
Signaturegntu
v /7 1-0,63
Dated I
'OFFOL4
OG
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 , I
MARRIAGE OFFICER L. Iji Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �_�Ql 4 S iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,s" southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 23, 2003
Transmitted herewith is a copy of application No. 3202 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Maria&Ron Cianfrogna (work to be done by L & G Cesspools of East Moriches)
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.
* * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells, buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
Signature
Dated
i OFFO`r
ELIZABETH A.NEVILLE ®
,��0. 4� Town Hall, 53095 Main Road
TOWN CLERK % p P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER VG Southold, New York 11971
.• Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =*** a0.el Telephone(631) 765-1800 1�
FREEDOM OF INFORMATION OFFICER - 1 * 1'��ie southoldtown.northfork.net
_ "
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 or Non-Residential @ $25 Application No. J
AVie;
Permit No.
Applicant Name 7-td A/ 6 a ft&drt c-
Applicant Mailing Address 1025 a'R Ahud/�
Septic Tank - or Cesspool
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Brief Description of Proposed Cos ction or Alteration fie. L v Co-k- f1/4405QQfr c
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Location of Proposed Construction/Alteration:
Owner of Property: Na2 i a, ,T K c)N e is E• /4.
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Owner Mailing Address: 7c25 Al eV ICA ,1 o/ems C iu--
. 4147 LC& w;y. Ii 95---
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V Owner Property Address: S 6 m E
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Name and phone number of contact person Abe"(a- 69 9( ,.3:2.3:2B Y
k� � Tax Map No: Section //'' Block 7 Lot
Cross Street /T (95',
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
41/o/A la 664., y�
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Signature of Ap licant Date
lDdr9--6-120-4)
Received by:
S
Kenneth F. A b'i-iczza
now or formerly r i- Ur' CEPA Ei
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James R., a MarysIfVG E�• Y� ,�
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::,u., Tyler
M. -\ - DATFEP 0 2 93 ti
• The sewage dlspo &I and w.:t..4
locatwn have r;l s, ted i.....,J ' aill$f a��iicleS aifd i{If,Fr�d t1 D<
a. .88�37.4p.,E ��
- 150.00 ugh
-..m...... PRIVET HEDG {.YIIE iGi mat; ai '�a5i�
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PRIVET I
HEDGE
w rm Area = 15000 s.f.
ANCHOR Ia
z ��W I 3 SUFFOLK COUNTY DEPARTMENT OF
_
51.5
Q S \\ .61 24.4' \\\ OO 1 AM FAMIUAR WITH NE STANDARDS FOR APPI
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= \ SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RE
O �°r z.1. .�\ I`\o• Q a Y SET FORTH THEREIN AND ON THE PERMIT TO CON:
III: ¢o c gal `� ��,10 CD .N APPUCANTS SIGNATURE
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0 APPLICANT:
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2�i'I r' h31 STREET ADDRESS:
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EUGENE H. MISKA
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N.88'37'40" W.
w - — At: MATTITUCK Town
-0150.06 ; ;, o
NSuffolk County, New York
c = CONCRETE BLOCK WALKWAY '
la now or formerly •
Jdhn J. Miska , Jr. & Suff. Co. Tax Map: L____
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Barbera Ann District
Miska II
CERTIFIED TO:
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