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,EL1{ZABETH A.NEVILLE �� � Gym 1 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
4 Southold, New York 11971
MARRIAGE OFFICER `��iL ����,, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �_ jig *a®0i� 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. 2858 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : POSILLICO CONSTRUCTION CO
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 #R10-01-0083
Name Of Owner ALAN CARDINALE
Mailing Address 1 PO BOX 77
City St Zip MATTITUCK NY 11952
Property Address 1 BAYVIEW ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 10 lot 1 .003
Cross Street MILL ROAD
Building Permit Number Cross Reference:
Issue Date: 7/23/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
' f ELIZABETH A.NEVILLE ;����® j ;
®��d; Town Hall, 53095 Main Road
TOWN CLERK ® - P.O.Box 1179
t % Southold, New York 11971
REGISTRAR OF VITAL STATISTICS - �� Fax(631) 765-6145
RECORMARRIAGE
S MANAGEMENT OFFICER ®� ®�i��1 Telephone (631) 765-1800
FREEDOM OF INFO. . •N OFFICER .��� southoldtown.northfork.net
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�?? ,,'-- s `�� OFFICE OF THE TOWN CLERK
,,,,,i,\\
,� \ %2®�� TOWN OF SOUTHOLD
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TO\ —`µ!`;,;'`Southold Town Building Department
- FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 19, 2002
Transmitted herewith is a copy of application No. 2963 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by: .
..- Posilllico Construction for Alan A. Cardinale
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: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. cV,e,s...,,,efe.,4,01..e,
/721-1,44:14— 40,eee --‹
711/41/44#
Signature
,;.#0./,/'' O7
Dated
• ••••.�
9F7-icE OF THE TOWN CLERK c0F00(r,
/�'
Town of Southold `r�''• � Application No. 6
Judith T. Terry, Town Clerk ••,• s � PP
Town Hall, 53095 Main Road Construction
P. 0. Box 1179ul' -C",
Southold, New York 11971 Alteration
Telephone 1 x' [ Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
•
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 7//'1/4 Z
APPLICANT NAME: /c/ 141-0 CfritC kat-, , e ,
APPLICANT ADDRESS: 3/ �e,�y,,//sc,,� /4,1'
V1/e 1 V 2 4/)'
SEPTIC CESSPOOL
DESCRIPTIONIOF PROPOSED CONSTRUCTION OR ALTERATION /Pew
• 5,27 c �7,4 at I cess O/ ] 4'Pry. 5,'7��p c ,;
Rs(c4P-y,ce U cJ
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Abel A. rcvr i)Ae�,2
OWNER MAILING ADDRESS: P' , APx. 17 ,/
/214(-�i CK / /i f
OWNER PROPERTY ADDRESS: TzyCi e�
PNh A, /!C
TELEPHONE NUMBER OF CONTACT PERSON: 6//r333-66 G6 `t(ii, )
TAX MAP NO. : Section /D 6 Block /0 Lot
CROSS STREET: ////7/ goal
BUILDING PERMIT NUMBER CROSS REFERENCE:_
Sig a• re of a :licant
RECEIVED BY: `oma
Town Cler s Office
DATE:
4,17 /
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HEALTH DEPARTMENT USE
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W 3� ..31..,i I:F0t,.IC CC:.M 1 DZP,=RTMENT OF HEALTH SERVICES
o f N o PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
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L.L. 3 c- /� !/ 3 0 SINGLE, FAMILY RESS1DENCE ONLY
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/ 1u , Q APPROVE® > h. M
Z FOR MAXIMUM OF' BEDROOMS
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, AREA = 2.1105 ACRES
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" ' • LOT NUMBERS REFER TO MINOR SUBDIVISION — "MARKIEWICZ
M , as 57 ESTATES"
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. co \ • VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929)
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s0s81 SURVEYOR'S CERTIFICATION
O h S, ir,4SFO q • WE HEREBY CERTIFY TO ALAN A. CARDINALE,
Q� I Co'o°'
* r s�May - Li'
FIDELITY NAXTIIONALT TLE INSURANCE, AGNES ER,
�- Q / s OFy477,H G '24 00. 4 COMPANY OF NEW YORK Sc NORTH FORK BANK
L op (3 6 O,j oo qR o ��
D•�. o / FORO M) , AGNry \ so THAT THIS SURVEY WAS PREPARED IN ACCORDANT I �r i
/ CODE OF PRACTICE FOR LAND SURVEYS ADOP R :�r1' �.�
'k1 v 1O-'' t YORK STATE ASSOCIATION OF PROFESSIONAL .,„hl! ;VW'''nj%
&p er I.r c . CO _� i. 'f
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\._. / k_.* .,-, /4havatr,c,,,i4. ,fr-- ,,, ti._._ 'ci kk.,-4,f..°
44 / z HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893 °6, 4589
,h 40 ��'CANOS�j
ry i OPOSfo R o -6--
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STEEL TOWER o
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SURVEY FOR
ALAN A . CARDINALE