HomeMy WebLinkAboutCorazzini Y
` I�, •ofFOL ';
ELIZABETH A. NEVILLE / 1.* Town Hall, 53095 Main Road
TOWN CLERK % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS At i Southold, New York 11971
Fax(631) 765-6145
MARRIAGE OFFICER sfiL 1
RECORDS MANAGEMENT OFFICER �__"_®1 ��®iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
OFFICE OF THE�FTOWN CLERK
SOUTHOLD VTR WA t��UDISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2884 N Residential Non-Residential X
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PAUL CORAZZINI
Address 1 : 3120 ALBERTSON LANE
City St Zip GREENPROT NY 11944
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 #C10-01-0005
Name Of Owner CORAZZIN, PAUL
Mailing Address 1 3120 ALBERTSON LANE
City St Zip GREENPORT NY 11944
Property Address 1 3120 ALBERTSON LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 52.00 block 5 lot 58.002
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 9/24/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
r S- 9
n
,/1I,o\®§�FFO(,i0
®`
ELIZABETH A. NEVILLE 1���= G# ; Town Hall, 53095 Main Road
TOWN CLERK i O - ; P.O. Box 1179
Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS
MARRIAGE OFFICER O 0Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ` of j I is #., 0I�,
-__ Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER rr southoldtown.northfork.net
rr
-......0�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD 71),/,.. . fir;
7?1± - _ _ , ,
TO: Southold Town Building Department °11 SEp / o
201)2 r
FROM: Linda J. Cooper, Southold Town Clerk's Office =i r;G':-- _
DATED: September 17, 2002 r��=gyp
Transmitted herewith is a copy of application No. 3010 for a Cesspool/Septic Tank Construction
Permit submitted by:
Paul Corazzini
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 loc tion map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: �.•• ,,- • �1
y
j r
211-e---4#a-r..,
Signature
,),e--pZ:-rA-Z-c...; . .4‘ .7--e-,C7.2_
Dated
J�
S
OFFICE OF THE TOWN CLERK ',i°'���"/,/•••�����.
•
Fi.i7ABETHA NEVII.I.E,TOWN CLERK %TOWN OF SOUTHOLD " S�FFOtKc� : Application No301 O
,
P.O.BOX 1179 • Construction "'-
SOUTHOLD,NEW YORK 11971 : =v • T
cn Alteration
Telephone 0,j- �Q�
(631:) 765-1800 = ,' $10.00 - Residential
O.� '''
$25.00 -Non-Residential r�
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION •
RECEIVED
for •
CONSTRUCTION or ALTERATION PERMIT SEP 1 7 2002
SEPTIC TANK or CESSPOOL
Southold Town Clerk
Permit No.
Fee .$
DATE q//74 2
APPLICANT NAME: >A 4vd ?c" / Z- I'h '
f
APPLICANT ADDRESS: 31120 ,4/k f✓ /-5o ti Ly
SEPTIC CESSPOOL •
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/ k) ,rke ( /49 .
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST CTION OR ALTERATION:
OWNER OF PROPERTY: Gti / ".4 2. -2! .
OWNER MAILING ADDRESS: 3'/2c) W. -94j'e L1
d/'e79of'7 Ake,-
OWNER PROPERTY ADDRESS: s -4 C
TELEPHONE NUMBER OF CONTACT PERSON: 7o S,`cO o 6 jj
TAX MAP NO. : Section 5.7 Block 6 S Lot 5s/, 7,
CROSS STREET: /9/A /Pd 7 L€
BUILDING PERMIT NUMBER CROSS REFERENCE:
, .. . •
/ i
% gn Pure of Applicant
RECEIVED BY:
_1(- 1-°----- •
own Clerk's Office
DATE: �1 1) 1 lot— •.
x �I��� �,rl�� ��Prl-( t �acra�r�c P�c�cs
' ° 0 �� u M ( SII �gTI CJ"� `D(ST,�v-C
• I
•
WATER COUNTY) MUST BE INSPECTED BY THE ((`aJ} PC l w�6N V,r.A 7C�
SUFFOLK DEPT. OF HEALTH®�NCEESf
CALL 852-2097, 48 HOURS IN
To SCHEDULE INSPECTION(S). i�000121�1
SUBJECT TO CONVEX&RESTRICTIONS! Jr..s -'
PAGE_..-122—.
SUFFOLK COUNTY DEPARTMENT
OF HE HEALTH
SERVICES .
APPROVED FOR C �a� �P�
H.S.REF.NO.
Cjp �a/ - ooac FLOW
TYPEST°44til%
This approval is granted for•�� construction
um ant to Articles VS
'and
disposal and water supply faCiesp
7 cI th9 Suffolk County Sanitary Code and is not an expressed
ror implied approval to discharge from or occupy the
structure(s) shown. THIS APPROVAL EXPIRES THREE (3)
YEARS FROM THE DATE
APR 2 5 2002 ,,,,-------3_
DATE" ` • `
STAMPED ON
EXCAVATION INSPECTION REQUIRED _
CAv SYSTEM A A BERTSON'S
el 7 0' • Foci SANITARY
SY HEALTH DEPARTMENT
edaof of,,' o
) r
T.. 2-o S 87°24'30' E
i A O
roti •l5'
FC d In
_.———__._. � CL)'-'
i a t__ N. 87'24'30' W.
l � 25' BUFF
i
.. till /
a i, a 3 2:7
�°
�, i �4 est h,
:>.0#6(.
to i / bvr�n 9
----:
..f i 4,, I i,
t: ., i icom, ,, f., „is,___„... a ipi(31)104'Dec'
a 7- 1 ,l
; 1 li'A 1 41 `. ( 44
, i. ,
,, 4, cct . — _ 4e) 1
t! '',' , ii __ 1.-„40
, '? 4 4 , - ' '44) ' ,-ii.
NJ I
}
l ,L
, itl : - 14,.. • ..,. ' ' ‘S/ v.,,,; i 7 . .
., . .,
., ,, .
, NI . ,80,/ti..e-5.' 10.oe
* t ,
• ,k,400,04 , :. i.,),, _ . .
, .
, , .: , ,t,e, , .._ .
, , ”J` ' '' limilik
� r. ' ,.,,t , 53°O , ® �p r/P 9 ® ` ,
00�
tig w _
I
/
t 0 .4i,
` r / \� `
I r r` ' /
Nln, 10