HomeMy WebLinkAboutRauseo ,//°lvSeDF�®`� � `
ELIZABETH A.NEVILLE 16V 4A° _,%;
Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS � ;; ,
Southold New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �_ ® iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .� poi 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. 2951 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : OURANIA V. RAUSEO
Address 1: 1205 SUMMIT DRIVE
City St Zip MATTITUCK NY 11952
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 #R10-02-0189
Name of Owner RAUSEO, OURANIA V
Mailing Address 1 1205 SUMMIT DRIVE
City St Zip MATTITUCK NY 11952
Property Address 1 1155 TASKER LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 33.00 block 4 lot 30.000
Cross Street SOUND DRIVE
Building Permit Number Cross Reference:
Issue Date: 12/26/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ��1 j� Gyd 1 Town Hall, 53095 Main Road
TOWN CLERK % y- % P.O. Box 1179
Southold
REGISTRAR OF VITAL STATISTICS
New York 11971
MARRIAGE OFFICER `� 1i �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � �l0ljig t . Telephone(631) 765-1800
FREEDOM OF INFORMATIOKOFFICER r� southoldtown.northfork.net
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, ,, .� OFFICE OF THE TOWN CLERK
�' TOWN OF SOUTHOLD
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TO: ,:'Southold-Towh'Building Department
FRO 4='" ` Lind 'J. Cooper, Southold Town Clerk's Office
DATED. , -' November 27, 2002
Transmitted herewith is a copy of application No. 3072 for a Cesspool/Septic Tank Construction
Permit submitted by:
Ourania V. Rauseo
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: / ,
_` ' `_ of
j
Signature
/07/ "5•2.._
Dated
OFFICE OF THE TOWN CLERK �''c51f 11
TOWN OFSOUrfoLD � iii CSG Application No.u��Z.
ELIZABETH A.NEVIOU TOWN CLERK
P.O.BOX 1179 �'
cc./
Construction''—
SOUTHOLD,NEW YORK 11971 p r ; Alteration
•
Telephone ,j- Q‘',' ' $10.00 -Residential
(63t) 765-1800 �l. ,�' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION •
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee '$
Ov�� 11474' �( -4105 e:a �-
N1�1 DATE
APPLICANT NAME: � (-)4-04-(-)4-04- K
APPLICANT ADDRESS: l , p� S(jr►�„►-)/
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION,
Vre.h
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION':
. OWNER OF PROPERTY: C� ( '-" - " '?i 'f '
OWNER MAILING ADDRESS: /01--0S— S-c>")/hi'7/
‘/ vy' //or-a_
OWNER PROPERTY ADDRESS: `/<S"-- ftu 4 l4't
61/71
TELEPHONE NUMBER OF CONTACT PERSON: 6) / a4cr----/ � O
TAX MAP NO. : Section /O8O Block ` ,) Lot ti — C •
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE: .
S••na .re of Applicant
RECEIVED BY: •
Town Clerk's Office
DATE: •
i
PURVEY OF LOT 4 'I
MAP OF EASTERN SHORES ' N
FILED APRIL 27, Ia64 FILE No. 4021
4(6
SITUATE: GREENi'ORT
W e E
TOWN: SOUTHOLD
SUFFOLKCOUNTY, NY
SURVEYED 08-2q-02 w�
SUFFOLK COUNTY TAX # 'U'
1000-33-4-30 ®A,
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NOTES: e *
* *1 �(t'r`'� �'� C o c°plas From[ha°rlgi al°F LMs survey
�• L marketl with on or 00 of the land survaycr3
' t°.rpetl seal>h0II b° nsidered 1000 v°Ild We
PARCEL RESIDES IN ZONE DISTRICT R-40 _ i' �'
� � 1 �%�:t'+e.M //�� � •e°rt�he°ebns Indk°ma ere°n>kyl ry m°t u,l>
/ d0,..------
0.4 . it\ .: �svrv.9 w°s prep.,..in Loed°nc a do ax-
F yn�e V sttr y Lod°°f ztke r°r-g 'oro°d°pted
ELEVATIONS REFERENCE SUFFOLK COUNTY TOPO MAPS a e \ he Nnw York 5t°ta Ass°cl°tu °f Pr°fessl°al
ytoeK I �] 1 I f °M s rvey°r> sola cerunaob°n>gwn n"only
Lr d I 1 V O �� t' LAW tc rhe parson far whom the wrvay b pray ed,
\\��ot and agency
hls and ho t°the ,,company g°fear n-
SETBACKS BASED ON NONCONFORMING LOTS OF LESS THAN 20,000 5F p A ec °i°9>u,°a a° �,t't '°""s�dhe °"°d
,_`a .the assignees F the landing l,l>titub°n Gertifk°-
Y` tbrn t tr ferable to°clatio of Institutions
pUb\�G ��
AREA-= 15,130 sf or 035 acres \.,..0\• \ AIN 10 IM 1'6,ky, 1 o Eq L S LAND U D. VEYS I!,
GRAPHIC SCALE I"— 30' i • '�3T`NIA�N STREET N.Y.S.LIC.NO.50202
11•11 MI 1E1 — RIVERHEAD,N.Y. 11901
369-8288 Fax 369-8287 REF.—\\Hp server\d\PROS\02-266.pro
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