HomeMy WebLinkAboutTupper, Shelley
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James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTH OLD
Permit No.: 6774A
Date of Receipt of Application: December 12, 2007
Applicant: A. Shelley Tupper
SCTM#: 87.3-41
Project Location: 3050 Minnehaha Blvd., Southold
Date of Resolution/Issuance: December 12, 2007
Date of Expiration: December 12, 2009
Reviewed by: Board of Trustees
Project Description: To abandon the existing septic system, (two small
cesspools approx. 45' from the water), and install a new system of 2'X 8' dia.
rings including septic tank 75' from the water and 5' from the property lines in
driveway.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
survey stamped approved on December 12, 2007 by the Board of Trustees.
Conditions: None
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
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Jam~;~~~~g, Pre;;-~
Board of Trustees
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OFFICE OF TI;IE TOWN CLERK
Town' of Southold
Judith T. Terry. Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Telephone
(516) 765-1801
Application No<~t I J
Construction
Alteration
$10.00 - Residential
$25.00 - Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE SVeL \q 11..00 i
APPLICANT NAME: ST""''\JL'''Y 'F~' s..t:::"t"';U~c.
APPLICANT ADDRESS: S't> C~O LL ~'\;_:t'.;. j -,A,t.1f!1~.
~w.;t"" , 1\-' .' y. ': C, lJ.4
SEPTIC_CESSPOOL4
DESCRIPTION OF PROPOS!:D CONSTRUCTION OR ALTERATION
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LOCATION. MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: A s,~.p 1\ f 'I T\. I pp,9V"
OWNER MAILING ADDRESS: '~cS"C:) ~l.A!t\Ji\!C ~'I\ ~A- {'~L,.V\)
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OWNER PROPERTY ADDRESS:
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TELEPHONE NUMBER OF CONTACT PERSON: Lfl f - \ <('"). '2...
T AX MAP NO.: Section 81:-- Block::') Lot l..f \
CROSS STREET: \+; A W 1\1[" "t \. fa> 4rh
BUILDING PERMIT NUMBER CROSS REFERENCE:
DATE:
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RECEIVED BY:
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
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