HomeMy WebLinkAboutClarke, O'Connor rip
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ELIZABETH A.NEVILLE , `Z` co
Town Hall, 53095 Main Road
TOWN CLERK c P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Pry# Fax (516) 765-1823
MARRIAGE OFFICER `` y �1
RECORDS MANAGEMENT OFFICER N..0l ,� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER W ��%,'
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1831 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RMR ISLAND ESTATES
Address 1 : 5044 EXPRESS DR. SO.
City St Zip RONKONKOMA NY 11779
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 #R10-98-0020
Name Of Owner CLARKE, O'CONNOR AND DOROTHEA
Mailing Address 1 137 TREE ROAD
City St Zip CENTEREACH NY 11720
Property Address 1 WELLS ROAD
City St Zip LAUREL NY 11948
Tax Map No. section 126.00 block 8 lot 25.000
Cross Street ALBO DRIVE
Building Permit Number Cross Reference:
Issue Date: 3/27/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE • = Town Hall, 53095 Main Road
TOWN CLERK • p :"4 P.O. Box 1179
cl) Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 01� Fax (516) 765-1823
MARRIAGE OFFICER � y %N. Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER °./��
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OFFICE OF THE TOWN CLER ,:i O
TOWN OF SOUTHOLD
TO: Southold Town Building Department BLDG. DEPT.
TIM F S•UTHOLD
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 26, 1998
Transmitted herewith is a copy of application No. 1905 for a Cesspool/
Septic Tank Construction Permit submitted by:
RMR Island Estates for O'Connor and Dorothea Clarke
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.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recoPmendations:
APPROVE
DISAPPROVE
Comments:
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OI•HCI: OFI111: TOWN CLEJ2I< ,)�' c�\\`fill-,i-(, -
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lucid', I . terry, Tow', Cleric ;:l?Z i;� .'t,,; � l Application I.1 u.
I own Ilall, 5:1095 Mai)) Road t r.l!' i�" ': _.. .
P. O. flux 1 179 in 1{:`ir . ,�'�")`;�'' l Construction, .._ ... _. . . ..
Southold, flew York11071 O Alteration
Telephone
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(516) 765 - 1[101 �,r,,,lr Non Residential.
TOWN OF SOUTIIOLD
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SOUTll01-I) WAS1 EWA TER DISPOSAL DISTIL ICI
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APPLICANT NAME:--- --.R.Ili' ' .----.-.. .c.,,x(A__.e -tUU. e_ .-_-..------__ ___ . .._._. . _.
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SEP FIG CESSPOOL
I)FS(IRII' I ION OF PROPOSED CONS-I RO)Ci ION OR Al_.TE12ATION
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,.(),A I ION MAP: Must he attached hereto Future permit way he Issued.
I Oc:A 1IOt•I OF PI2OI'OSL[) CONST RU-)C I ION OR Al..1 ERAT ION :
OWN1=R OF PROP1:12'1-Y : )
OWNi:R MAILING ADDRESS: rs3 Teec, kkel
OWNER PROPERTY ADDRESS :
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1 EI_I_PtlONE NUMIIER OE CONTAC I PER SON :. ___(516 _.5 %- .� __,t_jO-
I AX MAI' NO. : Section 126.2 Muck 0�. ` I..ol C '1�s .1�!
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*TNIS SURVEY MIAs PREPARED /N ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY TME NEW YORK STATE ASSOCIATION OF PROFESSIONAL _/f
11 LAND SURVEYORS. , %i -
•UNAUTHORIZED ALTERATION OR ADDITION TO TI/IE SURVEY /S A VIOLATION OF SECTION 7201 OF THE NEW YDRIc STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEAR/NG. THE ro6-'",f t.) j
I LAND SURVEYORS MIRED SEAL OR EMEOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPD CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON • V fr
FOR WHOM THE SURVEY IS PREPARED AND ON NIS BEHALF ro THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENO/NC INSTITUTION LISTED I/fREON AND TO THE A$S/6NEES OF THE co'' %
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LENDING INSTITOTION.S. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL ,NSTITUT/ONS OR SUBSEQUENT OWNERS. CO
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.THE OFFSETS OR DIMENSIONS SNOW" FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTEND,D To GUIDE THE < ,/,
I ERECTION OFFENCES, RETAINING WALLS,POOLS, PATIOS, PLANTING AREAS, ADDIT/oN TO SUILOINBS AND ANY OTHER CONSTRUCTION. �(
0TNE EXISTENCE OF A/CHT OF WAYS ANO OF EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED `ti, E� c>'_ Cl)
•SEPTIC TANI(, CESSPOOL AND WATER SERVICE LOCATIONS DY OTHERS. \ p c/ U') W
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