HomeMy WebLinkAboutConnor, James ol�SUFFO( c4
ELIZABETH A.NEVILLE $,`y7G.yJ4•1 Town Hall, 53095 Main Road
TOWN CLERK c 4 P.O. Box 1179
ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS //1,1
MARRIAGE OFFICERa. Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER .y*0 � 1I� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 1 ���
001
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1791 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JAMES H. CONNOR
Address 1 : P.O. BOX 77
City St Zip NEW SUFFOLK NY 11956
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 #R10-97-0138
Name Of Owner CONNOR, JAMES AND RUTH ANN
Mailing Address 1 P. O. BOX 77
City St Zip NEW SUFFOLK NY 11956
Property Address 1 COUNTRY CLUB DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 3 lot 2.015
Cross Street MOORE'S LANE
Building Permit Number Cross Reference:
Issue Date: 1/12/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
t
��SrilFFO�,�00 ,
ELIZABETH A.NEVILLE Z .y Town Hall, 53095 Main Road
TOWN CLERK p 1 P.O. Box 1179
y
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v'
O `�C Fax (516) 765-1823
M�RECOR
RECORDS OFFICER RIAGE OFFICER ``� �a4� , Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER �.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 7, 1998
Transmitted herewith is a copy of application No. 1865 for a Cesspool/
Septic Tank Construction Permit submitted by:
James Connor .
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 recommendations:
APPROVE ./
DISAPPROVE
Comments:
RECEIVED
AN 1998
latur�e
».K 1 Dated
,s L
OI`'I:Ic:i_ OI, rhIC TOWN CLERK )) .clI[FO(-,�'
town or southoltl 4, ��G
Judith 'I . Terry, Town Clerk ''; Application 110./15-C:,
[own Hall, 53095 Main Road t 8 construction
vx.....
P. O. Box 1 179 % to j,''...s . ,I.
Southold, New York 1 19.7 1
`Y # Alteration
Off_
Telephone '�0' * ��%J( • • Residential
(510 765- 1001
Non Residential... ... _.. . .
•
'i(WN OF SOUT HO1_i.)
SOUTIIOI..1) WASTEWATER DISPOSAL DISTRICT
A I'I'1..I CAT I O N
Iol•
CONSTRUCT or Al:i ER AT ION PERMIT
• SEPTIC TANK or CESSPOOL
Permit No.
I e�: $
;•'''''•
.
DATE `jar...1.6,.2..iar_ii . Z- I C191.g
APPLICANT NAME: . C. r1:Q_` ___-
APPLICANT AUI)RESS:
...... ..,.. . . . 13
....
... ..- e_ . . _.. . ._.I.K ..,... ..Y.__•___ s5 ._-.oc)..7 i
SEPTIC CESSPOOL •
DESCRIPTION OF PRCPOSE U CONS-rltlJC:l ION OR TERAT ON
... ... ......._.__ .....�--_.__.., ..--Q.r'. l to
LOCATION MAI': Must be attached hereto before permit may be Issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTIERA'FIO •
OWNER OF PROPERTY :...._....SJ. ._. .. ..e.. .... .4......... ` P P Con,r
OWNER MAILING ADDRESS.
_.. N.e.. ciJ_____. . )2..._.. ....).L.,...dY..._...1./..qs-.-.4
OWNER PROPERTY AI)I)RI:SS:
C- ._ _..C1.�.. _ .�: e.... .
_.............._._._..C.,12..±CIAC21.. VA._ 4(...V
TELEPHONE NUMBER OF CONTACT ['(ARSON:
�y ...__. � .... ._... .3477....6.3i!.7
AX MAP NO. : Section 1° 7 Illotit
CROSS. STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE : t
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RECEIVED I:)Y : .
Town Clerk's Office. .._ •
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c� oxcr_re;r�►; otv ....- �o
"COUNTRY-GLUES E'
E RES NCR ONLY FOR ; „;,•y*$ ..
D� 4 4� AT GUTCHO6#=.
-xs IVO. Q 1 " 01 $ �' 99Q9 TOWN OF SOUTHO �►
RovEO 9 SUFFOLK COUNTY; k.
FOR MAXIMUy OF. SED�tQQMS t"' silo
' REE1'BARSFR0:4tDA,T1;OFAPPRt�ygL �sss. ' SUFFOLK COUNTY TAX MAP NUMB
ry 6 :iso 1000-10900-0300-002015
o�a��P. .. \ F �G 4,0 GUARANTEED TO:
p 2 t�oos O JAMES H. CONNOR &
P�FE��'p�' >l ,.,,,A,,_ A RUTH ANN CONNOR
��` �A 'I� '� yt�r COMMONWEALTH LAND TITLE
�3. so, 'L "S)1;4. INSURANCE COMPANY
p' m¢Pts .9 : TITLE fi RH 971350
,0t. N. !� ' �/ fo es \ �� 9 9
g9 0_� F,a e' Ns "MAP OF COUNTRY CLUB ESTATES"
m. N 9 FILED IN THE OFFICE OF THE CLE
� N s d OF SUFFOLK COUNTY ON OCT. 17, ,
43
. + A0 o AS MAP 'NUMBER 6736
\•� Zoo 'N i
• 'd ,, oN °�• oN o �• L SURVEYED SEPT. 1. 1997
0 0 �F, HEALTH DEPT. INFO SEPT. 8, 19S
2 =7 m 9� .Ot � .c p0 AMENDED SEPT. 13, 1997
TO
�� 22g WETLANDS LOCATION BY SURVEYOR
_ AREA INA6E s% c\ ` ,0_ nwit ELEVATIONS ARE REFERENCED TO l
ill omen
q 3' 2$ `-�UT
nor s eourntn 300a�'"`i T►s �� a-j0'on L` SCALE 1•=60'
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nos 2...7./.41111111' yi 49'33 vi �
p r ,o. S5.5D" 2
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6�.! -UNuthrftee alteration or addition to•survey
rap Wiring a licensee land surveyor's seal is a
violation of sect fon 7209, sup-division 2, of the
Ner rock state Education Lar.-
-only cool's frog the°rigid,'of this surveT
Narked frith en original of the land curve s
OWNER: stmoed seal shall be constdereo to w ralig true
GRAHM GLOVER
ESTHER GLOVER -crtif!cations indicated hereon signify test this
Or NEW surrey Nes ex-soared red in=caromed rit)h the es
DWELLING (� �'0 isting Code of practice tan Land Suers watts.
�, �A C. A w d S Ner ro Stat'cmtifatson of proressiaaf
Top Soll Lana surveyors. Sam c105 aa''ulphis shall run ons
o tw terson tr MwN the surrey fs protred,
LOAN LOT 19 SEPTIC IN `Q -`'tom" 'tSa on his o'natt to ttr tttte coNwny, ppwarng,n...,;
f. t 1 agencr and leOf lmtfing ion listed d. Ca
FRONT YARD —,..1%,1171.‘"÷
t tie auloneea oe ,ra landing inststutfon. Crtsrl
1 an era not tram/sola io additlonal lnatf tuts
7e Y ' subseduant ornara'
pond i TEST TOLE at As
3". 014-44.0-64."*A.,-, r,�. 0
grar'1 ELL LOCATION ON LOT ill
MAP `ff1)*40.92°1'41U244 HELL •
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N.Y.S. LI`` s ..-
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Neter
JOHN EFIL R LAND SURVEYOR
6 EAS AIN STREET
RIVERH AD, N.Y. 11901
369-8288 Fax 369-8287
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