HomeMy WebLinkAboutMcKillop, Scott ,•%StFFoi4-
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JUDITH T.TERRY �•_� t%`� Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
u• tSouthold,New York 11971
REGISTRAR.OF VITAL STATISTICS • O
MARRIAGE OFFICER Fax�
RECORDS MANAGEMENT OFFICER = Fax(516) 765-1823
Oj .00,0 Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ,•��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1697 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCOTT MCKILLOP
Address 1 : 317 HAMILTON AVENUE
City St Zip RIVERHEAD NY 11901
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. SCHD REF. #R10-97-0101
Name Of Owner MCKILLOP, SCOTT
Mailing Address 1 317 HAMILTON AVENUE
City St Zip RIVERHEAD NY 11901
Property Address 1 CONDOR COURT
City St Zip LAUREL NY 11948
Tax Map No. section 127.00 block 9 lot 12.000
Cross Street WHITE EAGLE DRIVE
Building Permit Number Cross Reference:
Issue Date: 7/08/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
o\OS�FFO1�C.o .
JUDITH T.TERRY �� 'y► Town Hall, 53095 Main Road
TOWN CLERK o= P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O 1i" Fax(516) 765-1823
MARRIAGE OFFICER =yij�o a���101 Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER 1 # 0�
FREEDOM OF INFORMATION OFFICER ,ss
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 1 , 1997
Transmitted herewith is a copy of application No. 1767 for a Cesspool/
Septic Tank Construction Permit submitted by:
Scott Mc K i I lop
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 recom ndations:
APPROVE
DISAPPROVE
Comments:
Signature
1q -,
Dated
OFFICE OF I IIE TOWN CLERK �, r:ri -
Town of;Southold pct
Application No. /767
Judith T. Terry, Town Cleric
•
Town I lall, 53095 Main Road ` Construction
P. 0: B o x 1179
Southold, New York 11971 , Alteration
Telephone ��O�� Residential
>rmirt
( 516) 765--1801 Non--Residential
TOWN OF SOUTIIOLD
SOUTIIOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCT ION or ALTERAT ION PERMIT
SEPT IC TANK or CESSPOOL
Permit No.
F=ee $
DATE
7)1 b
APPLICANT NAME: Sect-1- Me
APPLICANT ADDRESS: 3 1 I/: n1 z,7-04.)7=0 —
r
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/2„.„,:t (2>e-t„
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF. PROPERTY : ('P 7^ i- lea — --
OWNER MAILING ADDRESS: /7film/C_?u4-!_--._
OWNER PROPERTY ADDRESS:
L4 to �--� W y 9._i
TELEPHONE NUMBER OF CONTACT PERSON : 3� „,
TAX MAP NO. : Section C 7 QQ_ I3locic Lol
AJOO
CROSS STREET : _ —
BUILDING PERMIT NUMBER CROSS REFERENCE :
/ r
(0
IHnatr of p .nt
RECEIVED BY : (A}/())/—
Own
Clerk's Office
DAT E: /I
i
•
The locations of weds and cesspools
shown hereon are from field observations
G'` , a and or from data obtained from others. '
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R• a. �o SURVEY OF
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" GOLDEN VEW ESTATES"
R® AUGFIE E MQ 7770
AT LAUREL
�z Z TOWN OF SOUTHOLD
Z �N . SUFFOLK COUNTY, NY.
aN
1000- 127-09- i2
N Scale: 1"= 40'
\,0i y June 9, 1997
7.7.ENT OF HEAL'"H. SERVICES
:74....- 7
?rIr�Y Y\ '
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o, RF-G3.,�ryn L;: IF:c c,sT LU TIfl"yYC. NE fLY
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VSD
c
Ian► /Millar with Me STANDARDS FAR APPROVAL B®RO�n
rACSIVE
POR,ANO CONSTRUC7701N OF SUBSURFACE SEWAGT< fi7O ES THREE YEARS FROM DATE OF APPROVAL
DISPOSAL SYSTEMS FAR S GLE FAAt Y REQS 00 J
and with abide by the condlbns set forth therein and on Me `g0 JUN 1 2 1997
permit /o construct 0 Na Co.Dept d Health.
15 `70 ,K is[V Y0 5111°°`�:«+nanml Pr°ted�°'r
L
�8/ �' C7\C��t.ME7Z�E 9� .
ANY ALTERATION OR Ap7r1flV TO 77 . EY ISA VIOLATION S'S� O 3 '* E
OF SECTION MOD OF TIE NED YORK STATE EDUACATE4 LAN w.'
WEFT AS PDI SECTION nos-scs IY sam L ALL CER71F]cASIOMS R 0� x �`/ ' N...=-• LIC XL 496i8
NEON AAE KED FOR MS NAP AND CAPES TIEAEO<ONLY F .. ,. I.�` '
SAO NV QV COPES DEAR TIE MESSED SEAL O'TTE SURVEYOR s ,,� irarr�
MA17E sheu TUE APPEARS WRECK c (� • .-;. ,G
ADDITIONALLY 7D COMPLY W M SAO LA/ 71E TAI At. BY'
MAST EE USED BY ANY AND ALL SURVEYORS marsis A COY P Q-- _" -
OF WOW JURVEYOPS NAP. TAE SfJO/As 7 SPE7CTED'AND ELEVATORS ME ♦ 1237 TRAVELER MEET ji
7ROUINT-TO-OATE'ARE NOT N COMPLIANCE M1TN 77E LARK To AN AIWA=°ATM Area = 40,364 S¢fi.
SOUTHOLD, Ncr s977
97- *4