HomeMy WebLinkAboutMalave, Joseph •••iii___-
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JUDITH T.PERRY �� � < •
Town Hall, 53095 Main Road
TOWN CLERK A y = •• P.O. Box 1179
t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER V`?'ifJ ',1�� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER vl jig `1►:0 Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICERfr
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1494 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JOSEPH & AMY-SUE MALAVE
Address 1 : P. O. BOX 314
City St Zip CALVERTON NY 11933
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR A NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-96-0047
Name Of Owner MALAVE, JOSEPH & AMY-SUE
Mailing Address 1 P. O. BOX 314
City St Zip CALVERTON NY 11933
Property Address 1 WHITE EAGLE DRIVE
City St Zip LAUREL NY 11948
Tax Map No. section 127.00 block 9 lot 27.000
Cross Street WOODSIDE LANE
Building Permit Number Cross Reference:
Issue Date: 6/25/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY 1) = 4 Town Hall, 53095 Main Road
TOWN CLERKy i P.O. Box 1179
% Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER yifJ 0��1/1 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER �l �4�111 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: June 12, 1996
Transmitted herewith is a copy of application No. 1558 for a Cesspool/
Septic Tank Construction Permit submitted by:
Joseph and Amy-Slip Mala"e •
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: - .„.e 2 i L - C
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Signature
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Dated
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OFFICE OF THE TOWN CLERK c0FD(,( `
Town of Southold 0. `Q�; Application No. /,-"Se"
Judith T. Terry, Town Clerk r- t _`,
Town Hall, 53095 tain Road -4 $10.00 - Residential
P. O. Box 1179 Er) $25.00 - Non-Residential
Southold, New.York 11971 O } ��`�
Telephone i * ��0�'��
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
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N PERMIT
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SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE llL ‘99Lp
OWNER NAME: Q,‘_ 4- .k.„4"(1*- 0€___ 1,AcA\p„v-2_
OWNER MAILING ADDRESS: ? ; -3t 4-.
t V.,r-T yA--), til .t-c'_ l n3?-
OWNER PROPERTY ADDRESS: Wli12d� l
L.--ctk:r-e_ L , iv ,Y,
OWNER TELEPHONE NUMBER: (61,L) -(ES-L--9 ((o -
TAX MAP NO. : Section 1 a.7 Block t j Lot .-2---7
CROSS STREET: WC)ca} lD \ 4j -
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New X Existing
Residential /1C- Non-Residential
DATE OF PREVIOUS PUMP-OUT:
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
A `
4OF Signature of Applicant
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RECEIVED BY: L( /�� ��� � z_.��
( Town Clerk's Office
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DATE: (�'' , ,-y / ` L,
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SEWAGE DISPOSAL SYSTEMS 1•/i�w '.
WATER SUPPLY AND MUST r 3`'"
CONFORM WITH NEW STANDARDS DATED NOVEMBER 15,1995. Zi gSS � (3',r
• LAND
SURVEY FOR
JOSEPH MALAVE a AMY-SUE MALAVE
LOT 27, "GOLDEN VIEW ESTATES" SEPT 30,1992
AT LAUREL DATE MAY 19, 1992
TOWN OF SOUTHOLD SCALE I" . 50'
SUFFOLK COUNTY, NEW YORK NO. 92- 0395
N UNAUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED TO,
SURVEY 5 A VIOLATION OF SECTION 7209 OF THE JOSEPH MALAVE
NEW YORK STATE EDUCATION LAW AMY-SUE MAL AVE
N COPIES OF THIS SURVEY NOT SEARING THE LAND FIRST AMERICAN TITLE INSURANCE
SURVEYOR'S INKED SEAL OR EMSOSSED SEAL SHALL COMPANY OF NEW YORK
IN
MOT SE CONSIDERED TO GE A VALID TRUE COPY
II GUARANTEES INDICATED HEREON SMALL RUN ONLY 10
IEALTH DEPARTMENT-DATA FOR APPRO'. L TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED
AND CM HIS BEHALF TO THE TITLE COMPANY,GOVERM-
S NEAREST WATER MAIN....._MI 2 N SOURCE Of WATER.PRIVATE PUBLIC MENTAL AGENCY AND LENDING INSTITUTION LISTED
N TUFF CO. TAX MAP DI$TQ SECTION 127 ',LOCK_ .L QLOT 27 HEREON,AND TO THE ASSIGNEES OF THE LENDING
M THEME ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERAGLE
OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUSSEOUENT
M THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS
WILL CONFORM TO THE STALt)f''r
NDARDS OF THE SUFFOLK COUNTY DEPARTMENT N DISTANCES SHOWN HEREON FROM PROPERTY LINES
Of HEALTH SERVICES. TO El ISTING STRUCTURES ARE FOR A SPECIFIC �
APPLICANT, �a1 - e. PURPOSE AND AREO NFT TOT SE USEDCTO TASLISN
�(J"� , PROPERTY LIMES OR FOR THE ERECTION OF f[NC[a
ADORE SS 1�. ?:, '314_-, cU�Ven , L.`(, (
1c9.3 -C.3t-4-- TEL 3(d'i- < <''1 YOUNG a YOUNG 400 OST_ADNDE AVENUERIVE
COTE ISION STA E ALDEN W.YOUNG PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK
OF SUFFOLK COUNTY ON AUG. 30,1984 AS FILE NO.7770 AND LAND SURVEYOR N Y.S.UCENSE NO.12845
HOWARD W.YOUNG, LAND SURVEYOR
_THE LOCATION OF WELL(WI.SEPTIC TANKOne CEGUPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893 '
-.1E FROM FIELD OMSERVATIOMS AMD OR DATA DETAINED FROM OTHERS
OP
BRANDIS A SONS INC. 1046 - .