HomeMy WebLinkAboutO'Leary, Joseph a II
$ i Town Hall, 53095 Main Road
ISI 000 Off. P.O. Box 1179
It 1:401
sit �� Southold, New York 11971
JUDITH T.TERRY �. TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1583 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GENDOT ASSOCIATES, INC.
Address 1 : P. O. BOX 847
City St Zip WADING RIVER NY 11792
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.
Name Of Owner O'LEARY, JOSEPH H.
Mailing Address 1 3037 DAVID COURT
City St Zip OCEAN SIDE NY 11572
Property Address 1 PINE TERRACE
City St Zip EAST MARION NY 11939
Tax Map No. section 22.00 block 5 lot 4.000
Cross Street WILLOW DRIVE
Building Permit Number Cross Reference:
Issue Date: 12/20/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
,„,jjFFOL4 _
JUDITH T.TERRY ���� y<`. Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
�� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS `Dy ��,��� Fax(516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER 4 49l -00 00 Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER o • ,�����
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 16, 1996
Transmitted herewith is a copy of application No. 1651 for a Cesspool/
Septic Tank Construction Permit submitted by:
Gendot Associates, Inc. for Joseph J. O'Leary •
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 follqwing recommendations:
APPROVE
DISAPPROVE
Comments: �, J A,, J Cslei *1/7.
•
RECEIVED 'r a Al...11r,
DEC 2 O 1996 Signature /
rcaA8/9'..E.
Dated
Southold Town Clerk
OFFICE OF THE TOWN CLERK ,• ' ""'••., •
Town of Southold \\FF01.�'��
Town Clerk O� �G t Application Nov../}/,..S1
Judith T. Terry, ,� 4,•` •� �' �
Town Hall, 53095 Main Road �.G Construction
P. 0. Box 1179 �: "C
o Alteration
Southold, New York 11971 to *. r4'31
Telephone _op, ('N-I $10.00 - Residential
(516) 765-1801 04
• $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE / a4 /9'09
APPLICANT NAME: 62,44 42)it,„
APPLICANT ADDRESS: P.P. l I'.k O t7
SEPTIC y CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
-.4 ,6_ .
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PRQ,POSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : J O$ E Py J . ,4itY
OWNER MAILING ADDRESS: 303, .D#/V!.b C- OUte° T'
L.grit bE, w. Y. // S7ta2.
OWNER PROPERTY ADDRESS: P//(f.g.-7- 44 /4C.,.
E/'s'r /J7fire/04/ .v.Y 11739
376
TELEPHONE NUMBER OF CONTACT PERSON : ?•02,'? - 93/401
TAX MAP NO. : Section .2 A, Block S Lot ?
CROSS STREET: \V//. h ()k/ 2?i /fie,
BUILDING PERMIT NUMBER CROSS REFERENCE:
r
ignature of Applicant
RECEIVED BY:
ow Clerk's Office
DATE: /02//4/9-
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Maung
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E=ED
Suffolk Co . F11e
No 5g2\
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U le'
IVOCOn��
Subdo�•slop —
3A0.°6 o ,9, Lot 2
.40"
•c.O•��+ (VOCOn0
E 1
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J '2 PROPOSED !S i..5 /� \\ ^ c,
•Aw, SYSTEM SANITARY g \ / O DO
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NOTES: Q
1. ■ = MONUMENT FOUND
2. • = STAKE FOUND ..../
3. SUBDIVISION MAP FILED IN THE OFFICE
OF THE CLERK SUFFOLK COUNTY ON
JAN. 11, 1984 AS FILE NO. 7680.
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION SURVEY FOR:
'I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE JOSEPH J. O'LEARY
SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE CONDITIONS
SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT.'
APPLICANTS SIGNATURE: LOT NO. 4 "HIGHPOINT AT EAST MARION, SECTION 1'
APPLICANT: At: EAST MARION Town of: SOUTH(
STREET ADDRESS: Suffolk County, New York
CITY: STATE: ZIP CODE:
TELEPHONE NUMBER: Stiff. Co. Tax Map: 11000 122 I 5 4
District Section Block Lot
CERTIFIED TO:
Young & Young, Land Surveyors JOSEPH J. O'LEARY
NA
400 Ostrander Avenue, Riverhead, New York 11901 BOUE COMK N
BOUNNDD ARYY TITLE COMPANY
516-727-2303
DEC 2,