HomeMy WebLinkAboutTalbot, Thomas (2) 1
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JUDITH T.TERRY �� y1 Town Hall, 53095 Main Road
TOWN CLERK ; N = • P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS :O � Southold, New York 11971
MARRIAGE OFFICER �'� Ar .1 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER . Oljgg r, 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. 1437 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : THOMAS TALBOT
Address 1 : 150 HOBART ROAD
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
MOVED SINGLE FAMILY DWELLING WITH NEW SANITARY SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-96-0001
Name Of Owner TALBOT, RHOMAS
Mailing Address 1 150 HOBART ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 COX NECK LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 12 lot 10.003
Cross Street ROUTE 48
Building Permit Number Cross Reference:
f ! ,_yam!/ �.- •w ✓Y �.�
Issue Date: 2/13/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
•
OFFocA- G_ I j �)
JUDITH T.TERRY y1 Town Hall, 53095 Main Road
TOWN CLERK : y = P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � Southold,New York 11971
MARRIAGE OFFICER 00. 1 Fax(516)765-1823
RECORDS MANAGEMENT OFFICER ,� * `t►a d Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER �� 'I"
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OFFICE OF THE TOWN CLERK JAN 3 0 1996
TOWN OF SOUTHOLD
BLDG. DEPT
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TO: Southold Town Building Department `��`
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 30, 1996
Transmitted herewith is a copy of application No. 1494 for a Cesspool/
Septic Tank Construction Permit submitted by:
Thomas Talbot
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:
ignature
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Date
OFFICE OF THE TOWN CLERK ,,,v, ,,
Town of Southold ��'' Ifat�
Judith T. Terry, Town Clerk _''��4• .,1-(Cs Application No.
Town Hall, 53095 Main Road ,,�
• Construction ✓
P. 0. Box 1179 ;
Southold, New York 11971 �� Alteration
Telephone ;`orf' Ov"
i $10.00 - Residential
(516) 765-1801 li r, ' $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee *$
DATE // _ 7/50
APPLICANT NAME:____ � ,,�,�.� 7--
APPLICANT
—APPLICANT ADDRESS: I U c_.) fi47.-- ''e)-44-7)
• So e` any A e 1/1 7(
SE V
SEPTIC � CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
MOO/A)Cr /1---,S 71 P/1,47,1TUU S
7/eo�ant T/ i //`l /1'-/��(C_
LOCATION MAP: • Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �_
OWNER MAILING ADDRESS: �+ /c—C...) /G,i,9/� 4
Saa j, `, i / /, //C7
OWNER PROPERTY ADDRESS: Lo /
(b 1V�c K l�-,/j ty,/4 /-724�c
TELEPHONE NUMBER OF CONTACT PERSON: 76'x" /a V--
TAX MAP NO. : Section //1 Block 4,2_ Lot / D , 3
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CROSS STREET: d�,7�� �� � �-47•
BUILDING PERMIT NUMBER CROSS REFERENCE:
IG
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Signature o pplicant
RECEIVED BY \ (/(1/ ------'1:�/�
wn Clerk's Office
DATE: //1671 ‘.
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-AREA = 90,000 sq.ft. Way
The locations of w.11s and cesspools 1 of
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shown hereon ore from field observations RI-,
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and or from data obtained from others. 50 '•^ Z a)
CONTOUR LINES ARE REFERENCED N > -
TO FIVE EASTERN TOWNS TOPOGRAPHICLB- o
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MAPSr.)e)In
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
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FOR APPROVAL OF CONSTRUCTION ONLY \-' 4 Z CJ -.t�--
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DATEJAN 2 6 �HS. REF. NO. w_46'Co ( c, F m (/� U,
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APPROVED .A / • .�� � 0 } u�
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I am lamilior with the STANDARDS Ft R APPRO •L •t_ -73
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES —-- --
and will abide by the conditions set Iorlh /herein and on the
permit to construct. w,,,
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r— diai SURVEY OF
.` 0 LOT 3
Z. 'MVOR SUBDIVISION FOR ADAM ASSOCIATES"
176.46' _ FLED FEEL 7,XNO.81 MAP 8061
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AT MA TTITUCK
TOWN OF SOUTHOLD
MIDDLE ROAD ( C.R. 48 ) SUFFOLK COUNTY, NY.
1000- 113- 12- 10.3
Scale: 1"= 60'
CERTIFIED TO' Dec. 15, 1995
THOMAS TALBOT
NATIONS TITLE INSURANCE OF NEW YORK
S.,,q,ZE OF Nop
es T.*OE `O
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ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION _ 0
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, /(- 'J / I +,.•' ' 7k
EXCEPT AS PER SECTION 7209-SUBDIVISION 2.ALL CERTF7CATIONS �k C• ` .,j�f r N.Y.S LIC. NO. 496/8
HEREON ARE VALV FOR TMS MAP AND COPES THEREOF ONLY F v Z��f7(fU /L
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SAD MAP OR COPIES BEAR nit IMPRESSED SEAL OF TIE SURVEYOR •'. v' V.
WHOSE SIGNATURE APPEARS HEREON. .c, ' 'i 'Ir:.. YOBS, P.C.
ADDITIONALLY TO COMPLY WITH SAID LAW TIE TERM ALTERED BY' O011
� - 020
MUST BE USED BY ANY AND ALL SURVEYORS UT/LIZIWG A COPY cn o $ to P. •. - - 909
OF ANOTHER SURVEYORS MAP. TERMS SUCH AS 74SPECTED'AND 1230 TRAVELER STREET
'BROUGHT-TO-DATE'ARE NOT P COMPLIANCE WITH THE LAW. f,,,' SOUTHOLD, N.Y. 1197/
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