HomeMy WebLinkAboutD & T Unique Carpentry ELIZABETH A.NEVILLE �� Gy� Town Hall, 53095 Main Road
TOWN CLERK Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �y� ' �� Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �l .��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3144 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED To:
Name : DONALD R. CONNOLLY
Address 1: 375 WATER TERRACE
City St zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-02-0002
Name Of Owner D & T UNIQUE CARPENTRY
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Mailing Address 1 PO Box 717
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City St zip MANORVILLE NY 11949
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Property Address 1 OAK COURT
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City St zip EAST MARION NY 11939
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Tax Map No. section 31.00 block 3 lot 11.013
Cross Street CEDAR DRIVE SOUTH
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Building Permit Number Cross Reference:
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Issue Date: 2/13/04 Elizabeth A. Neville
-------- Southold Town clerk
FFoc,r3 J cf`f
ELIZABETH A.NEVILLE _ OGy� Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
ti Southold,New York 11971
REGISTRAR.OF VITAL STATISTICS Its
MARRIAGE OFFICER ,f, !� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �QI �a� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
t to ! .` 2N TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 10, 2004
Transmitted herewith is a copy of application No. 3281 for a Cesspool/Septic Tank Construction
Permit submitted by:
Donald R. Connolly
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and loc 'on map of the project cited above and make the
following recommendations:
APPROVE
DISAPPROVE
Comments:
Signature
Dated
.w
' O�OSUfFO(,�c
ELIZABETH A.NEVILLE �`Z` �G.y Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS I N�
MARRIAGE OFFICER O , � •F Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone*(6*3'1)'
765-1800
FREEDOM OF INFORMATION OFFICER O'� �a southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 ✓ or Non-Residential @ $25 Application No.
3014
Permit No.
ApplicantName, �9 L� l� � a1/yLG y
Applicant Mailing Address 3'7 W 4 r Ee— C
Septic Tank .or Cesspool //
Brief Description of Proposed Construction or Alteration n/.e cam/ C Z)�15_T2
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Location of Proposed Construction/Alteration:
Owner of Property: (,4!-V / 994 C CAIZ-(E-/j77 L
Owner Mailing Address: aX -7 /-7
at-1/i-AJo2v1 U-4 ti!y )1,99C7
Owner Property Address: DA JL C+
s� 2 ahl n/ 3 Ct
Name and phone number of contact person s r4L� 12 O.j n/0 L C.
Tax Map No: 1000 Section 31 Block Lot 11 , 13
Cross Street G A2 A ►21 U IE. '�7r t
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURV TH HEALTH DEPARTMENT APPROVAL
Signature of Applicant Date
Received by:
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S.T.
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GMELL
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ne POS I.ocATION s
OP MOM 4 GARAGE GP.
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.Qi IS-4 eer�oO�u 9 $�� � �
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Lot 42 --'
o
9 +'� ;
I
HELL
/s. x 40.E SPLIT RAIL FENCE ;
I
Lot 41
X09 qhs \', 5ubdivision- /
"Highpoint at East Marion, Section Two, Inc."
o Sul,
NO'T'ES lW9W 831VA31 Sb1A ?119 F
s3JIP,83S H1-iV3m 3u lo.. ,
AREA = 40,451 5Q. FT. f
• SUBDIVISION MAP 'HIGHPOINT AT EAST MARION, SECT. 2" l ' 'r ld I— J.�u co ; DA'
PILED IN THE:OFFICE OF THE CLERK OF SUFFOLK COUNTY 'p ' APP
ON ,JULY. 13, Ig84 A5 FILE NO. '1'155. 11103 O -!'i 0 s r
• VERTICAL DATUM - N.G.V. DATUM (M.5.L. 1929) 01AI�1!�
Q.►Am"W ser ■.Mo Oew raNv ® •STAce ser ♦•STAKE PQL*v
nGp)
f
Young '& Young
400 0•strander Avenue, .Riverhead, New York 11901
631-727-2303
Howard W. Young. Land Surveyor .
Thomas C. Rol Professional Engineer
g�Rob C. Tast, Architectli
Ronald E. Pfuhl; Landscape Architect '
il0
HEALTH DEPARTMENT USE I
•
All
3
ISO
55W
SURVEYOR'S CERTIFICATION
m
• WE HEREBY CERTIFY TO DONALD C O N N T
THIS 5URVEY WAS PREPARED IN ACCORDAN 0
J
OF PRACTICE FOR LANG SURVEYS AD
YORK STATE ASSOCIATION OF PROFES51
SURVEYORS.
�j HOWARD W. YOUNG, N.t-.!✓ I.S. NO.., s 4r�g3 s
--LANOS
0
SURVEY FOR
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DONALD CONNOL.Y
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} LOT 42 "HIC-WOINT AT EAST MARION, SECTION TWO"
At East Marion, Town of Southold
Suffolk County, New York
>UNfY DEPARTMENT OF HEALdTH unty Tax Map District 1000 section 31 sock'03 Lot 11.13
lR APPRO VAll.OF O ISTRUeA . BUILDINGS PEWIT SIAVEY 0
YGLE FANTLY 1�IDEAI('E O
1t. .. HS REF.NO. . - 11
� PREPARED Nov. a, 2003 ����
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Z lyA?I;IfhIUM OF ALE= 1'=40' esiA
BEDRO
NO. 2003-0422
FREE 1EARS FROM DATE OF • 2003-0422-bp