Loading...
HomeMy WebLinkAboutKavanagh, Edward %4FF04 ELIZABETH A. NEVILLE ��0 OGy Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 roS REGISTRAR OF VITAL STATISTICS �t Southold, New York 11971 MARRIAGE OFFICER y ��$ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER x__701 �a�''�,� 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. 3168 R Residential x Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED TO: Name : MANZI HOMES INC Address 1: PO BOX 702 City St Zip ROCKY POINT NY 11778 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 #R10-04-0004 Name Of Owner KAVANAGH, EDWARD & MARY Mailing Address 1 PO BOX 702 City St Zip ROCKY POINT NY 11778 Property Address 1 11255 SOUND AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 141.00 block 3 lot 6.003 Cross Street FACTORY AVENUE Building Permit Number Cross Reference: Issue Date: 4/15/04 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) r . �� ,,,swot',�-. 3lCcb ELIZABETH A.NEVILLE �'�i Gy _ � � Town Hall,53095 Main Road TOWN CLERK ; y , P.O. Box 1179 REGISTRAR OF VITAL STATISTICS % ,S Southold, New York 11971 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER \=4* 00.oil Fax(631) 765-6145 ___ �,( .�� ,i Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,s" southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PPR 15 TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: April 15, 2004 Transmitted herewith is a copy of application No. 3306 for a Cesspool/Septic Tank Construction Permit submitted by: Manzi Homes for Kavanagh 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 location map of the project cited above and make the following recommendations: APPROVEl . DISAPPROVE Comments: �.. / �� t ...,zi . Signature /6- o Dat d OFFICE OF TIE towN CLERK �••��C�UUA° TOWN OF SOUTHOLD ••• ` EUZABETH A.NEVILLE,TOWN CLERK •• "� 4�/'' Application N o. �j 3� P.O.BOX i 179 � j` v �G,, Construction SOUTHOLD,NEW YORK 11971 ; �• • v in • Alteration • Telephone • $10.00 -Residential (516) 65-1801 ` 40 0.0' _ 1 , • ,• $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee •$ DATE C.j _ f 3 . o• APPLICANT NAME: c*, horn er APPLICANT ADDRESS: Q -I143 :34 ot#1 NY SEPTIC ✓ CESSPOOL DESCRIPTION OF PROPOSED .CONSTRUCTION OR ,ALTERATION LOCATION MAP: Must be attached hereto before peit may be,•issued. �- f�Y1rT�i"'Qtm ,Y LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: QA,T, OWNER MAILING ADDRESS:gip 3CIA-• >00 OWNER PROPERTY ADDRESS: q `\ r . Gk .- TELEPHONE NUMBER OF CONTACT PERSON: 74L 1035 TAX MAP NO. : Section J yet Block 3 Lot � 3 CROSS STREET: Pim, BUILDING PERMIT NUMBER CROSS REFERENCE: • / / ignatu e o icant RECEIVED BY: 1-?(-)5-140 • own Clerk's Office DATE: 0 ••PSS_ ,c-CpV� .�y Sy-STES�° M N/T.q BRONN Sv4N0Y 5/LT(frit.) •, \ ll . o LA H PAGE BROWN F/NE N cg7 4O. .. Z 1 7O COARSE SA/vO(Sh/) St .-a. ./p F ?le. ';:io • © IIN D. F rEsT HOLE 0 3�' BY Mc ,00/%644.0Q6O C/ENG E o b 0 2/o5�0¢ % NN / a ! IWp� ilk . ' sry PE , 2,, //,9 V1' ; AR64 0 " _ iFRE� OF' O m►.) cidrd s 5764 AI SEPT /C SYSTENJ S Pric Y "R o b • N 30 Far H 4' in i - '� N O o Oma �' 11‘ \ N �, zs•o 4.6 ,rn Weve•P\+1.Q, ith w Nm,1I lt% 1 .�w ae ; E�, MSI tai ., •A, W H I A o` tictit 'N't 1 i -._ N ---- -w f• N o 4 -'k t°° Y �- 1_,\ r yr i rif./.2.4, 11 ,- fol..at.9,,Y1\ci ›alvi 0IA �t/T fit WE LL TII r 41. ��l'6 ' # -+ /Q0' 10, . I 1 ° "7s°�00 /4/ 7/50fvs , etfeqe. t�or€.P .v,/p3 .. _ `v,A 1 — _.._ r . 40-GE "3.4" tav 6Tvr -- E4.27.O SON() AV's' 5 E • M4,,t1,:,:••'!''','.'• • R'C� (NORTH R°41^7) rT. !' .�' °„ $ 1tlk County,New York (6G'R,D.!'I/.) t e iIw�"°, 's I,ti' aon 141 Block 3 Lot 6.3 _ is RES/DENCES-!-✓EGL5 i S.4N/TARy 5YSTEM5k OVEN? %00 ,'3F 1'4 } SUFFOLK COUNTY DEPARTMENT OF HEAL'CH SERVICES PERMIT FOR APPROVAL.OF CONS1"RUCfl A ONLY sGLt I1�FAMILHSYRESIDNOEN 1J6=4 DATE 9{ APPROVED c""� r FOR MAXIMUM OF B OOM3DRANTHONY ABRUZZO R.L.S. R *RRPE"t Aft'v.: 7,!A t.()PAP 'vAL '' ° . ` 1 ,:i* •4. •o LAND SURVEYOR EXPIRE: _ — . - �a� � c 1�i�G F r F: Lane . „a Now York 11971 GE; p 1'tP 1 76 ,ANY ALTERATION OR ADDITION TO THIS MAP IS A VIOLATION OF SECTION 7209 1- i - S 0.I f � March 17.2004 OF THE NEW YORK STATE EDUCATION LAW.COPIES OF THIS MAP NOT Al -' ',�, '*EARIt40 THE LAND SURVEYOR'S ORK)INAL SIGNATURE AND INKED OR EMBOSSED "Oa 1 "` Aal ;.SEALSHAU.NGTSIE�AVALID TRUE COPY. d3' !'`OJi i s,�. ..�.�,` / -TIES PARCEL s MEM* ANY EASEMENTS OR RESTRICTIONS OF:RECORD. "'-:'V=1+T 3 1`., . wt `E DVATIONS,REFER TO"hiE FIVE EASTERN TOWNS TOPOGRAPHIC MAP _ `Awns AND WELL LocATIm 4s ay owNERS ,, e: 1"=31