HomeMy WebLinkAboutMiller, Kevin (2) #
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ELIZABETH A.NEVILLE �� y�•
Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
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REGISTRAR.OF VITAL STATISTICS � v' n't
Southold New York 11971
MARRIAGE OFFICER ` G � Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER _y�Q! �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. 3174 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MCCARTHY MANAGEMENT INC
Address 1: 46520 COUNTY ROAD 48
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 #R10-03-0100
Name Of Owner MILLER, KEVIN & CLAIRE
Mailing Address 1 10 WILDWOOD LANE
City St Zip EAST HILLS NY 11557
Property Address 1 600 WUNNEWETA ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 104.00 block 11 lot 13.000
Cross Street BROADWATERS ROAD
Building Permit Number Cross Reference:
Issue Date: 5/17/04 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
ELIZABETH A.NEVILLE o o Gy Town Hall, 53095 Main Road
TOWN CLERK ti - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �✓ Al
Southold, New York 11971
MARRIAGE OFFICER ``may l�� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ' iii Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER _ * ,,'� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
MAY _ 3 2004 TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 3, 2004
Transmitted herewith is a copy of application No. 3312 for a Cesspool/Septic Tank Construction
Permit submitted by:
McCarthy Management
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:
APPROVE
DISAPPROVE
Comments:
7frec4"4-49 ".
Signature
Dated
,iii.......
,IO��soFFOUrCo \
ELIZABETH A.NEVILLE • /,``1` j. Town Hall, 53095 Main Road
TOWN CLERK , ; P.O. Box 1179
ti
REGISTRAR.OF VITAL STATISTICS v. Southold, New York 11971
MARRIAGE OFFICER •
O O%_ �_ t% Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER W �i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER =0'� * � �'� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$104: or Non-Residential @$25 Application No3_3
Permit No.
Applicant Name )'\' 002/14./
T7, /-
Applicant Mailing Address 0.0
Septic Tank ✓ or Cesspool
-�riPf
Description of Proposed Construction or Alteration 0 N
Location of Proposed ction/Alteration:
Owner of Property: ►-� ( I a @ iI , V1
Owner Mailing Address: IC) 1k 4 l d (,u)c
, Hs i\)\-t ► H 5 r7
Owner Property Address: (g CSO (A)u n n-{
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Name and phone number of contact person
Tax Map No: 1 bo( Section 10 t-/ Block Ohl ! Lot 013
Cross Street
NOTE: LOCATIO MAP MUST BE S • MUTED WIT 'PLICATION. NEW
CONSTRUCTION ' S UIRES SURVEY WI H TH D ' P 'TMENT PROVAL
111111 (31\. Y4/I
Signature •f Applicant Date
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Received by: 111/
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f:
-2411019-90.1
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BIWA DW A TER S
, ... SURVEY OF
SUFFOLK COUNTY DEPARTMENT OF HEALTH
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''T-:44f* 41 U NAP" A OP
PERMIT FOR APPROVAL OF CON:2,97.„3,1JCTIO?„ , ',.1 4 ., , ,
SINGLE WAMIT.:11 F.S.X.TOP.,Iii`...2 .-.INI,,v '
, 1 , -;01-EQ"1 INT
Tvi 2,,p907
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DATE 211.4,23... Hs REF. ,r, s_. .1.: - - a t(No . NA sikkilit0/1117 firkr•fni .%;OPER TIES, Inc.
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•,41111111111=-,... 0"-„, '.4''''. i Ili , ,ti
FILE No. 159 " T 16, 1922
APPROVED , ,,,iiiikliOr 1r/ip -i w i
'4 E SITUATED AT
_.....• „ ... ,..—
FOR MAXIMUM OF 4P 4 OMS N: ‘ . Vc
TOWN OF SOUTHOLD
NASSAU POINT
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EXPIRES THREE YEARS FROM DATE OF APPROVAL -
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111 SUFFOLK COUNTY, NEW YORK
ktP91 S.C. TAX No. 1000-104-11-13
SCALE 1"=40'
JUNE 8, 2000
,‘•• -\. .44,dsk. I ...1, C*0 JULY 13, 2000 ADDED TOPOGRAPHICAL SURVEY
SEPTEMBER 14, 2000 ADDED PROPOSED WATER SERVICE
462ihe 4. I C
\OP' q 03 tIl SEPTEMBER 19, 2002 ADDED PROPOSED HOUSE
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• JUNE 24. 2003 RE-CERTiFY & REVISED PROPOSED SANITARY SYSTEM
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