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HomeMy WebLinkAboutO'Doherty, James (2) ,��,,"�osuFFOL4'-- . ELIZABETH A.NEVILLE ��=�0 Gy� Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 REGISTRAR OF VITAL STATISTICS i Southold,New York 11971 MARRIAGE OFFICER %:1)644�i ``�1', Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ;_�Ql $ ,i� 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. 3214 R Residential x Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : CATHERINE MESIANO INC Address 1: 12 MILL POND LANE City St Zip EAST MORICHES NY 11940 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 #R10-03-0158 Name Of Owner O"DOHERTY, JAMES Mailing Address 1 19869 GREENBRIAR DRIVE City St Zip TARZANA CA 91356 Property Address 1 1825 MILL PATH ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 56.00 block 1 lot 5.001 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 9/02/04 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) • ��,,o suFFot,r„; 3 ?I Y o ; ELIZABETH A. NEVELT.E ,t/i t` Town Hall, 53095 Main Road TOWN CLERK % y - % P.O. Box 1179 � $ REGISTRAR OF VITAL STATISTICS O. ,� Southold, New York 11971 MARRIAGE OFFICER L\ 4* s� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER '_ o! �a0'',� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,�," southoldtown.northfork.net OFFICE OF THE TOWN CLERK AUL 11 TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: July 26, 2004 Transmitted herewith is a copy of application No. 3355 for a Cesspool/Septic Tank Construction Permit submitted by: Catherine Mesiano, Inc. for James O'Doherty 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: r 7 �t..v. , ,. 4 Signature 7 "-etc V ated 21/07 04 WED 09:26 F.-AJ F.-A 631 765 6145 SUUTHOLD TOWN CLERK Z .. Qi)1 4 ELIZABETH A.ti.EVILLS1 A# eeks Town Hail, 53095 Math Road TOWN GLEE i S , P.O. Box 1178 REGISTRAR OF VITAL STATISTICS N Southold,New York 11971 MARRIAGE OFFICER ,1'6 4 / Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER '__y O`• Telephone(631) 765-1800 FREEDOM OF INFORI TION OFFICER - �l ���'� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICA110N CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential (l, S 10 X or Non-Residential ,a $25 Application No. -5 3s---c— CATHERINE S� CATHERINE MESIANO, INC.Permit No. Applicant Name 12 MIt TONDiANE Applicant Mailing Address . . . 1 • ' , 1- Septic Tank_ $ _or Cesspool Brief Description of Proposed Construction or Aitcrationconi Y UG+ to P7g SFR., poo-I s "a --dd. 3arme✓ Location of Proposed Construction/Alteration: Owner of Property: [� � Oh P.✓-I Y . `1a1�1e - � Owner Making Address: I q Vila 9 gre.e.n briny h kiVe 172.4zi.ANAA.CQI 5(� - 5428 owner Property Address: cz s M I LL. OATH QO AD Name and phone number of contact person .1 •0 'be N EQT Y ?le 2 ?$ V 4.7 Tax Map No: Section 5(p Block / — Lot 5. Cross Street ) N 1Cd. NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURV ,1'WITH HEALT DEPARTMEN PROVAL l. Signature of Applicant Date 7/2.4/0 r . Received by: -I ,,,,f.„.... 11 ay Dept.Ot Health Services .-1-/-1 L �, Jr PROPOSED C.I. COVER F n 614-- l TO CR ,. MOOSE � 0 `' [(4' FINISHED GRADE / —, ' HOUSE / 9a-;n, EL.19 1 6 iii. If NAy 11 6.11 Mil 1111.111M011.11.1111 11C10.1111 a• x 3 7VII 0 NM. { 1 / `N A l TEST HOLE DATA GROUND WA Tht SEPTIC1750 TANK 50cAL CESSPOOL . - -EL=12.1 475 1 MCDONALD GEOSCIENCE 1 .J NOV. 05, 2003 ACOP HE ALM f - - EL=15.5 . • cowry D DARK BR 1VOR A CLAYEY L� M , voRAPFROVAY4 o V 1.0 G F /a -�3 ' , 5 BROWN Z y ©Y lt'. CLAYEY SA'0`A / a`~0 ' ...-----0," Q c. 3.0• o • 0� •PALE BRO D' ' *YIrh) 6 '"� ,ms �+g� MUM OF Dr' " 7 -, FINE TO R u'"� 0.- COARSE SA i�✓ FROM Mit. �1 R�Y 0 Q G.W. i 3.4'Ir i+�Ei RS FRO ii[<l rN 3 ' EL=12.1 I WATER IN 151 7 .4 PALE BROWN FINE TO 0 COARSE SAND L — 13.0' O 0 N FEB. 09, 2004 HO AMENDMENTS C; 0 '-A O DATE: OCT. 25, 2003 r' 0d G .3 JOB NO:2003-550 r-1 0 co Survey for: -4---r— i CERTIFIED T0: cam' ^ JAMES 0 D OHER T Y JAMES O'DOHERTY t Cv. ev "A' At .4-C _, 7^5 Arshamomaque c•-. 4 co Town of .' co„, Southold Ilk C, cow Suffolk County, New York r .01 ��ti. P00-01.00-005.001 ro S.C.SCT.M.: 1000-056 4,0 0,� al. � `�`"V v , SCALE_ -to a DAVID H. FOX N.Y,S L S. #50234 ��a y� ;1"=100 FOX LAND SURVEYING 1 b' ' ' NOTES: PO BOX 224 13. SPEONK, N.Y. 11972 1. AREA = 318,005 S.F. (631) 325-2902 2. ■ = MONUMENT FOUND, • = PIPE FOUND. 3. REFERENCE DEED; L. 9414 P. 107. 4. ELEVATIONS SHOWN HEREON ARE REFERENCED TO APPROXIMATE N.G.V. DATUM (MSL 1929). 5. ZONING USE DISTRICT = R-80 6. 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