HomeMy WebLinkAboutDunne, Steve ,,��SUf FO�,�-C'
• OG `
�� 0
ELIZABETH A. NEVILLE ��� 1 Town Hall, 53095 Main Road
' TOWN CLERK t/s Z P.O. Box 1179
REGISTIW OF VITAL STATISTICS O �� Southold, New York 11971
MARRIAGE OFFICER ‘VT/), �� 1, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �I jig *Foie. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER - ,•0° 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. 3264 R Residential X Non-Residential
Fee $ 100.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CANO, HUGO A.
Address 1: 20 HIGHLAND PLACE
City St Zip FARMINGVILLE NY 11738
Descripton of Proposed Construction or Alteration
NEW CONSTURCTION HOME
FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HELATH DEPARTMENT
Name Of Owner DUNNE, STEVE
soailing Address 1 1210 TUTHILL ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 1465 HILLCREST DRIVE
City St Zip ORIENT POINT NY 11957
Tax Map No. section 130.00 block 2 lot 80.011
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
(4_1t ;'.
Issue Date: 1/27/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
32(4
',doiii
„\oS�f FO��-co-
G
ELIZABETH A. NEVILLE t yj` Town Hall, 53095 Main Road
° TOWN CLERK t vaZ t P.O. Box 1179
REGISTRAR OF VITAL STATISTICS t`O 1 Southold, New York 11971
MARRIAGE OFFICER y ���1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =�O1 41 �a ,sii� Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER4..-•-•,,, , ,,�i" southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
‘3 •C ` 8 TOWN OF SOUTHOLD
•
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 7, 2004
Transmitted herewith is a copy of application No. 3407 for a Cesspool/Septic Tank Construction
Permit submitted by:
Hugo A. Cano for Steve Dunne
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: _4 ‘410.d.,o,.4 f:, 4" • 7‘. 4 . :- 4z''.:,
71..e..4.-e,,g7lA.,-
Signature
e 'C . /s_ ,6
Dated /
.
,,,,,,,,
ELIZABETH A.NEVILLE 1''''; 0 •V Town Hall, 53095 Main Road
` TO CLERK P.O.Box 1179'
1 : ; Southold New York 11971
REGISTRAR OF VITAL STATISTICS V. '
MARRIAGE OFFICER : O $ Fax(631) 765-6145
RECORDS MANAGEMENT OFFICERaII0.111 Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER _ del ilig ` 'I southoldtown.northfork.net
--------,,...0'
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. 3 q 0 1
Permit No.
Applicant Name \-\\)00 i1 - C1M\i
Applicant Mailing Address ` C) \--\$L{3k PL FAV__K v i��e. N`(
11-7 lc J
Septic Tank or Cesspool t/
Brief Description of Proposed Construction or Alteration Nie\IJ C 0ILA\STOCk;o
01k4e
Location of Proposed Construction/Alteration:
Owner of Property: ve iv)'tJ t L
Owner Mailing Address: a4(' i"V N,1W V00b
SO, k1- 00p NY t\C 7 t
Owner Property Address: l S u;\AcV'2.s.k Q r i v t/
orke0 Po\ 3' NY ImS
Name and phone number of contact person \-1\I) ik.CRM° — 63k-" .55‘- %VG 3
Tax Map No:WO 0 Section 13 Block '- Lot . (01 k
Cross Street J\,Cl�t IV .N)
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVE ' ' '!'-. TH DEPARTMENT APPROVAL
/' y%moi i ^
i%, , ' 1ai0q
. . - o a cant
_, Il)ate
dliji,(41. ,
Received by:
.
i I
ow�
• '. \ --------------------1---;42. Cr? OVD4 �JO,�.... / ii-eL,
EST -______
L� � 37, 50., het t�,?
e
b 160.00'
OR ? ,
o
ip
ScP6 c
5 s fc-,,
-1ay
/ 10 / i.. .4,
o
''%o of/e e/, 31!
•
. i ,
y l
. j
it, i
W d /rep
Weil
, w C
V EXCA vA 7`; --�.l 9
. Nt. ey1.°6-'7t,s;/.1,-;;L:iyi:\???,"_1_r')(7.,.:,:::.; `-‘,.J.is,..1...,:,..ii,,,--.,ti. iii:) .
,, , �� O
160 00, �� m
cqRAO.14 N42• 4x.fte N
/YS . H/L 3'' 60--
R0,4 D rP t�s • .Lio:70
ENS-AR& REFERENCED Fqi `-- -_ R/vA rE R%AOI AREA = 40,050aq.SUMED DATUM.
r
4 am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPQ��AL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and wit abide by the condVNons set forth therein and on the
permill to construct.
11 Fr 6 2004
SURVEY OF
LOT 9
SUBDIVISION MAP OF
HILL CREST ES TA TES SECTION 1
�iyf,� FILED AUG. 15, 1983 FILE NO. 7218
AT ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 - 13 - 02 - 8. 11
Scale 1" = 40'
Aug. 25, 1988
.� cP 26 00' SEPT. 4, 2003 to o r. INFO..
• R s Su' � `V
iSUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
O
FERNS: t'OR APPROVAL OF CONSTRUCTION FOR A
:, dGLE XAMILY RIXIDENCE ONLY
DATE \ F1S F. IefO ; O k i
APPR���%�:� �
0
( MAXIMUM OF'_,_BEDROOMS
-.1
EXP +:. "� YEARS FROM CATE OF APPROVAL
J ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLA TION
OF SECTION 7209 OF TIE NEW YORK STATE EDUCATION LAW.
O EXCEPT AS PER SECTION 7209 - SUBDIVISION 2, ALL. CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPES THEREOF ONLY
1�
SAID MAP OR COPES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
*JOSE SIGNATURE APPEARS HEREON.
7 The IocatIons of wells and CeSSP00/S ADDITIONALLY LLLYRM •AL AD BY 'TBE USED BY ANY AND ASURAD EOSUT1Ll7JG COPY
shown hereon are from field observations OF ANOTHER SURVEYOR'S MAP. TERMS SUCH '?SSPECTED 'AM)
and or from dale obtained from others. 'BROUGHT - TO - DATE 'ARE NOT N COrIPUANCE WITH THE LAW.
e $ LL alt OF NEIp fr
�
o01.MFr4. ��
CERTIFIED TO: ' VS 7W. `�*
FIRST AMERICAN TITLE INSURANCE ' •s R,
COMPANY OF NEW YORK f-1111;-/h: N.Y.S. LIC. NO. 496/8
TITLE,NO. 13/ S 2285 C, ;; ,
� rte
JURIS MARDWIG 'ESO C T *RS, P.C.
GAIL WATSON MARDWIG �B$ - • FAX (631) 765 - 1797
QA 7
I • LER STREET
SOUTHOLD, N.Y. 11971
f
88 - 530