HomeMy WebLinkAboutDill, James Jr I �
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ELIZAB A.NEVILLE i' lQ Town Hall, 53095 Main Road
TOWN CLERK * 4; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS t/� Southold, New York 11971
MARRIAGE OFFICER ,, '► i� 1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER '. 0- ��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .- CDUNTI,���•�� southoldtown.northfork.net
01
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3327 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JAMES DILL JR
Address 1: PO BOX 92
City St Zip NEW SUFFOLK NY 11956
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-05-0044
Name Of Owner DILL JR, JAMES
Mailing Address 1 PO BOX 92
City St Zip NEW SUFFOLK NY 11956
Property Address 1 502 JACKSON STREET
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 1 lot 4.002
Cross Street FIFTH STREET
Building Permit Number Cross Reference:
Issue Date: 7/08/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,,,•�',pf soUry- 33 a 7
ELIZABETH A. NEVILLE �s A0� �lQ ; Town Hall, 53095 Main Road
TOWN CLERK ' 4 4 • P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % N yc Southold, New York 11971
MARRIAGE OFFICER `p 0 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �, Telephone (631) 765-1800
\'‘‘1e.°..
FREEDOM OF INFORMATION OFFICER `-aCOU , ,I° , southoldtown.northfork.net
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, CIOFFICE OF THE TOWN CLERK
, I I:
t TOWN OF SOUTHOLD
MAY 272005 ;
T4 -F`` $Q nd,Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 26, 2005
Transmitted herewith is a copy of application No. 3470 for a Cesspool/Septic Tank Construction
Permit submitted by:
James Dill Jr
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: ="'�l� e
_iltil..e.e el'
,,,,,,,,,4,
Signature
r rZot7.. /2-7 .7-oos—
Dated
ELIZABETH A.NEVILLE e 1��1�,r0 �4`` - Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Southold, New York 11971
REGISTRAR
OF VITAL STATISTICS ` A�
MARRIAGE OFFICER :* Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ***) a��'�1 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER =_'� * *oa,' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT •
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
(,/-70
Residential @$10 )( or Non-Residential @$25 Application No,..-)-1
Permit No.
Applicant Name J�, G D 1 -i
Applicant Mailing Address P. O. q-
tie,,,,, 5o4 11L, ti.y, Il f st
Septic Tank X or Cesspool
Brief Description of Proposed Construction or Alteration
K'f ia4.,a+
Location of Proposed Construction/Alteration:
Owner of Property: c,Y,r,J C. 1)11 <L'
Owner Mailing Address: P. (2. Vol 41/1,
�r,1,1 .J1:?Q4 N/ 1l
Owner Property Address: Vin—JAcACI 54-.
Nifti 5J P I}' jr 1 6sf
Name and phone number of contact personJ4 ..r,its C -17.A1 734--4.,go
Tax Map No:1 vv p Section Block a I Lot 4. ',-
Cross Street h�/IreA- !et,-.,.(„/ is r f
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES S Y WITH His TH DEPARTMENT APPROVAL
ie of A licant Date
Received by: 921:IL--
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SURVEY OF PROPERTY
SITUATE: NEV4SUFFOLKIL existing W �i E
O se C
TOWN: SOUTNOLD -� �S
SUFFOLK COUNTY, NY _Q
LuUN 1--- S
SURVEYED 05-21-0I, S
��O T'
TEST HOLE ADDED 06-26-OI O z? ��
PROPOSED ACTIONS 02-10-2005
AMENDED 05-04-2005 w / �'
SUFFOLK COUNTY TAX # 0 m Q // ��0
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q N * o' LAND NO / Q�
Z w Pa 2g JAMES 60RMEORMERLY O� /
CERTIFIED TO: v FORMERR PU d D R NEiq GRAHOLD `/ i'Ll0 -4 r
JAMES DILL __ � B\ilding" �,10
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• MONUMENT FOUND , - . .
'CertifIcatoons Indocated hereon sognofy that tM1,
area n cordance with t e
tng G de oP Proctice f nrnLantl s„rvgys opted
Fr1 me Nan York 5tpte Assdcia[bn of ProFesslonplo
Land 5e.veyors. Said certificationstSashall run only
to the person for wham the survey Is prepared,
AREA = 47,546 SF OR I.O 9 ACRES ane on his eeM1af mending company,gov -
on agency and if to title company,
hnreon en-
w the assignees or the lending Insertvdaneerelrlca-
tions are roe transferable to odditlonal iriztitvtionz
ELEVATIONS REF. USGS NGVD '2G DATUM JOHN C. EHLERS LAND SURVEYOR
' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
GRAPHIC SCALE 1"=40' RIVERHEAD,N.Y. 11901
= Ell Ell INI1=111111.111111111111 369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\01-196a.pro
5/4/2005 laiet,54A11 \Nb eores r0FR05'01-Kaaaro 4