HomeMy WebLinkAboutVerity, Michael (2) ,,� %pG SOUryo
ELIZABETH A.NEVILLE ��� �� 4 Town Hall, 53095 Main Road
TOWN CLERK * * P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ; G Ct.
Southold, New York 11971
MARRIAGE OFFICER � '� �O �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER _ l iii Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER =�CQUp1�,� ��� 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. 3356 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MICHAEL VERITY
Address 1: P. O. BOX 476
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING
-FINAL APPROVAL REQUIRED BY THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner MICHAEL VERITY
Mailing Address 1 P. O. BOX 476
City St Zip GREENPORT NY 11944
Property Address 1 405 SOUND AVE
City St Zip GREENPORT NY 11944
Tax Map No. section 35.00 block 1 lot 4.000
Cross Street C.R. 48 & SUNSET LANE
Building Permit Number Cross Reference:
Issue Date: 9/28/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ,1 ,,' + , , ‘= Town Hall, 53095 Main Road
TOWN CLERK ; * ANE ` P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % N Southold, New York 11971
MARRIAGE OFFICER %� ���0 Fax (631) 765-6145
RECORDS MANAGEM "�R 1I� Telephone (631) 765-1800
FREEDOM RAQAS�IO O FIo,ER IyOOUNT`I,� �� southoldtown.northfork.net
} `j 2 `) FFICE OF THE TOWN CLERK
\I �` TOWN OF SOUTHOLD
U��juL f cZ .
t,:?`•`a ,;---- .
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 11, 2005
Transmitted herewith is a copy of application No. 3487 for a Cesspool/Septic Tank Construction
Permit submitted by:
Michael Verity
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 .�'.v
DISAPPROVE
Comments: �� -./��� ��'��"'`'i"`� � ,���..
/. 4.td-_c- 61)46,—
Signature
2//c
Dated
ELIZABETH A.NEVILLE ii`Z` 4\ - Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS "y. t Southold, New York 11971
MARRIAGE OFFICER : V$ Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER 'To At• of° Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = 4 41 $1-00 southoldtown.northfork.net
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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 No311 ` /
@ pP � l
Permit NoV. (a
Applicant Name 714-e---4-/‘2 -k;:-.4.3...
Applicant ailing Address / • D. 6 ox- 4f 7 C.
..-��% . //7y5✓
Septic Tank or Cesspool ✓ •
Brief Des 'ption of Proposed Construction or Alteration --41.
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address: '. 0 • Q ax 4'7 G
..,•ace-s.,~.-7° 3. . //YY
Owner Property Address: 90.5-- /?
..•ge..0*-00.-,..e 9i.a . //5Y/V
Name and phone number of contact person(l/ 3 /) 4,7 7 — 94a?
Tax Map No: Section 3 s- Block / Lot `?'
Cross Street ar•A-k4ti 48 �.-.-e_
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH kEALTH DEPARTMENT APPROVAL
e214-6Z-ela`�c...r, 0.
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Signature of Applicant D to
Received by: OK!
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SLR COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE ONLY
DATE -7/0
r HS F. O. . — _ y
APPROVED //,
FOR UM OFL BEDROO
i I / EXPIRES THREE YEARS FROM DATE OF APPROVAL
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SUFFOLK a* DEPARTMENT OP I i I Til SERVICES a
PERMIT POR . .OVAL OF r STRUCTBON FOR A 1 N
TEST HOLE DATA SINGLE MILY . ,ENCS ONLY
ARTCO(JAN. 08.2002)
DATE
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EXPIRES c'.,E YEARS FROM DA . OF APPROVAL
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MAY 19, 2005 AMENDED PROP. STRUCTURES 73., NCD C
DATE: NOV. 14, 2002 'off
JOB NO:2002-697 `�
CERTIFIED TO: Survey for: 5.
MICHAEL J. VERITY v G
COMMONWEALTH LAND TITLE
MICHAEL J. VERI T 1 0
INSURANCE COMPANY OF NEW YORK At
Greenport r
Town of t'-
� .00
� k® Southold, ?o
0, '.1- Suffolk County, New York
7
,:" S.C.T.M.: 1000-035.00-01.00-004.000 a
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DAVID H. FOX �Y. S.L.S. #50234 SCALE:1"=50� 11,----°""--.------ -------.17. '30„
PDX LAND SURVEYING
64 SUNSET AVENUE NOTES: