HomeMy WebLinkAboutO'Sullivan, Michael .0e„,
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ELIZABETH A. NEVILLE t '1/44 ) 4 Town Hall, 53095 Main Road
TOWN CLERK * P.O. Box 1179
N �r Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G Q 1
MARRIAGE OFFICER e� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICERNAG %EMENT O (631) 765-1800
FREEDOM OF INFORMATION OFFICER oU �� 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. 3398 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : NEW AGE BUILDERS INC.
Address 1: 186 W. MONTAUK HIGHWAY - Dli
City St Zip HAMPOTON BAYS NY 11946
Descripton of Proposed Construction or Alteration
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner MICHAEL & BETH O'SULLIVAN
Mailing Address 1 363 DIVISION STREET
City St Zip SAG HARBOR NY 0000
Property Address 1 170 MAPLE STREET
City St Zip GREENPORT NY 11944
Tax Map No. section 42.00 block 1 lot 12.000
Cross Street SIXTH AVE
Building Permit Number Cross Reference:
Issue Date: 1/05/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
N.,,„
SO(/r
ELIZABETH A.NEVILLE � '`. l0 : Town Hall, 53095 Main Road
TOWN CLERK 4 gig t P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � G Q , Southold,New York 11971
MARRIAGE OFFICER . e Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `;�l'' MN ��• Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER _ OUry''r,,+',I�8.� southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building DepartmentDEQ � 7_0()S
FROM: Michelle L. Martocchia, Southold Town Clerk's Office
DATED: December 14, 2005 ----
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3550 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
New Age Builders, Inc.
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Signature
/.20//r/OS—
Dated
.2 /r OS—
Dated
• ELIZABETH A.NEVILLE O \
,��I`t \ Town Hall, 53095 Main Road
TOWN CLERK 1 14 ; P.O. Box 1179
ar ; Southold, New York 11971
REGISTRAR.OF VITAL STATISTICS � y. Ati �
MARRIAGE OFFICER : G 4,11% Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � Od Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER -_ 01 * tool southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential14e
@$ 0 or Non-Residential @$25 Application � �
Permit No ji
Applicant Name (V \&9-(T C -
1
Applicant Mailing Address \ `c> \`(\c 4c•i\c �k— "N
\-' l < c 4
Septic Tank t for Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: n(11 C -sem.- "4 S \\ ‘ V '
Owner Mailing Address: 3 (p 3 i ,`v, _S i 6�\ S c uu
Owner Property Address: k ,c\t"\0_10\
64,--02A-qo 1 _f
Name and phone number of contact person 'r\ I (.-0.;) -47 E 6 b`-i 7
Tax Map No: Section ii ` - Block j Lot ) '2—
Cross Street 6--�'/'At OL -
NOTE: LOCATION MAP MUSTE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES S VY WITH T4,pEPARTMENT APPROVAL
i afore of A is /V/
�
� P e
Received by: (heti*inA,
,
SURVEY OF CERTIFIED TO:MICHAEL O'SULLIVAN
ELIZABETH O'SULLIVAN
LOT 42
MAPF
PART OF THE STATE OF JOB NO. 2005-365
THOMAS F. PRICE
MAP N0.851
FILED:NOVEMBER 29, 1927 0`pF1yp S
g�c ›,..
SITUATE A T REVISIONS:REV.HOUSE FOOTPRINT e,(.7" \0 p0 Ngt,0 <^
10/13/2005 -V •
'y 1
-7
GREENPORT REV.HOUSE LOC. REV.SANITARY 'T , "'
TOWN OF SOUTHOLD SYSTEM 11/28/2005 ` a4 '
SUFFOLK COUNTY, NEW YORK �� , ! �<� � ij
S.C.T.M. DIST. 1000 SEC. 42 BLK 01 LOT 12
4/ (' '��/
15 8 0 15 = 30 45 60 75 90 105 120 135 \\."� meq- .43,..
SCALE: 1" 30' DATE:SEPTEMBER 17, 2005 ���"-- ''
LICENSE NO. 050363
LOT AREA: 7,500 SQ.FT. =0.172 ACRE
AND ARE THE RESU. ELEVATIONS ON REFER TO APPROX MSL DATUM LT OF ACTUAL FIELD MEASUREMENTS HANDS ON SURVEYING
NO SURFACE WATER EVIDENT WITHIN 300' 26 SILVER BROOK DRIVE N
FLANDERS, NEW YORK .
TEST HOLE EL. 16.0' \-'-',2,--
11901 f-`
�,-- TEL:(631)-723-1954-FAX::(631)-723-1329
LOAM _p g t \ i • MARTIN D. HAND L.S •
COARSE DEC o 7 5
SAND ',i\
&GRAVEL �,...\\
COARSE -6.2 - --` SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
SAND y !�•
& PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
LIGHT GRAVEL SINGLE FAMILY RESr7 .ICE ONLY
-14.3' /
WATER IN G/WATER EL. 1.7' I DATE 12/7 7105 to-05-0 z.03
COARSE SAND _ * F.N '
& APPROVED _
LIGHT GRAVEL FO` vIAXIMUM OF_
-17.0' BEDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL
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S.C.D.H.S. ENDORSEMENTS
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