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HomeMy WebLinkAboutTole, Kathleen 0 SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3481 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT 'ISSUED TO: Name : KATHLEEN M. TOLE Address 1: 3940 THE LONG WAY City St Zip EAST MARION NY 11939 Descripton of Proposed Construction or Alteration -SINGLE FAMILY RESIDENCE -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner KATHLEEN M. TOLE/MARY A. DURKN Mailing Address 1 3940 THE LONG WAY City St Zip EAST MARION NY 11939 Property Address 1 SAME AS ABOVE City St Zip 0000 Tax Map No. section 30.00 block 20 lot 9.900 Cross Street THE CROSSWAY Building Permit Number Cross Reference: Issue Date: 10/25/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ail SO(,, — • ELIZABETH A. NEVILLE ,�0� Old Town Hall, 53095 Main Road TOWN CLERK * *; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS co, Southold, New York 11971 MARRIAGE OFFICERG eFax (631) 765-6145 RECORDS MANAGEMENT OFFICER ��0��, /.1 Telephone (631) 765-1800 FREEDOM OF INFORMATION OF 3C R COUPAi. southoldtown.northfork.net '••... V OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD r TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 11, 2006 Transmitted herewith is a copy of application No. 3636 for a Cesspool/Septic Tank Construction Permit submitted by: Kathleen M. Tole 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' ,400" Or /AF .. Signature /W‘ Dated ELIZABETH A. NEVILLE �'hrL Town Hall,53096 Main Row TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS o. X Southold, New York 11971 MARRIAGE OFFICER • 1 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERy�f�l O 'I Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net 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 @$25 Application .,NJO 3 o Permit N. Applicant Name 4413%---"1-14 t-E•Eta l' Applicant Mailing Address 3q 4a 1 c. kk1 t�cc - o1 \\Q �cl Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration Qa. cam. Location of Proposed Construction/Alteration: Owner of Property: \'1--P L {\11 \ 0 LE N\p pi4 Owner Mailing Address: 3 q -*O ` S e L ) G WA`1 n + -R---ca?) l l '�� � Owner Property Address: \ Name and phone number of contact person (...i1.c.-`r-'t--L E,J NN "N OR. Tax Map No:t°°G Section 30 Block 0 2 Lot Cross Street AAG C.--R_c S 5411 NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Applicant Date Received 1:;:6) 10\i "- SURVEY OF sun.=cocnvTy LOT 6 2 DEPARTMENT OF HEALTH SERVICES MAP OF PERIL'FORAPPROVAL©pr:ON'''Tili ',IONFORA P BBLE BEACH E 11, F RMS SINGLE FAMILY RESIDENCE FI66ONLY DATE SITUATED AT REF ' ' or APPROVED • . o i r ,o 6/126EAST MARION ► �i j ,i ; ._TOWN OF SOUTHOLD F°R A�UMOF4-iviD4 +' MS S 1 FbLK COUNTY, NEW YORK E P1RESTHREEYE +.C. •X No. 1000-30-02-99AR$ tOA APPROVAL SCALE 1"=40' IRA • = OCTOBER 2, 1998 MED OW�'r�MMus 394 HEALTH 90', lk;t JULY 13, 2006 UPDATE SURVEY & SET STAKES iv __imamN N S. AREA = 32,053.16 sq. ft. rna x 0.736 oc. O Oro a ; $� rn Z �» a 52.3 00 L5 , ; , 0 JUL 2 4 2006 L 54,6 y 405.14' B 1 — ,54.4 CERTIFIED TO: • LAND AMERICA COMMONWEALTH TITLE No. RH06305867 x52.9 KATHLEEN M. TOLE MARY ANN DURKIN •.... ./, IN ACCORMNCE Mini THE MINIMUM ST . FOR TITLE SURVEYS AS ESTABLISHED BY t�LI.A.LS.AND APPROVED AND ADOPTED FOR,. 115E BY THE NEW YORK STATE LAND P` 41'4 " r, .. n A AigL.div UM r ;S. BEDROOM HOUSE IS 1.000 GALLONS. .tp,, " lAll °" N.Y.S. tic. No. 49668 UNAUTHORIZED ALTERATION OR ADDTRON 'N, `ffes� r� )M HOUSE IS 300 eq f SIDEWALL AREA. TO THIS SURVEYSECTION 7209 OF NEW YORK STATE' 4Y1' ;,t',..:,,. EDUCATION LAW , o - eph A. Ingegno COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S NICE)SEAL OR L = nd Surveyor SEAL SHALL NOT BE CONSIDEREDTO BEA TO BEA VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout HEREON ARE FROM FIELD LENDING INSTITUTION USTED HEREON, AM) THE LENDING INSTI— TTUTION. CODIFIICATIONS ARE NOT TRN+ RALE. PHONE (631)727-2090 Fax (631)727-1727 i THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF I ANY, NOT SHOWN ARE NOT GUARANTEED. 322 ROANOKE AVENUE P.O. Box 1931 RNERHEAO, New York 11901 Riverhead, New York 11901-0965 26-22'7