HomeMy WebLinkAboutMattituck-Laurel Library O
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3498 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MATTITUCK-LAUREL LIBRARY
Address 1: P.O. BOX 1437
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
-ADDING 500 SQ.FT. ADDITION TO CHILDREN'S ROOM OF LIBRARY
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner MATTITUCK-LAUREL LIBRARY
Mailing Address 1 P.O.BOX 1437
City St Zip MATTITUCK NY 11952
Property Address 1 1700 MAIN ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 114.00 block 11 lot 200
Cross Street REEVE AVE
Building Permit Number Cross Reference:
Issue Date: 2/01/07 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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Air •��o��QF SO(/ryolo
ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK 4 4 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G c ,� Southold, New York 11971
MARRIAGE OFFICER : Fax�s Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Glee+ A ��a,'lTelephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER O�I\1'1el southoldtown.northfork.net
01
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
2 8
TO:
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 27, 2006
Transmitted herewith is a copy of application No. 3654 for a Cesspool/Septic Tank Construction
Permit submitted by:
Mattituck-Laurel Library
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:
Signature
kig,"
I
ELIZABETH A. NEVILLE 'h� V•; ,Town Hall,53095 Main Roa<
TOWN CLERK ` P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS y.
MARRIAGE OFFICER is Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Qv40* III
Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER Ol * �',,•I14 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 @$25 I Applicatio- .. 3(3.51-1
Permit NI.s -Aq&
Applicant Name /1 -MGIL' d rJrO1��
1
Applicant Mailing Address -go( rncktairek. a 1 I q5-2-
Septic
52Septic Tank or Cesspool /
Brie'IDescription of Proposed Construction or Alteration &M1 S0O Sq . 4•-•
pfd i 41 bL 40 e 141 ?oor►& 1a b U
Location of Proposed Construction/Alteration: u,��/�
Owner of Property: 11' aktA CAL--LaLL4/d. LI19
Owner Mailing Address: 'BOx' 1 X37
111 +vck- AM 10S-2--
Owner
t RS 2-
Owner Property Address: 170 0 alCUvt
1115 14-O 4c- 1\19 f 641S2-.
Name and phone number of contact person ( 31-23$-` sq ` 7 Kaki l qe I
Tax Map No: Section 1114 Block OD [I Lot OD 2-
Cross
Cross Street Reetit Aire •
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
K' - 7AAd 1247/O
Signature of A5plicAnt Date
Received by: 01/
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DRAINAGE SDR-35 project and dent They are not Intended for use an exterelorn of Ns F.
____ ® 1% tit a for reuse on any other project REMAIN BY G.C. , cap +o and/or mod loafon or tis document or cry porton thereof
NEW 4'O INV. E NEW 4'0 SDR-35 l— — without d"written p«rrtdon of Beatty Harvey tk Associates,tic,s
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DISTRIBUTION
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scale: AS NOTED
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ITUCK-LAUREL
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ABBREVIATION: 0o t° 49191
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L SITE DEMOLITION PLAN SCALE: ,''_I� 48.0
Suffolk County Department of Health Services
Approval fer Ccnsr cti.o .-Other Than Single Family
3 Z
;IBLE TO REMOVE ALL SIGNAGE IN VICINITY OF HIS WORK AND STORE TO PROTECT FROM HARM. : z ± IFb0v1
r t T t• �d r with Suffolk
LATE EXISTING LANDSCAPING AS SHOWN 0�l THE PLANS �e Gey 'c �""s�"�forgeneral
ABOVE. :'s c.fSiaa� to
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I I 4" LEADER BY G.C. 45
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CRETE
:R WILL.
IAMPTON I I I 40 —.
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TRANSITION
ME I I
$„ z 35
IE INSTALLED
INS OF THE 1 I _ GRADE Q
EL SHALL BE ..{ `: •.. .
IIN. COMPACTION. 1 I `•::,. ":,'.':. ;• '••.;' .
I :6" C.I. PIPE BY G.C. = w
INGSi :` •. - -6 C.I. PIPE BY G.C.
I I •�ti �: . "v
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8 25
10 SDR-35 BY G.C. '
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