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HomeMy WebLinkAboutCavanagh, Joseph ti 41 JUDITH T. TERRY % Z . Town Hall, 53095 Main Road TOWN CLERK O T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS . trs . Southold, New York 11971 MARRIAGE OFFICER VO �. '�� Fax (516) 765-1823 �`O ��� . Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 781 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : JOSEPH CAVANAGH AND Address 1 : DAVID CICHANOWICZ City St Zip PECONIC NY 11958 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 4/11/91 . Name Of Owner CAVANAGH, JOSEPH Mailing Address 1 CICHANOWICZ, DAVID P. O. BOX 160 City St Zip PECONIC NY 11958 Property Address 1 PRIVATE ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 77.00 block 3 lot 18.000 Cross Street BAYVIEW EXT. Building Permit Number Cross Reference: Issue Date: 12/05/91 Judith T. Terry Southold Town Clerk (TOWN SFAI 1 Baa • ,,,,,,,,,,,,, 7 ( .00c�,1f OIKcf4A\ JUDITH T. TERRY � . t Town Hall, 53095 Main Road TOWN CLERK 0 T ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS . Cn �� Southold, New York 11971 MARRIAGE OFFICER �. �� Fax (516) 765-1823 -- *o � Telephone (516) 765-1801 : 1 * • ��� OFFICE OF THE TOWN CLERK Y_ 1 ', TOWN OF SOUTHOLD ; i -' OEC - 21991 To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office Dated: December 2, 1991 Transmitted herewith is a copy of application No. 805 for a Cesspool/ Septic Tank Construction Permit submitted by: Joseph Cavanagh and David Cichanowicz 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. Thank you. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE D DISAPPROVE n ^ Comments: CLAD ��. 'a 0--- citra . tigiorNI i\i‘\:14:\ RECEIVED 16- Signature %-ks,..\1N) Town Clerk Southold t Dated OFFICE OF THE TOWN CLERK Town of Southold SJ � Application No. d Judith T. Terry, Town Clerk I„ ,;� r,� Town Hall, 53095 Main Road a A-y +� Construction P. O. Box 1179 Southold, New York 11971 O, k Alteration Telephone! * %tt Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. S-0 S - Fee $ l(J DATE /; — c / 1 APPLICANT NAME: 0/1-(/q PAM l- 1 �-% i�fi "C(C d DO!c ;DA-✓, APPLICANT ADDRESS: © �c I Co Q SEPTIC CESSPOOL DESCRIPT N OF PROPOSED CONSTRUCTION OR A VrERATION ofkiE LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTR TION OR ALTERATION: OWNER OF PROPERTY: OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: 3 q7 TAX MAP NO. : Section C7 7 -) Block 0 Lot CROSS STREET: ;J � t V IF`3 l� BUILDING PERMIT NUMBER CROSS REFERENCE:.. f , ; Signature of Applicant • RECEIVED BY: i r Town Clerk's ffice DATE: • 4 / ! , TM wale►supply d 7,2° T= rh t The locations of yds and cesspools shown tamest are from flout Prepares In accordance wtih the TM .rdy tams Ica tills resld.nce w conform ;rho observdoM end or from data obt ed from others. stannlords for 'tile sarvtqeypsr ase i.l^4iar� standards of the Sulfa* County Depart- G`1,' IIcr wichl nes by The oro► uif Depart- ment of Hedih Services. eN y York Land CAy✓I/NI!4 N 3 + TqN AssOCloMOn' `VACANT! ?o / O X60 well APR 8. ►,:, f C. 19 SURVEY OF PROPERTY ' rr S.0 fp�r18� RIBNT OF WAY teimi ware 'roe AT � �� +Eat sE vlcrs ,i R, BAYVIEW Z ' TOWN OF SOUTHOLD res.721125'30"E. 1 Hoer y (40.34' SUFFOLK COUNTY , N.Y. . `-' "$ ; ® o 1000 077(,;;f4) - 03 - 18 $ . pi� ' •8 3 SCALE Ice = 3O i Hontsi DATA 3 4J • 3 DEC. 311;41987— - ,. o 'DAM MUM LOAM i" �/' „ , Pr.''' 4w�r , a 61.* M o i APR/L.25,:1988 ■t oAr Q' ,c� ,i S, • ,"•kacA \-9 ' s t Q = yM 44- prep ei co v ■eAOti"LOAMY LI vi / - i •- 4,o './F' carr,v t e E a IIIII..' noes rMEDIA1 A!D rc Z' rnrEu era;n d r.4.2.•i N W o mo 4 0 ,H}c,era-4e-.- I race 2 CERTIFIED TO . T -7- .W. — rcDnc• AMERICAN TITLE INSURANCE CO. wATEI'NMtEenowM il fit* • N. 72°25'30"W. 140.24' "D" DAVID CICHANOWIC. III iND IT , � M b N/O/F ROBERT WESTER BEKB in Ya4a1 `d, 8 JOYCE WESTERBEKE AND SV 'IA y�0 �,MET 9L 0"......crid--a •' (DWELLING ) s r' Ici) r, ' �2o# ?t,,o9FO ��rjrP,x�Q „, '+ V > r it A . wsrl � }`• �t .� ' SUFFOLK COUNTY DEPARTMENT of HEALTH SERVICES i,�‘ ��/ "g kI _S L1C. No. ass 16 AREA sr 8 , 41.7' SO.FT. FOR APPROVAL OF CONSTRUCTION ONLY Et 7�p� • \ rr„-+. ,��2 iturs PECON - - URS S .ENGINEERS , P.C. DA j(--q ns REF.No. r )50-12_ _,I 516 4516) 76'5 - 5020 - _ . P.O. BOX 909 'F'•���,!�- _ NORTH BAYVIEW ROAD MAIN ROAD APPROVED DTA SOUTHOLD,N.IV. 11971 pry,. 3-/0- $ rola.:'S.. bsa- 2/Zjf9/ taisedc- has 3/4/9/ D.K. 8 7 - 978 • • i