HomeMy WebLinkAboutConsidine, David (2) � ,,o��FFOIkcW---
JUDITH T. TERRY �,, Town Hall, 53095 Main Road
TOWN CLERK : =v T P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER '=�/�� ,414,40r,• Fax
(516) 765-1801
RECORDS MANAGEMENT OFFICER I e.
FREEDOM OF INFORMATION OFFICER ��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1142 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : DAVID J. CONSIDINE
Address 1 : 17 JUNARD BLVD.
City St Zip PORT JEFFERSON STA. NY 11776
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-94-0053
Name Of Owner CONSIDINE, DAVID J.
Mailing Address 1 17 JUNARD BLVD.
City St Zip PORT JEFFERSON STA. NY 11776
Property Address 1 1575 LAURELWOOD DRIVE
City St Zip LAUREL NY 11948
Tax Map No. section 127.00 block 5 lot 10.000
Cross Street WOODSIDE LANE
Building Permit Number Cross Reference:
Issue Date: 6/24/94 Judith T. Terry
Southold Town Clerk
_ ___ (TOWN SEAL)
JUDITH T. TERRY : Town Hall, 53095 Main Road
TOWN CLERK p rZ P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICERjj�� .aO Telephone (516) 765-1801
,,
RECORDS MANAGEMENT OFFICER '�"K/,l „�1
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 23, 1994
Transmitted herewith is a copy of application No. 1198 for a Cesspool/
Septic Tank Construction Permit submitted by:
David J. Considine
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. \I I I I •
Thank you. _
JUN 2 31994
BLDG.DEPT. j
TOWN OF SOUTHOLD
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE !/
DISAPPROVE
Comments: , /- 4friel �C D �/D lam - 0053
RECORD
JUN 2 4 1994
Signat -
fawn Clerk Sae* 2?"'/,'
Date•
• f
•
+• ' .
•
OFFICE OF THE TOWN CLERK , �
Town of Southold crf�(,��p
Judith T. Terry, Town Clerk r;;'r�` J `�� Application No. l
Town Hall, 53095 Main Road r.;; '
cn ;r; } �r i '` Construction
P. O. Box 1 179
Southold, New York 11971 Alteration
Telephone 1 if4 fl1 Residential
(516) 765- 1301 n1�
Non-Residential
TOWN ,OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
•
• f or
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE JUNE 23 1994
APPLICANT NAME: DAVID J. CONSIDINE
APPLICANT ADDRESS: 17 JUNARD BLVD PORT JEFF. STA. N.Y. 11776
D.
SEPTIC X CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION NEW CONSTRUCTION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: DAVID J. CONSIDINE
• OWNER MAILING ADDRESS: 17 JUNARD BLVD PORT JEFF. STA. N.Y. 11776
OWNER PROPERTY ADDRESS: 1575 LAURELWOOD DRIVE
LOT# 12 OF LAURELWOOD ESTATES
TELEPHONE NUMBER OF CONTACT. PERSON: 516 473-5379
TAX MAP NO1-0005ection 127 Block 5 Lot 10
CROSS STREET: WOODSIDE LANE •
BUILDING PERMIT NUMBER CROSS REFERENCE:• ..
igna �o Applicant •
•
RECEIVED BY: z5.
Town Clerk's Office
DATE: 0�3/ •
\` J WELL SUFFOLK CO.HEALTH DEPT.APPROVAL <
LOT 30 I( \ WELL? p .✓ - H.S. NO.
GOLDEN VIEW E'STS l (13 � f '- I ,
SUFF. CO.MAP 140.7770 f \ / _
8
\ Zo i
—�• \ Ip I- CPOOL��
t- ' ( STATEMENT OF INTENT
�- �. �� �\ / . \ "� 6p0' \ —' `J THE WATER SUPPLY AND SWAGE DISPOSAL
w
N.66°SO tO E. / 287.08 --�--} JSHS �� SYSTEMS FOR THIS RESIDENCE WILL
\ _foilS _ - I CONFORM TO THE STANDARDS OF THE
O SOk.E(PANSION \ •`p , �? I- " SUFFOLK CO. DEPT. OF HEALTH SERVICES.
45 4 1 \' S
d /Y� -c j / l 1\ — :4,___------ APPLICANT
(D f
.Lt
-J - IZOP.SEPTIC __ 1 __ \p
1, - -
SUFFOLK COUNTY DEPT. OF HEALTH
W 2° L.
3 / _:' == - - i 0 I ‘\ p \ SERVICES FOR APPROVAL FOR
`n y = 0 / ,-� CONSTRUCTION ONLY
CC+ f12 \'� I ' I F2oo. D�;vE O l •
�a DATE: �j ' �`t�1t'
W '� ) . H.S. REF. NO.: R-I O -94- 0053
O /�
_ `
- 1_ _i { �" W • 'WELL* APPROVED:
POOP.
g `, ' . -\ i _ %so WE�� c
ACV 45 wNd SUFFOLK CO.TAX MAP DESIGNATION:
cam► \ ‘...--i----- -
-2gj GIST. SECT. BLOCK PCL.
1000 127 5 tO
z ® I ,. ii
—
5.66 50 l0 W. \ / \ 28825 OWNERS ADDRESS:
1 — ti
17 JUNARD BLVD.
I
/ PORT JEFFER50i�I:-STA aN^Y.
J ,
— 11776
11 ,
— 473-5379
cwt_ ��' 7-- 5O —' DEED: L. N/A P.
l9 TEST HOLE STAMP
� "
•
i%
\ \ WELL
i/ ( t
MAP OF PROPERTY
- ---- - - SCALE-5'= d � ,
5U1-2�r EYED P012 ---- --- ! I a rpt° '
S.F.
_ Ai2EA_40,274 I n 2 i
DAVI ; ) J. 5USAN A CONS! ✓► i��I �., FI _
I ' J= PE. �� y
— -- -
AT — ! CI MONUMENT � ;v
_ w i
• Laur�EL -. ' ' `t "
AMENDED JUNE 9,'\';;�V Q p ` SEAL
ttu
TOWN OF SOUTHOLO N.Y. --- - , CQ�t s -o
-. . ._._ GS�
* • NOTES- AS SURVEYED JUNE" 4 Z t
RODERICK VAN TUYL.P.C.
I.UNLESS OTHEI2W15E SHOWN NOS•2EFE2TO-MAP OF LA_ UREL` IOCL E5 5., V40..,. 1 4...�
p '• • - FILED 11•i THE SUFF.CO,CLE21G'S OFFICE AS M_ISP N0.5595. LICENSED LAND SURVEYORS #`
2.G0NTOUrRS FROM SUFF:CO.D.P.W.AERIAL MAP. DATUM =MEAN SEA LEVEL. GREENPORT NEW YORK